Role of Gender in the Outcome of Spontaneous Subarachnoid Hemorrhage during Subacute Stage in Patients between 40 and 60 Years-: A Single Tertiary Health Institution Experience in Imo State Nigeria


Authors : Dr. Benedict Iheanyichukwu Orji; Dr Francis Chiku Abeze

Volume/Issue : Volume 8 - 2023, Issue 6 - June

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://tinyurl.com/4jjsmc3d

DOI : https://doi.org/10.5281/zenodo.8058615

Abstract :  Introduction Spontaneous Subarachnoid hemorrhage (SSAH) is known to cause metabolic and pathological changes at various aging population. Factors such as rising severity of the aetiology, associated comorbidities and gender, may confound the probable outcome. There are several facts suggesting that there is significant role of each of the above factors acting independently on the outcome of SSAH, but none has elucidated the collective impact of gender and age between 41 and 60 years, on the outcome of SSAH. Thus this study wanted to see the effects of primary and attenuated secondary injuries between the ages of 40-60 years in patients with SSAH. This study aims to understand the pattern of these changes.  Objectives To study how gender of the patients between 41 and 60 years affected their survival of spontaneous subarachnoid hemorrhage in the subacute stage.  Materials and Methods This is a prospective study of patients with spontaneous subarachnoid hemorrhage (SSAH) managed at a tertiary hospital from January 2018 till January 2023. Twenty-two patients were studied. The patients included those with intracerebral and intraventricular hemorrhage. The study excluded patients with traumatic brain injury and patients without brain imaging. The management of these patients were uniform. The GCS on admission were checked; in the acute/subacute phase. Their age were from 41-60 years, with their corresponding outcome correlated. The outcomes were survival or mortality.  Results Total number of patients studied was 22, male 13 (59.1%), females 9 (41.9%),  Conclusion Older age correlated with poorer Glasglow Coma Scale (GCS) and higher mortality rate. Efforts should be intensified to tackle these factors before and during the hemorrhage to improve outcome.

 Introduction Spontaneous Subarachnoid hemorrhage (SSAH) is known to cause metabolic and pathological changes at various aging population. Factors such as rising severity of the aetiology, associated comorbidities and gender, may confound the probable outcome. There are several facts suggesting that there is significant role of each of the above factors acting independently on the outcome of SSAH, but none has elucidated the collective impact of gender and age between 41 and 60 years, on the outcome of SSAH. Thus this study wanted to see the effects of primary and attenuated secondary injuries between the ages of 40-60 years in patients with SSAH. This study aims to understand the pattern of these changes.  Objectives To study how gender of the patients between 41 and 60 years affected their survival of spontaneous subarachnoid hemorrhage in the subacute stage.  Materials and Methods This is a prospective study of patients with spontaneous subarachnoid hemorrhage (SSAH) managed at a tertiary hospital from January 2018 till January 2023. Twenty-two patients were studied. The patients included those with intracerebral and intraventricular hemorrhage. The study excluded patients with traumatic brain injury and patients without brain imaging. The management of these patients were uniform. The GCS on admission were checked; in the acute/subacute phase. Their age were from 41-60 years, with their corresponding outcome correlated. The outcomes were survival or mortality.  Results Total number of patients studied was 22, male 13 (59.1%), females 9 (41.9%),  Conclusion Older age correlated with poorer Glasglow Coma Scale (GCS) and higher mortality rate. Efforts should be intensified to tackle these factors before and during the hemorrhage to improve outcome.

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