Biotika (Feb 2019)
The relationship of combined Hunt and Hess score and CT-scan (Fisher score) compared to WFNS score and lactic acid in predicting prognosis of spontaneous subarachnoid hemorrhage patients
Abstract
The main predictor of mortality rate in SAH patients based on clinical presentation and CT scan, as measured by Hunt and Hess Score, WFNS Score, Fisher Score and Lactic Acid Level at the time of arrival in Emergency Room, which is an objective predictor in determining mortality rate. To Analyze the relationship of combined Hunt and hess score and Ct-scan (Fisher score) compared to WFNS score and Lactic acid in predicting prognosis of spontaneous subarachnoid hemorhage patients in Emergency Room. This research using analytic observational study which data taken prospectively.There are 32 SAH patients who had a significant relationship to each variable that determined mortality rate. The Variable consist of Hunt and Hess Score, WFNS Score, lactic acid and Fisher Score had a significant relationship to the prognosis of SAH patients (p <0.05). The WFNS score with lactic acid has a strong relationship to the prognosis (r = 0.674), while the Hunt and Hess Score variables with Fisher scores also have a strong relationship to the prognosis (r = 0.626).
