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SM ISO690:2012 DUMANSCAIA, Maria, MANOLE, Elena, ȚÎBÎRNĂ, Natalia, DOROBET, Alexandru, ODAINIC, Olesea. Gendere differences in patients with non-aneurysmal and non-traumatic subarachnoid hemorrhage. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 205. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 205-205 | ||||||
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Rezumat | ||||||
Background. Subarachnoid haemorrhage (SHA) accounts for about 5% of all strokes, with increased mortality and morbidity. In 85% cases SHA is caused by an aneurysmal rupture, 10% of SHA are non-aneurysmal, non-traumatic, and 5% is due to other vascular causes. Objective of the study. It was the analysis of clinical evolution and prognosis, depending on gender, in patients with SHA which was not determined by rupture of aneurysm or craniocerebral trauma. Material and Methods. Patients with non-traumatic and non-aneurysmal SHA were collected, hospitalized in the Institute of Neurology and Neurosurgery “Diomid Gherman” between 2019 and March 2021. The diagnosis was confirmed by cerebral CT and CT angiography. Results. The study included 23 patients, 11 women and 12 men, with an average age of women 65.1 years and men 54.3 years. Risk factors were assessed in relation to the gender of patients: hypertension–20 (8 women and 12 men), smoking–3 men, diabetes–2 (1 women and 1 man), obesity–3 (2 women and 1 male), dyslipidemia–2 (1 male and 1 female), COVID-19–2 men, autoimmune diseases–2 men. The patient's prognosis was determined according to the scales: Hunt-Hess grade 2 (7/11 women and 10/12 men), WFNS grade 1 (6/11 women and 10/12 men), mFisher grade 1 (4/11 women and 9/12 men), mRs score 1 (6/11 women and 11/12 men), 5–developed vasospasm (3 men and 2 women), 2 patients (women)–died. Conclusion. Non-aneurysmal, non-traumatic SHA developed more frequently in men, with lower average age than women, and multiple association of risk factors. Compared to women, men had better clinical outcomes, lower rates of complications and more favorable prognosis. |
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Cuvinte-cheie non-aneurysmal subarachnoid hemorrhage, Hunt-Hess scale, hemoragie subarahnoidiană non-anevrismală, scala Hunt-Hess |
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