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Bulletin of Emergency and Trauma، جلد ۱۲، شماره ۱، صفحات ۳۵-۴۱
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عنوان انگلیسی An Epidemiological Investigation on Patients with Non-traumatic Subarachnoid Hemorrhage from 2010 to 2020
چکیده انگلیسی مقاله Objective: Subarachnoid hemorrhage (SAH) is still considered a life-threatening medical condition with
a high mortality rate, particularly in developing countries. Thus, the present study aimed to investigate the
angiographic findings of non-traumatic or spontaneous SAH.
Methods: This retrospective cohort study included 642 health records of patients with non-traumatic SAH over
a 10-year period, from 2010 to 2020. The required data, including demographic information, aneurysm type,
size, location, disease severity classification, and secondary complications, were extracted.
Results: The study included 642 patients, with 262 (40.8%) being male. The mean age of the participants was
54.72±13.51 years. The most prevalent type of aneurysm was saccular (89.1%), while serpentine (0.2%) and
dissecting saccular (0.2%) aneurysms had the least prevalence. The most frequently involved arteries were the
anterior communicating artery (ACoA; 38%), internal carotid artery (ICA; 27.6%), and middle cerebral artery
(MCA; 13.4%). There was a significant correlation between sex and aneurysms occurring at ACoA and ICA
(p< 0.0001), and ACoA – A1 (p=0.02). Patient age and sex were also significantly correlated with one another
(p<0.0001). There was no statistically significant correlation between sex, aneurysm size, Glasgow coma scale
(GCS), and modified Rankin scale (MRS).
Conclusion: Based on our findings, the presence of aneurysms at ACoA, ACoA – A1, and ICA should be
thoroughly ruled out in patients with severe headaches of sudden onset, particularly male patients of younger
ages.
کلیدواژه‌های انگلیسی مقاله Subarachnoid hemorrhage, Aneurysm, Complication
نویسندگان مقاله Sayed Reza Ahmadi |
Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.

Maliheh Ziaee |
Community Medicine Specialist, Associate Professor of Community Medicine, Department of Community Medicine, School of Medicine, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

Humain Baharvahdat |
Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran.

Zahra Ahmadi |
Student research Committee, Faculty of Medicine, ShahrKord University of Medical Science, Shahrkord

Morteza Talebi Delouee |
Associate professor of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Behrange Rezvani Kakhki |
Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Mohammad Salehi Kareshk |
Student research Committee, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran.

Elnaz Vafadar Moradi |
Assistant professor of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

نشانی اینترنتی https://beat.sums.ac.ir/article_49999_8170932b9ab5340da72256ef6421c298.pdf
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