Predictors and Impact of Aneurysm Rebleeding After Subarachnoid Hemorrhage . Early aneurysm repair was performed whenever feasible. Main Outcome Measures. Functional outcome was assessed at 3 months with the modified Rankin Scale. Multiple logistic regression was used to identify predictors of rebleeding, poor functional outcome, and mortality. Results. Hunt- Hess grade on admission (odds ratio . After controlling for Hunt- Hess grade and aneurysm size, rebleeding was associated with a markedly reduced chance of survival with functional independence (modified Rankin Scale score, . Poor Hunt- Hess grade and larger aneurysm size are related to rebleeding. Pharmacologic therapy to reduce the risk of rebleeding before aneurysm repair, particularly in patients with poor grade neurologic status and large aneurysms, deserves renewed attention.
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December 2016
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