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Article

A Questionnaire Survey of Management of Patients with Aneurysmal Subarachnoid Haemorrhage in Poland

Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-007 Katowice, Poland
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Int. J. Environ. Res. Public Health 2020, 17(11), 4161; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17114161
Received: 14 May 2020 / Revised: 6 June 2020 / Accepted: 8 June 2020 / Published: 11 June 2020
Background: Aneurysmal subarachnoid haemorrhage (aSAH) remains a potentially devastating threat to the brain with a serious impact on mortality and morbidity. We attempted to investigate correspondence between the current guidelines for aSAH management and real clinical practice in Poland. Methods: A web-based questionnaire was performed between 03.2019 and 06.2019. Centres performing neuro-interventional radiology procedures and neuro-critical care were included (n = 29). One response from each hospital was recorded. Results: In three (10.4%) centres, there was no clear protocol for an interventional treatment plan. Endovascular embolisation was predominantly used in 11 (37.9%) hospitals, and microsurgical clipping, in 10 (34.5%). A written protocol for standard anaesthetic management was established only in six (20.7%) centres for coiling and in five (17.2%) for microsurgical clipping. The diagnosis of cerebral vasospasm was based on transcranial Doppler as the first-choice method in seven (24.1%) units. “3-H therapy” was applied by 15 (51.8%) respondents, and “2-H therapy”, by four (13.8%) respondents. In only eight (27.6%) centres were all patients with aSAH being admitted to the ICU. Conclusion: Many discrepancies exist between the available guidelines and clinical practice in aSAH treatment in Poland. Peri-procedural management is poorly standardised. Means must be undertaken to improve patient-oriented treatment and care. View Full-Text
Keywords: intracranial aneurysm; subarachnoid hemorrhage; ultrasonography; Doppler; transcranial; embolisation; therapeutic; vasospasm; intracranial intracranial aneurysm; subarachnoid hemorrhage; ultrasonography; Doppler; transcranial; embolisation; therapeutic; vasospasm; intracranial
MDPI and ACS Style

Hofman, M.; Hajder, N.; Duda, I.; Krzych, Ł.J. A Questionnaire Survey of Management of Patients with Aneurysmal Subarachnoid Haemorrhage in Poland. Int. J. Environ. Res. Public Health 2020, 17, 4161. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17114161

AMA Style

Hofman M, Hajder N, Duda I, Krzych ŁJ. A Questionnaire Survey of Management of Patients with Aneurysmal Subarachnoid Haemorrhage in Poland. International Journal of Environmental Research and Public Health. 2020; 17(11):4161. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17114161

Chicago/Turabian Style

Hofman, Mariusz, Norbert Hajder, Izabela Duda, and Łukasz J. Krzych 2020. "A Questionnaire Survey of Management of Patients with Aneurysmal Subarachnoid Haemorrhage in Poland" International Journal of Environmental Research and Public Health 17, no. 11: 4161. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17114161

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