{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T18:57:22Z","timestamp":1782932242939,"version":"3.54.5"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Neurol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>This observational study was performed to show the impact of complications and interventions during neurocritical care on the outcome after aneurysmal subarachnoid hemorrhage (SAH).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We analyzed 203 cases treated for ruptured intracranial aneurysms, which were classified regarding clinical outcome after one year according to the modified Rankin Scale (mRS). We reviewed the data with reference to the occurrence of typical complications and interventions in neurocritical care units.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Decompressive craniectomy (odds ratio 21.77 \/ 6.17 ; <jats:italic>p<\/jats:italic> &lt; 0.0001 \/ <jats:italic>p<\/jats:italic> = 0.013), sepsis (odds ratio 14.67 \/ 6.08 ; <jats:italic>p<\/jats:italic> = 0.037 \/ 0.033) and hydrocephalus (odds ratio 3.71 \/ 6.46 ; <jats:italic>p<\/jats:italic> = 0.010 \/ 0.00095) were significant predictors for poor outcome and death after one year beside \u201cWorld Federation of Neurosurgical Societies\u201d (WFNS) grade (odds ratio 3.86 \/ 4.67 ; <jats:italic>p<\/jats:italic> &lt; 0.0001 \/ <jats:italic>p<\/jats:italic> &lt; 0.0001) and age (odds ratio 1.06 \/ 1.10 ; <jats:italic>p<\/jats:italic> = 0.0030 \/ <jats:italic>p<\/jats:italic> &lt; 0.0001) in our multivariate analysis (binary logistic regression model).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>In summary, decompressive craniectomy, sepsis and hydrocephalus significantly influence the outcome and occurrence of death after aneurysmal SAH.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12883-021-02054-6","type":"journal-article","created":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T06:03:14Z","timestamp":1611036194000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Neurocritical care complications and interventions influence the outcome in aneurysmal subarachnoid hemorrhage"],"prefix":"10.1186","volume":"21","author":[{"given":"Alexander","family":"Hammer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Erbguth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Hohenhaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian M.","family":"Hammer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannes","family":"L\u00fccking","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Gesslein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Killer-Oberpfalzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Herbert","family":"Steiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Janssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"key":"2054_CR1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.3171\/jns.1990.73.1.0018","volume":"73 1","author":"NF Kassell","year":"1990","unstructured":"Kassell NF, Torner JC, Haley EC Jr, Jane JA, Adams HP, Kongable GL. 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The study was performed in accordance with the ethical standards laid down in the 1964 declaration of Helsinki and its later amendments. Informed consent of the patients or their relatives was obtained at least verbally during the initial hospital stay or during the telephone interview in the follow up because written consent was not always available in terms of the initial hospital stay or follow up. The local institutional review board approved this procedure and waived a patient informed consent, as the data is fully anonymized (Ethik-Kommission der Bayerischen Landes\u00e4rztekammer, M\u00fchlbaurstra\u00dfe 16, 81677 M\u00fcnchen ; reference number: 2019-018\u00a0fm\/h).","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Monika Killer-Oberpfalzer is holding a research grant from Microvention Terumo unrelated to this study. Alexander Hammer, Frank Erbguth, Matthias Hohenhaus, Christian M. Hammer, Hannes L\u00fccking, Markus Gesslein, Hans-Herbert Steiner and Hendrik Janssen declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"27"}}