The Role of VASOGRADE as a Simple Grading Scale to Predict Delayed Cerebral Ischemia and Functional Outcome After Aneurysmal Subarachnoid Hemorrhage.
Natália Vasconcellos de Oliveira SouzaCarolina RouanetDavi Jorge Fontoura SollaCaio Vinícius Barroso de LimaCaio Augusto de SouzaFlavio RezendeMaramelia Miranda AlvesAirton Leonardo de Oliveira ManuelFeres Chaddad NetoMichel FruditGisele Sampaio SilvaPublished in: Neurocritical care (2022)
In conclusion, in a multiethnic cohort of patients with aSAH, VASOGRADE-Green predicted the absence of DCI and good clinical outcome at discharge with very high specificity, and patients in this category might be selected for early intensive care unit (ICU) discharge, minimizing costs and medical complications associated with prolonged hospital stay. On the other hand, patients categorized as VASOGRADE-Yellow and VASOGRADE-Red were at the highest risk for DCI. They should, therefore, be selected as a priority for care in high-volume aSAH centers, being aggressively monitored for DCI at the ICU. Such stratification methods are crucial, especially in countries with low financial resources and high health care services demand.
Keyphrases
- healthcare
- intensive care unit
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- mechanical ventilation
- prognostic factors
- brain injury
- subarachnoid hemorrhage
- mental health
- affordable care act
- patient reported outcomes
- risk factors
- quality improvement
- adverse drug
- health insurance
- patient reported
- electronic health record