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Bukovinian Medical Herald
Article . 2019 . Peer-reviewed
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Differences in the dynamics of clinical indicators of unified neurological scales in patients with different age categories with spontaneous or aneurysmatic subarachnoidal hemorrhage

Authors: Polkovnikova, K. Yu.;

Differences in the dynamics of clinical indicators of unified neurological scales in patients with different age categories with spontaneous or aneurysmatic subarachnoidal hemorrhage

Abstract

Subarachnoid hemorrhage is one of the most common forms of intracranial vascular disease and one of the most severe types of cerebral circulation disorders.The aim of the study: to find out the age-related features of the course of the disease according to standardized neurological scales in patients with spontaneous subarachnoid hemorrhage of a traumatic etiology.Material and methods. 87 patients with subarachnoid hemorrhage were examined, of which 38 (43.68%) with isolated form, 14 (16.09%) with subarachnoid-parenchymal, 29 (33.33%) with subarachnoid-ventricular, 6 (6 9%) — with subarachnoid-parenchymal ventricular hemorrhage, the total number of mixed hemorrhages was 56.32%.Results. According to the modified Fisher scale, the severe degree with the most powerful hemorrhage is statistically significantly (p <0.05) more common in patients over 60 years old, and the presence of grade 1–2 severity was mainly observed in people under 40 years old. The easiest 1st severity of subarachnoid hemorrhage according to the classification of the World Federation of Neurosurgical Societies at the time of hospitalization prevails in patients under 40 years old and 40–60 years old, and 2–3 degree of severity were more often diagnosed in patients 60 years old, the most clinically significant speech and motor deficiency and registration of 4–5 severity were verified in persons under 40 years old. According to the Нunt & Неss scale, initially 50% of patients over 60 years old had clinically minimal neurological symptoms and 1st grade of severity. The average 2–3rd grade of severity was noted in patients of the middle age category (40–60 years) with negative dynamics after one week. According to the GOSE (Glasgow Outcome Scale Extended) scale of results, a cohort of patients over the age of 60 had a negative and questionable prognosis, more than a third part of patients in each age group had the most optimal prognosis for recovery. Conclusion. Young patients under 40 years old more often had a severe condition with pronounced depression of consciousness and neurological deficit according to standardized neurological scales.

Keywords

age-related features; atraumatic subarachnoid hemorrhage; GOSE scale; chi-square, возрастные особенности; атравматическое субарахноидальное кровоизлияние; шкала GOSE; хи-квадрат, вікові особливості; атравматичний субарахноїдальний крововилив; шкала GOSE; хі-квадрат

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
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