Findings Predictive of Poor Outcome in Grade 5 Subarachnoid Hemorrhage: A Cohort Study.
Andreas H KramerPhilippe L CouillardJulie A KrommStacy RuddellSimon Demers-MarcilAlim P MithaGarnette R SutherlandJohn H WongPublished in: The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques (2021)
We identified several early predictors with high PPV for poor outcome. Of these, lack of improvement in motor score during the initial 72 hours had the greatest potential for confounding from "self-fulfilling prophecy." Absence of PLR at 24 hours, IVH score >= 20, and ICH volume >= 53 ml predicted poor outcome without a statistically significant effect on WLSM decisions. More research is needed to validate prognostic variables in grade 5 SAH, especially among patients who do not undergo WLSM.