Abstract：
BACKGROUND:Several studies have included different co-morbid conditions in prediction models for stroke patients. For subarachnoid haemorrhage (SAH), it is not known whether the Charlson Co-morbidity Index (CCI) is associated with outcome. We evaluated if this index was associated with outcome in patients with ruptured intracerebral aneurysms. METHODS:The data of all consecutive aneurysmal SAH (aSAH) patients treated at the Radboudumc, Nijmegen, The Netherlands and entered in the database were retrospectively analysed. Clinical condition at admission was recorded using the WFNS (World Federation of Neurological Surgeons Grading System) grade was collected, as were the age and treatment modality. The burden of co-morbidity was retrospectively registered using the CCI. Outcome was dichotomised on the modified Rankin Scale (mRS; 0-2, favourable outcome; 3-6, unfavourable outcome). A binary logistic regression analysis was performed. RESULTS:Between 6th May 2008 and 31st July 2013, 457 patients were admitted because of non-traumatic SAH (aSAH). Seventy-seven (16.8 %) patients had no aneurysm. Of the 380 patients with aSAH, information on co-morbid conditions was available for 371 patients. Thirty-six of those 371 had no treatment because of: bad clinical condition in 34 (9.2 %), a non-treatable dissecting aneurysm in 1 (0.3 %) and the explicit wishes of another. Co-morbidity was present in 113 (31.5 %) patients. Binary logistic regression analysis revealed no added value of using the CCI in predicting the outcome (p = 0.91). CONCLUSIONS:This study reports that the CCI is not associated with the outcome classified on the mRS at 6 months in patients after aSAH. The CCI has no added value in case-mix correction.
journal_name
Acta Neurochir (Wien)journal_title
Acta neurochirurgicaauthors
Boogaarts HD,Conde MP,Janssen E,van Nuenen WF,de Vries J,Donders R,Westert GP,Grotenhuis JA,Bartels RHdoi
10.1007/s00701-014-2160-3subject
Has Abstractpub_date
2014-09-01 00:00:00pages
1663-7issue
9eissn
0001-6268issn
0942-0940journal_volume
156pub_type
杂志文章abstract：BACKGROUND:Surgeons often rely on intraoperative electrophysiological monitoring to determine whether decompression is sufficient during microvascular decompression surgery for hemifacial spasms. A new monitoring method is needed when an abnormal muscle response is occasionally not available or is unreliable. This stud...
journal_title：Acta neurochirurgica
pub_type： 临床试验,杂志文章
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更新日期：2012-05-01 00:00:00
abstract：:The role of superficial temporal artery--middle cerebral artery (STA-MCA) anastomosis was investigated with an ultrasonic Doppler flowmeter in 3 patients with sphenoid ridge meningiomas and one with a parasellar malignant teratoma, all of which involved the intracranial internal carotid artery. The intraoperative Dopp...
journal_title：Acta neurochirurgica
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journal_title：Acta neurochirurgica
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doi：10.1007/BF01808440
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01420194
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abstract：BACKGROUND:Multiple intracranial aneurysms (MIAs) are associated with poorer outcomes after rupture than are single intracranial aneurysms (SIAs). Although the risk factors for intracranial aneurysm rupture have been widely investigated, few studies have focused on MIAs. Thus, the present study aimed to determine wheth...
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pub_type： 杂志文章
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pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01401637
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s007010050493
更新日期：1999-01-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1007/s00701-005-0516-4
更新日期：2005-05-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2017-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00701-008-1512-2
更新日期：2008-05-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00701-004-0346-9
更新日期：2004-10-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1007/BF01411056
更新日期：1996-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/BF01405747
更新日期：1976-01-01 00:00:00
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doi：10.1007/s00701-015-2405-9
更新日期：2015-06-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-06-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 历史文章,杂志文章,评审
doi：10.1007/BF01809226
更新日期：1978-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：1994-01-01 00:00:00
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更新日期：2020-08-01 00:00:00
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更新日期：2010-11-01 00:00:00
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pub_type： 历史文章,杂志文章,评审
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更新日期：2010-05-01 00:00:00
