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Neurosurgical Admission Later Than 4 h After the Emergency Call Does Not Result in Worse Long-Term Outcome in Subarachnoid Haemorrhage

Background: Few studies have investigated the importance of the time interval between contact to the emergency medical service and neurosurgical admission in patients with spontaneous subarachnoid haemorrhage. We hypothesised that longer time to treatment would be associated with an increased risk o...

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Autores principales: Sonne, Asger, Andersen, Jesper B., Eskesen, Vagn, Lippert, Freddy, Waldorff, Frans B., Siersma, Volkert, Lohse, Nicolai, Rasmussen, Lars S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8581136/
https://www.ncbi.nlm.nih.gov/pubmed/34777206
http://dx.doi.org/10.3389/fneur.2021.739020
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author Sonne, Asger
Andersen, Jesper B.
Eskesen, Vagn
Lippert, Freddy
Waldorff, Frans B.
Siersma, Volkert
Lohse, Nicolai
Rasmussen, Lars S.
author_facet Sonne, Asger
Andersen, Jesper B.
Eskesen, Vagn
Lippert, Freddy
Waldorff, Frans B.
Siersma, Volkert
Lohse, Nicolai
Rasmussen, Lars S.
author_sort Sonne, Asger
collection PubMed
description Background: Few studies have investigated the importance of the time interval between contact to the emergency medical service and neurosurgical admission in patients with spontaneous subarachnoid haemorrhage. We hypothesised that longer time to treatment would be associated with an increased risk of death or early retirement. Methods: This was a retrospective observational study with 4 years follow-up. Those who reached a neurosurgical department in fewer than 4 h were compared with those who reached it in more than 4 h. Individual level data were merged from the Danish National Patient Register, medical records, the Copenhagen Emergency Medical Dispatch Centre, the Civil Registration System, and the Ministry of Employment and Statistics Denmark. Patients were ≥18 years and had a verified diagnosis of spontaneous subarachnoid haemorrhage. The primary outcome was death or early retirement after 4 years. Results: Two hundred sixty-two patients admitted within a three-and-a-half-year time period were identified. Data were available in 124 patients, and 61 of them were in their working age. Four-year all-cause mortality was 25.8%. No significant association was found between time to neurosurgical admission and risk of death or early retirement (OR = 0.35, 95% confidence interval [CI]: 0.10–1.23, p = 0.10). Conclusion: We did not find an association between the time from emergency telephone call to neurosurgical admission and the risk of death or early retirement.
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spelling pubmed-85811362021-11-12 Neurosurgical Admission Later Than 4 h After the Emergency Call Does Not Result in Worse Long-Term Outcome in Subarachnoid Haemorrhage Sonne, Asger Andersen, Jesper B. Eskesen, Vagn Lippert, Freddy Waldorff, Frans B. Siersma, Volkert Lohse, Nicolai Rasmussen, Lars S. Front Neurol Neurology Background: Few studies have investigated the importance of the time interval between contact to the emergency medical service and neurosurgical admission in patients with spontaneous subarachnoid haemorrhage. We hypothesised that longer time to treatment would be associated with an increased risk of death or early retirement. Methods: This was a retrospective observational study with 4 years follow-up. Those who reached a neurosurgical department in fewer than 4 h were compared with those who reached it in more than 4 h. Individual level data were merged from the Danish National Patient Register, medical records, the Copenhagen Emergency Medical Dispatch Centre, the Civil Registration System, and the Ministry of Employment and Statistics Denmark. Patients were ≥18 years and had a verified diagnosis of spontaneous subarachnoid haemorrhage. The primary outcome was death or early retirement after 4 years. Results: Two hundred sixty-two patients admitted within a three-and-a-half-year time period were identified. Data were available in 124 patients, and 61 of them were in their working age. Four-year all-cause mortality was 25.8%. No significant association was found between time to neurosurgical admission and risk of death or early retirement (OR = 0.35, 95% confidence interval [CI]: 0.10–1.23, p = 0.10). Conclusion: We did not find an association between the time from emergency telephone call to neurosurgical admission and the risk of death or early retirement. Frontiers Media S.A. 2021-10-28 /pmc/articles/PMC8581136/ /pubmed/34777206 http://dx.doi.org/10.3389/fneur.2021.739020 Text en Copyright © 2021 Sonne, Andersen, Eskesen, Lippert, Waldorff, Siersma, Lohse and Rasmussen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Sonne, Asger
Andersen, Jesper B.
Eskesen, Vagn
Lippert, Freddy
Waldorff, Frans B.
Siersma, Volkert
Lohse, Nicolai
Rasmussen, Lars S.
Neurosurgical Admission Later Than 4 h After the Emergency Call Does Not Result in Worse Long-Term Outcome in Subarachnoid Haemorrhage
title Neurosurgical Admission Later Than 4 h After the Emergency Call Does Not Result in Worse Long-Term Outcome in Subarachnoid Haemorrhage
title_full Neurosurgical Admission Later Than 4 h After the Emergency Call Does Not Result in Worse Long-Term Outcome in Subarachnoid Haemorrhage
title_fullStr Neurosurgical Admission Later Than 4 h After the Emergency Call Does Not Result in Worse Long-Term Outcome in Subarachnoid Haemorrhage
title_full_unstemmed Neurosurgical Admission Later Than 4 h After the Emergency Call Does Not Result in Worse Long-Term Outcome in Subarachnoid Haemorrhage
title_short Neurosurgical Admission Later Than 4 h After the Emergency Call Does Not Result in Worse Long-Term Outcome in Subarachnoid Haemorrhage
title_sort neurosurgical admission later than 4 h after the emergency call does not result in worse long-term outcome in subarachnoid haemorrhage
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8581136/
https://www.ncbi.nlm.nih.gov/pubmed/34777206
http://dx.doi.org/10.3389/fneur.2021.739020
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