MỐI LIÊN QUAN GIỮA HẠ NATRI MÁU VÀ KẾT QUẢ CHỨC NĂNG THẦN KINH Ở BỆNH NHÂN CHẢY MÁU DƯỚI NHỆN DO VỠ PHÌNH ĐỘNG MẠCH NÃO TẠI BỆNH VIỆN BẠCH MAI 2023-2025

Abstract

Aneurysmal subarachnoid hemorrhage (SAH) is a severe neurological emergency associated with high rates of mortality and disability. The assessment of epidemiological, clinical, radiological characteristics, and risk factors plays an important role in prognosis and management. Among these, electrolyte disturbances, particularly hyponatremia, have been frequently reported after SAH. However, the prognostic value of serum sodium levels in neurological outcomes remains controversial. Objective: To describe the clinical and radiological characteristics and to analyze the association between serum sodium levels and neurological outcomes in patients with aneurysmal SAH. Subjects and Methods: A cross-sectional descriptive study was conducted on 428 patients diagnosed with aneurysmal SAH. Data collected included demographic, clinical, radiological characteristics, and serum sodium levels. Outcomes were assessed using the Glasgow Outcome Scale (GOS) and modified Rankin Scale (mRS) at discharge and at 30 days. Results: Serum sodium concentration was significantly associated with neurological outcomes (p < 0.05), but showed low predictive accuracy (AUC 0.580–0.591). Conclusion: Most patients were admitted in relatively preserved clinical condition. Serum sodium levels were associated with neurological outcomes, but their prognostic value remains limited.