EPIDEMIOLOGICAL AND CLINICAL PROFILE OF PATIENTS WITH SPONTANEOUS SUBARACHNOID HEMORRHAGE IN A PUBLIC REFERENCE HOSPITAL IN MARANHÃO

Abstract

Purpose: To analyze the epidemiological and clinical profile of patients diagnosed with spontaneous subarachnoid hemorrhage (SAH) in a public referral hospital in the state of Maranhão. Methods: Quantitative, descriptive and cross-sectional study, conducted with patients diagnosed with spontaneous SAH at a tertiary hospital in Imperatriz-MA, between 2018 and 2019. Forty-five individuals were evaluated, through questions answered by the patients themselves or a family member and the analyzes of their medical records. The data obtained were processed in the Statistical Package for Social Sciences program (version 25.0). Results: The age of the patients ranged from 28 to 91 years, with a mean of 58.7 (± 17.15) years, predominantly female (84.4%). Regarding ethnicity, 57.8% were brown and 20% black. Among the risk factors associated with SAH, it was found that 68.9% had a diagnosis of systemic arterial hypertension, 71.1% declared smokers and / or former smokers. Thunderclap headache was the initial complaint in 84.4% of patients. Of the patients evaluated, 57.8% were admitted with an GCS 14-15. Most (37.8%) presented Hunt-Hess value III followed by value II (33.3%). Fisher's scale prevailed with a score of III in 60% of respondents, followed by Fisher IV with 17.8%. In addition, most of them (37.8%) were admitted to WFNS I. Conclusions: SAH predominated on women, non-Caucasian population, with history of smoking, and hypertension as the most prevalent comorbidity. Thunderclap headache was the most common symptom observed, predominantly GCS 14-15, WFNS I, clinical grade Hunt-Hess III and CT scan grade Fisher 3.