A Better Way to Prognosticate Outcomes After Subarachnoid Hemorrhage

The FRESH score provides more-reliable predictions than the Hunt and Hess score alone.

The Hunt & Hess (HH) score is often used to prognosticate about neurological recovery after subarachnoid hemorrhage (SAH), but many patients with high HH scores will nevertheless recover well. To develop a more sophisticated prognostication score, researchers used a prospective registry of more than 1500 SAH patients at a single tertiary-care center between 1996 and 2014 to identify clinical, imaging, and laboratory parameters that best predicted neurological recovery 12 months after SAH.

The identified best prognostic factors were age, HH score, APACHE-II physiologic score, and aneurysmal rebleeding within 48 hours after admission. The researchers used these parameters to develop the Functional Recovery Expected after Subarachnoid Hemorrhag…

Reviewing Author

Hooman Kamel, MD

Disclosures

Speaker’s bureauGenentech

Grant / Research supportNational Institutes of Health/National Institute of Neurological Disorders and Stroke; Michael Goldberg Stroke Research Fund

Editorial boardsPLOS One; Scientific Reports

Leadership positions in professional societiesNeurocritical Care Society (Research Committee Member)