Treatment of Spontaneous Subarachnoid Hemorrhage: A 20-Year National Inpatient Sample Review.

ABSTRACT:

Background

Aneurysmal subarachnoid hemorrhage (aSAH) is a major source of morbidity and mortality, and its management has undergone foundational changes over thepast 2 decades. We reviewed the National Inpatient Sample to outline the changes in severity of illness, surgical management, and patient outcomes over time.

Methods

A retrospective cohort of admissions for spontaneous SAH in the National Inpatient Sample from 2001 to 2020 was reviewed, including those who underwent microsurgical or endovascular surgery to secure a ruptured aneurysm. National incidence was calculated, and multivariable regression was used to identify changes in incidence and outcome through time, segmented by epoch.

Results

Review of the National Inpatient Sample identified 448 655 patients wi

SUBMITTER: Feler J 

PROVIDER: S-EPMC11864585 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature