A case-control study about multi-disciplinary management for aneurysmal subarachnoid hemorrhage treated with clipping surgery

Abstract

Objective To explore the effect of multi-disciplinary management for aneurysmal subarachnoid hemorrhage treated with clipping surgery. Methods 123 subjects admitted to hospital in April 2005 to March 2007 and received traditional management were named as the control group.62 subjects in the control group who admitted to neurology department first and then transferred to neurosurgery when diagnosed as aSAH by DSA were named as the transfer group. 61 subjects who admitted to neurosurgery directly and diagnosed as aSAH by DSA were named as the surgery group. 101 subjects who received multidisciplinary management from April 2007 to March 2009 were named as the experimental group. The waiting time before DSA, waiting time before surgery, hospital and hospitalization costs were compared between the three groups. Results Compared with the transfer group and the surgery group, the experimental group was lower in waiting time before DSA, waiting time before surgery, hospital and hospitalization costs, but there is no significant difference between the three groups in postoperative neurological function score and incidence rate of complications. The mortality rate was not significantly higher in the experimental group than the transfer group, but was significantly lower than the surgery group. Conclusions Multi-disciplinary management can reduce the inappropriate hospital stay of aSAH patients for early surgery. It can reduce the average hospital stay, hospital cost, in order to reduce the burden on families and society. Key words: Aneurysm; Subarachnoid hemorrhage; Multi- disciplinary cooperation; Process management; Inappropriate hospitalization days