Fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhage
The Fisher revised scale (FRS) presents an alternative for evaluating patients with subarachnoid hemorrhage (SAH). In this study, we compared the prognosis of patients with SAH and vasospasms (VSP). METHOD: This was a prospective study on patients with a diagnosis of aneurysmal SAH, 72 hours after t...
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Thieme Revinter Publicações
2011-12-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000700012&lng=en&tlng=en |
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| author | Arthur Maynart Pereira Oliveira Wellingson Silva Paiva Eberval Gadelha de Figueiredo Helio Araujo Oliveira Manoel Jacobsen Teixeira |
| author_facet | Arthur Maynart Pereira Oliveira Wellingson Silva Paiva Eberval Gadelha de Figueiredo Helio Araujo Oliveira Manoel Jacobsen Teixeira |
| author_sort | Arthur Maynart Pereira Oliveira |
| collection | DOAJ |
| description | The Fisher revised scale (FRS) presents an alternative for evaluating patients with subarachnoid hemorrhage (SAH). In this study, we compared the prognosis of patients with SAH and vasospasms (VSP). METHOD: This was a prospective study on patients with a diagnosis of aneurysmal SAH, 72 hours after the initial event. Sequential neurological examinations and Hunt and Hess (HaH) score were performed on the 1st, 7th and 14th days. Transcranial Doppler was used to assess vasospasms. RESULTS: Out of the 24 patients studied, ten (41.66%) presented a delayed neurological deficit, such as diminished consciousness, decreased HaH score or death. The single patient classified as FS-1 did not have any delayed neurological deficit, while such deficits evolved in one patient out of five with FS-2 (20%); two out of seven with FS-3 (28.57%) and seven out of 11 with FS-4 (63.63%). CONCLUSION: Level three of the FS and FRS seemed to be compatible with regard to predicting the likelihood of progression to severe VSP. |
| format | Article |
| id | doaj-art-e57997bbd5c344c4858ebdc4880e42a9 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2011-12-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-e57997bbd5c344c4858ebdc4880e42a92025-08-20T02:04:05ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272011-12-0169691091310.1590/S0004-282X2011000700012S0004-282X2011000700012Fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhageArthur Maynart Pereira Oliveira0Wellingson Silva Paiva1Eberval Gadelha de Figueiredo2Helio Araujo Oliveira3Manoel Jacobsen Teixeira4Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade Federal de SergipeUniversidade de São PauloThe Fisher revised scale (FRS) presents an alternative for evaluating patients with subarachnoid hemorrhage (SAH). In this study, we compared the prognosis of patients with SAH and vasospasms (VSP). METHOD: This was a prospective study on patients with a diagnosis of aneurysmal SAH, 72 hours after the initial event. Sequential neurological examinations and Hunt and Hess (HaH) score were performed on the 1st, 7th and 14th days. Transcranial Doppler was used to assess vasospasms. RESULTS: Out of the 24 patients studied, ten (41.66%) presented a delayed neurological deficit, such as diminished consciousness, decreased HaH score or death. The single patient classified as FS-1 did not have any delayed neurological deficit, while such deficits evolved in one patient out of five with FS-2 (20%); two out of seven with FS-3 (28.57%) and seven out of 11 with FS-4 (63.63%). CONCLUSION: Level three of the FS and FRS seemed to be compatible with regard to predicting the likelihood of progression to severe VSP.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000700012&lng=en&tlng=enhemorragia subaracnóideavasoespasmo intracranianoprognóstico |
| spellingShingle | Arthur Maynart Pereira Oliveira Wellingson Silva Paiva Eberval Gadelha de Figueiredo Helio Araujo Oliveira Manoel Jacobsen Teixeira Fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhage Arquivos de Neuro-Psiquiatria hemorragia subaracnóidea vasoespasmo intracraniano prognóstico |
| title | Fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhage |
| title_full | Fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhage |
| title_fullStr | Fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhage |
| title_full_unstemmed | Fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhage |
| title_short | Fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhage |
| title_sort | fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhage |
| topic | hemorragia subaracnóidea vasoespasmo intracraniano prognóstico |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000700012&lng=en&tlng=en |
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