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Open Access 30-01-2023 | Subarachnoid Hemorrhage | Original Article - Vascular Neurosurgery - Aneurysm

Should individual timeline and serial CT/MRI panels of all patients be presented in acute brain insult cohorts? A pilot study of 45 patients with decompressive craniectomy after aneurysmal subarachnoid hemorrhage

Authors: Anniina H. Autio, Juho Paavola, Joona Tervonen, Maarit Lång, Terhi J. Huuskonen, Jukka Huttunen, Virve Kärkkäinen, Mikael von Und Zu Fraunberg, Antti E. Lindgren, Timo Koivisto, Jouni Kurola, Juha E. Jääskeläinen, Olli-Pekka Kämäräinen

Published in: Acta Neurochirurgica | Issue 11/2023

Abstract

Purpose

Our review of acute brain insult articles indicated that the patients’ individual (i) timeline panels with the defined time points since the emergency call and (ii) serial brain CT/MRI slice panels through the neurointensive care until death or final brain tissue outcome at 12 months or later are not presented.

Methods

We retrospectively constructed such panels for the 45 aneurysmal subarachnoid hemorrhage (aSAH) patients with a secondary decompressive craniectomy (DC) after the acute admission to neurointensive care at Kuopio University Hospital (KUH) from a defined population from 2005 to 2018. The patients were indicated by numbers (1.–45.) in the pseudonymized panels, tables, results, and discussion. The timelines contained up to ten defined time points on a logarithmic time axis until death (\(n=25\); 56%) or 3 years (\(n=20\); 44%). The brain CT/MRI panels contained a representative slice from the following time points: SAH diagnosis, after aneurysm closure, after DC, at about 12 months (20 survivors).

Results

The timelines indicated re-bleeds and allowed to compare the times elapsed between any two time points, in terms of workflow swiftness. The serial CT/MRI slices illustrated the presence and course of intracerebral hemorrhage (ICH), perihematomal edema, intraventricular hemorrhage (IVH), hydrocephalus, delayed brain injury, and, in the 20 (44%) survivors, the brain tissue outcome.

Conclusions

The pseudonymized timeline panels and serial brain imaging panels, indicating the patients by numbers, allowed the presentation and comparison of individual clinical courses. An obvious application would be the quality control in acute or elective medicine for timely and equal access to clinical care.

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Title: Should individual timeline and serial CT/MRI panels of all patients be presented in acute brain insult cohorts? A pilot study of 45 patients with decompressive craniectomy after aneurysmal subarachnoid hemorrhage
Authors: Anniina H. Autio
Juho Paavola
Joona Tervonen
Maarit Lång
Terhi J. Huuskonen
Jukka Huttunen
Virve Kärkkäinen
Mikael von Und Zu Fraunberg
Antti E. Lindgren
Timo Koivisto
Jouni Kurola
Juha E. Jääskeläinen
Olli-Pekka Kämäräinen
Publication date: 30-01-2023
Publisher: Springer Vienna
Keywords: Subarachnoid Hemorrhage
Subarachnoid Hemorrhage
Neurointensive Care
Published in: Acta Neurochirurgica / Issue 11/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-022-05473-7

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Should individual timeline and serial CT/MRI panels of all patients be presented in acute brain insult cohorts? A pilot study of 45 patients with decompressive craniectomy after aneurysmal subarachnoid hemorrhage

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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