International Journal of Clinical Research

Objective To explore and analyze the risk factors and intervention strategies for delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage. Methods A retrospective analysis was conducted on the case data of 62 patients with aneurysmal subarachnoid hemorrhage admitted to the hospital from January 2024 to December 2024. Include patient age, gender, modified Fisher grading, Hunt Hess grading, comorbidities, and clinical examination results in univariate and multivariate logistic regression analysis to identify risk factors for delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage. Among the 62 patients, 9 patients experienced delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage, while 53 patients did not experience delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage. The results of univariate analysis showed that Hunt Hess grading, modified Fisher grading, combined pulmonary infection, and hypertension were all related factors to delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage, P＜0.05. Multivariate logistic regression analysis showed that high Hunt Hess and modified Fisher classifications, combined with pulmonary infection, are risk factors for delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage, P＜0.05. Conclusion The risk factors for delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage exhibit diverse characteristics, and targeted intervention strategies need to be implemented in a timely manner to maximize the improvement of the patients condition and prognosis.

Aneurysmal subarachnoid hemorrhage; Delayed cerebral ischemia; Risk factors; Intervention strategy