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Cent Eur Neurosurg 2010; 71(4): 163-166
DOI: 10.1055/s-0030-1249043
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Elevated Premorbid Body Mass Index is not Associated with Poor Neurological Outcome in the Subacute State after Aneurysmal Subarachnoid Hemorrhage

S. M. Kagerbauer1 , D. M. Kemptner2 , C. P. Schepp3 , S. Bele2 , R.-D. Rothörl2 , A. T. Brawanski2 , K.-M. Schebesch2
  • 1Klinikum Rechts der Isar der Technischen Universität München, Anaesthesiology, Munich, Germany
  • 2University of Regensburg, Neurosurgery, Regensburg, Germany
  • 3University of Regensburg, Anaesthesiology, Regensburg, Germany
Further Information

Publication History

Publication Date:
06 April 2010 (online)

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Abstract

Background: An elevated body mass index (BMI) is suggested to be a risk factor for a poor outcome after intracranial aneurysm rupture and is considered to be associated with cerebral infarction in patients with aneurysmal subarachnoid hemorrhage (SAH). The aim of this study was to analyze the association between permorbid BMI and neurological outcome.

Methods: In this retrospective study, the patients’ BMI at the time of their admission to hospital was correlated to their neurological outcome as measured by the Glasgow outcome score after two weeks and two months of treatment.

Results: In contrast to other studies, there were no significant correlations between premorbid BMI and neurological outcome, shunt requirement, tracheotomy requirement and duration of stay on the intensive care unit (ICU).

Conclusions: Overweight patients have no higher risk of a poor neurological outcome after aneurysmal SAH if premorbid risk factors such as hypertension and hyperglycemia are carefully modified throughout the period of critical care.

Key words

aneurysmal SAH - body mass index - obesity - neurological outcome

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Correspondence

Dr. S. M. KagerbauerMD 

Klinikum Rechts der Isar

der Technischen Universität

München

Anaesthesiology

Ismaninger Straße 22

81675 Munich

Germany

Phone: +49/89/4140 4291

Fax: +49/89/4140 4886

Email: s.kagerbauer@lrz.tu-muenchen.de

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