Impact of Herniation on WFNS Grading in Spontaneous Subarachnoid Hemorrhage - a SWISS SOS Observational Trial

Launched by INSEL GRUPPE AG, UNIVERSITY HOSPITAL BERN · Nov 25, 2014

Keywords

ClinConnect Summary

Background

Aneurysmal subarachnoid hemorrhage (SAH) is a severe disease affecting approximately 400 patients per year in Switzerland. Death and severe disability after spontaneous SAH are related to the initial severity of the bleeding. The scale which is most often used and recommended to grade the severity of SAH is the World Federation of Neurosurgical Societies scale. Besides the Glasgow Coma Scale as basis for the WFNS grading, the existence of a neurologic deficit is included in this scale. In general WFNS I-III patients are termed good grade and WFNS IV and V poor grade. Morbidity a...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Written informed consent of the patient or consent of patient's next of kin
• • Spontaneous SAH
• • Age: ≥18
• • Glasgow coma scale (GCS) ≤ 12. In intubated patients the GCS assessment will be performed after cessation of sedation or if not possible the last GCS score before intubation will be used
• • Exclusion Criteria
• • SAH due to any other cause or structural abnormality of the brain (trauma, dissection, arterio-venous malformation, dural arterio-venous fistula)
• • Foreseeable difficulties in follow-up due to geographic reasons (e.g., patients living abroad)