Analysis of factors related to prognoses in the patients with very small ruptured intracranial aneurysms treated by surgery
ZHENG Yun-gui
LU Xiao-wen
XU Lie-peng
YUAN Jun
Abstract：Objective To study factors related to the prognoses in the patients with very small ruptured intracranial aneurysms after the surgery. Methods The clinical data of 63 patients with very small ruptured intracranial aneurysms, who received surgical or endovascular treatment in our hospital from November, 2012 to August, 2016, were analyzed retrospectively. The relationships of prognoses with the factors including the patients' age and gender, operative approach and opportunity, Fisher Scale and Hunt-Hess classification on admission to hospital, intracerebral hematoma, and cerebral infraction were analyzed by univariate and multivariable logistic regression analyses. Results The univariate analysis showed that prognoses of patients with very small ruptured intracranial aneurysms were affected by Fisher Scale and Hunt-Hess classification on admission to hospital, intracerebral hematoma and cerebral infraction (P<0.01). The multivariate logistic regression analysis showed that Hunt-Hess classification (>grade Ⅲ) on admission to hospital (OR=11.453, 95%CI: 1.888~69.495, P=0.008), intracerebral hematoma (OR=6.665, 95%CI: 1.298~34.236, P=0.023) and cerebral infraction (OR=11.353, 95%CI:1.909~67.520, P=0.008) were independent risk factors affecting the prognoses in the patients with very small ruptured intracranial aneurysms. Conclusion The patients' Hunt-Hess classification on admission to hospital and whether patients were complicated by intracerebral hematomas and cerebral infractions are of high value to predicting the prognoses in the patients with very small intracranial aneurysms.
Keywords：Very small intracranial aneurysmRelationshipPrognosisFactorsAnalysis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 634-635,638 )