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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

288
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Articles linked to this work by shared authors, journal, and citation graph.

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Reviewer Comment on Rebchuk et al. "Association Between Aneurysmal Subarachnoid Hemorrhage and Risk of Suicide: A Systematic Review and Meta-Analysis".

The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques·2026
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Impact of middle meningeal artery embolization timing on chronic subdural hematoma resolution and functional outcomes.

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Updated: Jan 15, 2026

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects
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Discharge Site Is Associated With Long-Term Functional Outcomes in Patients With Ruptured Intracranial Aneurysms.

Diego A Ortega-Moreno1, Ibrahim Almulhim1, Jerry C Ku1

  • 1Neurovascular Centre & RADIS Lab, St. Michael's Hospital, University of Torontohttps://ror.org/04skqfp25, Toronto, ON, Canada.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
|October 16, 2025
PubMed
Summary

Discharge destination significantly impacts recovery after aneurysmal subarachnoid hemorrhage (aSAH). Transfer to acute rehabilitation improves functional independence, especially for severe cases, while primary care hospital discharge is linked to worse outcomes.

Keywords:
Intracranial aneurysmpatient dischargerehabilitationsubarachnoid hemorrhage

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Area of Science:

  • Neurosurgery
  • Neurology
  • Rehabilitation Medicine

Background:

  • Aneurysmal subarachnoid hemorrhage (aSAH) poses significant long-term functional challenges.
  • Optimizing post-acute care pathways is crucial for patient recovery and independence.

Purpose of the Study:

  • To evaluate how discharge destination affects long-term functional outcomes in aSAH patients.
  • To determine the association between discharge site and achieving functional independence.

Main Methods:

  • Retrospective cohort study of 213 endovascularly treated aSAH patients.
  • Analysis included ANOVA, Kruskal-Wallis, t-tests, and chi-squared tests.
  • Multivariable logistic regression adjusted for key demographic and clinical factors.

Main Results:

  • Discharge to home showed better overall outcomes, but rehabilitation led to greater functional improvement for severe cases.
  • Acute rehabilitation center discharge was independently associated with higher odds of functional independence.
  • Primary care hospital discharge was linked to decreased odds of functional independence.

Conclusions:

  • Discharge to a primary care hospital correlates with poorer long-term outcomes post-aSAH.
  • Early transfer to acute rehabilitation significantly enhances functional independence, particularly for patients with poor neurological status.