Conservative Management Results In High Mortality And Morbidity In Patients Presenting With Wfns Grade I And Ii Subarachnoid Hemorrhage: Our Experience From A Tertiary Care Hospital In Khyber Pakhtunkhwa, Pakistan
Original Article
DOI:
https://doi.org/10.69830/jbkmc.v5i02.165Keywords:
Subarachnoid hemorrhage, World federation of neurological societies (WFNS)Abstract
Objective:This study aims to evaluate the outcomes of conservative management in patients presenting with world federation of neurosurgical societies (WFNS) Grade I and II SAH at Lady Reading hospital Peshawar in Khyber Pakhtunkhwa (KPK), Pakistan.
Study Design: A Cross sectional Study.
Study Setting and Duration of study: From January 2018 to December 2023 at Lady Reading hospital Peshawar in KPK
Methodology:this Cross sectional Study analysis was conducted on patients diagnosed with WFNS Grade I and II SAH over a five-year period (2018-2023). Clinical data, including demographics, clinical presentation, treatment modalities, and outcomes, were collected and analyzed.
Results:A total of 100 patients were included in the study. The average age was 45 years, with a higher prevalence in females (60%). Initial presentations included severe headache (80%), altered consciousness (50%), and neck stiffness (30%). Conservative management was adopted for 70% of patients, while 30% underwent surgical intervention. The overall mortality rate was 25%, with significantly higher rates in the conservatively managed group (35% vs. 10% in the surgical group). Morbidity, as assessed by the Glasgow Outcome Scale, indicated that only 45% of conservatively managed patients achieved a favorable outcome compared to 80% in the surgical group.
Conclusions:The findings suggest that conservative management of WFNS Grade I and II SAH is associated with high mortality and morbidity rates. A more aggressive approach, including surgical intervention, should be considered, particularly for patients at higher risk for complications. Further studies are needed to establish standardized treatment protocols for SAH in our region.
Key Words: Subarachnoid hemorrhage, World federation of neurological societies (WFNS)
