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Risk Factors for In-Hospital Seizures of Aneurysmal Subarachnoid Hemorrhage After Endovascular Treatment: A Real-World Study

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机构： [1]Department of Psychiatry, The School of Clinical Medicine, Hunan University of Chinese Medicine, Changsha, Hunan, China, Brain Hospital of Hunan Province (The Second People's Hospital of Hunan Province), Changsha, Hunan, China., 410007. [2]Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China, 410011. [3]Department of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, China, 100730. [4]Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, China, 100070.

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关键词： AR AST BMI aSAH Seizures

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The occurrence of in-hospital seizures for aneurysmal subarachnoid hemorrhage (aSAH) ranges from 3.7% to 15.2%, and seizures remains an important factor affecting patient prognosis. Therefore, the timely identification of patients at a higher risk for aSAH-associated seizures after endovascular treatment is of paramount importance. This study aims to analyze the risk factors for in-hospital seizures after endovascular treatment for aSAH.The study comprised 547 patients at three centers from January 2019 to September 2021. In the context of this study, two models were utilized: the first model involved no variable adjustment, while the second model included all potential confounders in the multivariate logistic regression analysis. Additionally, the dose-response relationship between biomarkers and seizure occurrence was assessed using Restricted Cubic Spline (RCS).Among these patients, 28 (5.1%) developed seizures during hospitalization. In Model 2, the modified Fisher score (adjusted OR: 3.138, 95% CI: 1.226-8.036), BMI (adjusted OR: 0.852, 95% CI: 0.749-0.970), AR (aspect ratio) (adjusted OR: 0.264, 95% CI: 0.115-0.604), and AST (aspartate transaminase) (adjusted OR: 1.017, 95% CI: 1.001-1.035) were showed as factors contributing to an increased risk of aSAH-associated seizures.BMI, AST, AR, modified Fisher scores, and Hunt-Hess scores were correlated with the formation of aSAH-associated seizures after endovascular treatment.Copyright © 2024 Elsevier Inc. All rights reserved.

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出版当年[2023]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区外科

最新[2023]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区外科

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出版当年[2022]版：

Q3 SURGERY Q4 CLINICAL NEUROLOGY

最新[2023]版：

Q2 SURGERY Q3 CLINICAL NEUROLOGY

影响因子： 1.9 最新[2023版] 2 最新五年平均 2 出版当年[2022版] 2.1 出版当年五年平均 2.21 出版前一年[2021版] 1.9 出版后一年[2023版]

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第一作者机构： [1]Department of Psychiatry, The School of Clinical Medicine, Hunan University of Chinese Medicine, Changsha, Hunan, China, Brain Hospital of Hunan Province (The Second People's Hospital of Hunan Province), Changsha, Hunan, China., 410007.

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