Results of surgery for XXXX in northern Norway: a retrospective study with special focus on timing of surgery in a rural area.

@entity1 @entity439 @entity548 @entity510
OBJECTIVES: This study reports data on time consumption before @entity439 surgery and the results of treatment in northern Norway. MATERIAL AND METHODS: A total of 279 cases were identified and included in our analysis of time span from @entity548 to arrival at our department. Fifty-one @entity1 were treated conservatively, either because of bad clinical condition or because angiography revealed no @entity439 . The remaining 228 @entity1 were operated and included in our analysis of outcome after early @entity439 surgery. RESULTS: Among all 279 @entity1 with @entity510 ( @entity510 ), median time from ictus to arrival at the university hospital was 1 (0-30) day. Forty-one per cent arrived at the day of @entity548 and 86% within the first 3 days after @entity548 . Among the 228 @entity1 who underwent surgical @entity439 repair, median time from @entity548 to operation was 2 (0-33) days. Early @entity439 surgery (< 72 h) was performed in 146 @entity1 (64%). Fifty @entity1 (22%) underwent intermediate surgery (days 4-10) and 32 @entity1 (14%) were operated later (day 11 or later). A significant association was found between Hunt and Hess (HH) grade and Glasgow Outcome Scale (GOS) score (P < 0.001). CONCLUSIONS: Most @entity1 suffering aneurysmal @entity510 in northern Norway undergo early @entity439 surgery and the outcome is comparable with that obtained in other Scandinavian centres. Initial Hunt and Hess grade is a major determinant for outcome in @entity510 .
