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The aim of our study is to analyze mortality and sequelae of subarachnoid hemorrhage of aneurysmal origin in hospitalized patients in Martinique. Predictive factors of poor prognosis will also be analyzed.
Subarachnoid hemorrhage is an uncommon pathology in the general population, with a worldwide incidence of 9 per 100,000 people/year, but with a non-negligible risk of sequelae in terms of impairments, activity limitations and participation restrictions of around 30%. Mortality remains high at 40%, despite increasingly specialized care.
In addition, there are a number of objective, rapid assessment scores for autonomy and impairments, notably the modified Rankin score, which is not specific to subarachnoid hemorrhage, but which enables the study of patients' perceived quality of life. Certain factors predictive of bad patient outcome are known in the literature, but have been little studied in the population of Martinique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SAH of aneurysmal origin in hospitalized patients in Martinique between 2013 and 2021 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Usual patient care for patients hospitalized for subarachnoid hemorrhage of aneurysmal origin | Other | During hospitalization (2013-2021), patients were managed after multidisciplinary consultation in accordance with national recommendations between resuscitators, neurosurgeons and neuroradiologists, depending on the severity of the initial management and the patient's comorbidities, either by interventional radiology, neurosurgery or medical treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate mortality in patients hospitalized for subarachnoid hemorrhage of aneurysmal origin over a 9-year period (2013-2021) in Martinique. | Mortality of subarachnoid hemorrhage of aneurysmal origin. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the clinical outcome of these patients. | Patient's clinical outcome (mortality, impairment of patient autonomy, impairment of patient's level of dependece), assessed with the modified Rankin score at discharge and at a distance from hospitalization (minimum delay: 2.5 years). | 6 months |
| Analyze the factors associated with a significant impairment of autonomy and/or dependence. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients hospitalized in Martinique for subarachnoid hemorrhage of aneurysmal origin
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marie SABIA, PhD | Contact | 0596551054 | +596 | marie.sabia@chu-martinique.fr |
| Pauline PICHOIS | Contact | paulinep13@live.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Center of Martinique | Recruiting | Fort-de-France | 97261 | Martinique |
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|
Predictive factors associated with significant impairment of patient autonomy and/or dependence (modified Rankin score = 4 or 5): age, degree of consciousness at the time of treatment (WFNS score), amount of blood in the meningeal spaces (Fisher score), aneurysm size |
| 6 months |
| Analyze the factors associated with death. | Predictive factors associated with death (modified Rankin score = 6): age, degree of consciousness at the time of treatment (WFNS score), amount of blood in the meningeal spaces (Fisher score), aneurysm size. | 6 months |
| Analyze the factors associated with a poor prognosis (death AND/OR significant impairment of autonomy/dependence). | Predictive factors associated with a poor prognosis (modified Rankin score ≥ 4: death AND/OR impaired patient autonomy and/or dependence): age, degree of consciousness at the time of treatment (WFNS score), amount of blood in the meningeal spaces (Fisher score), aneurysm size. | 6 months |
| ID | Term |
|---|---|
| D013345 | Subarachnoid Hemorrhage |
| ID | Term |
|---|---|
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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