Fig. 1
Incidence of vasospasm-induced cerebral infarct stratified by aneurysm location. () number of cases, P value chi-square test
With regard to outcomes (Table 1), the incidence of independent survival (mRS 0–2) was similar between clipping and coiling at both 3 (62.6 vs. 67.3 %) and 12 (67.3 vs. 71.4 %) months after SAH. Multivariate logistic regression with poor outcome (1-year mRS 3–6) as a binary outcome demonstrated vasospasm-induced cerebral infarct to be a significant prognostic factor when patient age, gender, admission WFNS grade, Fisher CT group, aneurysm location, dome size, neck size, pretreatment aneurysm rerupture (in hospital, n = 41, 7.6 %), treatment modality, antiplatelet therapy (n = 129, 24.0 %), CSF drainage (with/without irrigation, n = 365, 68.0 %), vasospasm-induced cerebral infarct (n = 95, 17.7 %), shunt-dependent hydrocephalus (n = 101, 18.8 %), epilepsy (n = 26, 4.8 %), infection (sepsis, pneumonia, etc.; n = 48, 8.9 %), noninfectious cardiopulmonary complications (n = 35, 6.5 %), clipping-related complications (n = 84, 15.6 %), and coiling-related complications (n = 52, 9.7 %) were used in the analyses (Table 2).
Table 1
Modified Rankin Scale (mRS) at 3 and 12 months after subarachnoid hemorrhage
Variable | Clip (n = 273) | Coil (n = 264) | P valuea |
---|---|---|---|
mRS at 3 months | n = 270 | n = 263 | |
0 | 86 (31.9) | 131 (49.8) | <0.001 |
1 | 39 (14.4) | 24 (9.1) | ns |
2 | 44 (16.3) | 22 (8.4) | <0.01 |
3 | 19 (7.0) | 11 (4.2) | ns |
4 | 37 (13.7) | 28 (10.6) | ns |
5 | 22 (8.1) | 21 (8.0) | ns |
6 | 23 (8.5) | 26 (9.9) | ns |
0–1 | 125 (46.3) | 155 (58.9) | <0.005 |
0–2 | 169 (62.6) | 177 (67.3) | ns |
mRS at 12 months | n = 263 | n = 255 | |
0 | 105 (39.9) | 145 (56.9) | <0.001 |
1 | 36 (13.7) | 25 (9.8) | ns |
2 | 36 (13.7) | 12 (4.7) | <0.001 |
3 | 21 (8.0) | 13 (5.1) | ns |
4 | 25 (9.5) | 17 (6.7) | ns |
5 | 14 (5.3) | 14 (5.5) | ns |
6 | 26 (9.9) | 29 (11.4) | ns |
0–1 | 141 (53.6) | 170 (66.7) | <0.005 |
0–2 | 177 (67.3) | 182 (71.4) | ns |
Table 2
Significant variables in multivariate logistic regression with poor outcome (1-year modified Rankin Scale 3–6) as a binary outcome
Variables | Odds ratio
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