Resumen

PURVES, Cynthia et al. Hemorragia subaracnoidea no traumática: diagnóstico, tratamiento y resultados considerando los recursos del hospital público. Rev. argent. neurocir. [online]. 2007, vol.21, n.1. ISSN 1850-1532.

Objective. We evaluated 74 patients with diagnosisnon traumatic subarachnoid hemorrhage in relation with the working methodology of a public hospital and its influence in certain operative effects inherent to the system. Method. Patients were treated in a neurosurgical intensive care unit, head CT scanning and cerebral angiography were performed; we analyzed the delay in their execution. We considered the initial therapy and the surgical treatment (microsurgery/ endovascular). We evaluated the specific morbimortality in relation to the implemented therapeutics and the global morbi- mortality of the population studied. Results. Of the patients that underwent microsurgical treatment (36) 8 died (22%) and 1 patient (8.33%) died of the 12 patients that underwent endovascular treatment. The overall mortality of the population studied was 24 patients (32%). Conclusion. We consider that the diagnosis and treatment of aneurysmal subarachnoid hemorrhage in a public hospital faces operative difficulties for the proper implementation of neurosurgical treatment of excellence in the appropriate time.

Palabras clave : Subarachnoid hemorrhage; Public hospital.

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