Patient comorbidities, aneurysm location, and surgical/intensive care procedures
Variables | Low (n=7940) | Intermediate (n=20 075) | High (n=5825) | P value |
Frailty risk score | ||||
Mean±SD | 2.7±1.6 | 9.7±2.8 | 18.7±3.0 | <0.001 |
Comorbidities (%) | ||||
Seizure | 1.3 | 8.4 | 16.2 | <0.001 |
Neurological deficit associated with subarachnoid hemorrhage | 0.1 | 0.6 | 1.0 | 0.002 |
Coma | 0.9 | 5.5 | 7.9 | <0.001 |
Aphasia | 1.8 | 9.4 | 21.8 | <0.001 |
Dysphagia | 2.6 | 15.7 | 34.9 | <0.001 |
Cranial nerve palsy | 3.6 | 4.0 | 4.5 | 0.527 |
Diplopia | 2.1 | 2.3 | 1.8 | 0.581 |
Hypertensive chronic kidney disease | 0.4 | 3.6 | 6.2 | <0.001 |
Personal history of transient ischemic attack | 3.4 | 3.9 | 3.4 | 0.633 |
Headache | 4.8 | 3.2 | 3.7 | 0.010 |
Affective disorder | 12.8 | 16.3 | 17.1 | 0.002 |
Smoking | 24.8 | 23.5 | 20.3 | 0.018 |
Congestive heart failure | 3.1 | 8.1 | 11.1 | <0.001 |
Cardiac arrhythmias | 12.7 | 23.0 | 30.9 | <0.001 |
Valvular disease | 1.3 | 3.4 | 3.9 | <0.001 |
Pulmonary circulation disorders | 1.1 | 3.3 | 4.3 | <0.001 |
Peripheral vascular disorders | 4.7 | 5.9 | 6.1 | 0.156 |
Hypertension, combined | 63.5 | 71.2 | 73.6 | <0.001 |
Paralysis | 0.9 | 15.6 | 53.6 | <0.001 |
Other neurological disorders | 14.2 | 43.9 | 64.0 | <0.001 |
Chronic pulmonary disease | 10.1 | 14.4 | 13.2 | <0.001 |
Diabetes, uncomplicated | 7.5 | 6.8 | 6.0 | 0.321 |
Renal failure | 1.0 | 5.0 | 8.5 | <0.001 |
Hypothyroidism | 6.4 | 8.1 | 7.6 | 0.076 |
Liver disease | 1.8 | 3.5 | 3.0 | 0.003 |
Peptic ulcer disease | 0.2 | 0.3 | 1.4 | 0.017 |
Coagulopathy | 4.3 | 7.6 | 8.3 | <0.001 |
Obesity | 12.5 | 14.6 | 12.6 | 0.074 |
Weight loss | 2.7 | 9.4 | 16.3 | <0.001 |
Fluid and electrolyte disorders | 33.2 | 70.0 | 86.6 | <0.001 |
Deficiency anemias | 2.1 | 2.9 | 4.1 | 0.009 |
Alcohol abuse | 4.1 | 6.9 | 8.3 | <0.001 |
Current aspirin use | 10.5 | 10.5 | 9.4 | 0.554 |
Current anticoagulant use | 2.3 | 2.9 | 2.3 | 0.301 |
Aneurysm location (%) | <0.001 | |||
Anterior | ||||
Carotid siphon bifurcation | 4.1 | 3.0 | 3.3 | |
Middle cerebral artery | 6.2 | 7.3 | 10.9 | |
Anterior communicating artery | 26.9 | 27.4 | 27.8 | |
Posterior | ||||
Posterior communicating artery | 21.4 | 19.6 | 19.9 | |
Basilar artery | 5.5 | 6.5 | 4.3 | |
Vertebral artery | 0.8 | 1.9 | 2.3 | |
Unspecified | 35.1 | 34.2 | 31.5 | |
Procedures (%) | ||||
External ventricular drain | 25.3 | 51.8 | 60.3 | <0.001 |
Ventriculo-peritoneal shunt | 3.6 | 10.6 | 15.8 | <0.001 |
Central venous catheter placement | 15.2 | 33.5 | 45.6 | <0.001 |
Arterial monitoring | 6.4 | 10.6 | 13.6 | <0.001 |
Fluoroscopy of cerebral arteries with contrast | 52.8 | 55.7 | 63.3 | <0.001 |
Vasospasm treatment | 2.5 | 6.3 | 10.7 | <0.001 |
Video-EEG monitoring | 1.4 | 6.0 | 10.0 | <0.001 |
EEG, electroencephalogram