The most important predictive factor for ultimate outcome is the impact of the initial hemorrhage . Approximately 40% of individuals die or are left disabled as a result of the initial hemorrhage; the remainder reaching hospital have the potential to go on to make a complete recovery.
Age and grade at hospital admission are uncontrollable factors but are good predictors of outcome. Although age alone should not be used as a basis for denial of treatment, mortality does appear to be higher in the elderly population, with a less favorable outcome and higher complication rate. Studies have shown a 7% mortality and 86% favorable outcome in ages 18-29 years but a 50% mortality and 26% favorable outcome in those over 70 [9,14], with a 5-year survival of 20% in the elderly. Survival is also related to blood pressure, days to admission from SAH, aneurysmal size, volume of blood on CT including ICH or IVH and vasospasm at admission. These are indicators of the severity of hemorrhage and of the presence of medical conditions that predict poor outcome. Patients with basilar aneurysms are three times more likely to die before medical attention and within the first 48 hours than those with anterior circulation aneurysms [9,14]. Individuals with a family history of aneurysmal SAH may also be at risk of a worse outcome. Independent predictors of a good outcome are youth, high GCS and absence of blood on CT.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.