Muttalip ÖZBEK, Cumali ÇETİNER, Hamza GÜLTEKİN, Eşref AKIL
Turkish Journal of Cerebrovascular Diseases - 2026;32(1):30-41
Background: aneurysmal subarachnoid hemorrhage (asah), a life-threatening neurological emergency, is characterized by blood accumulation in the subarachnoid space due to the rupture of an aneurysm. In this study, we investigated the effect of the Prognostic Nutritional Index on the prognosis and quality of life in patients with aneurysmal subarachnoid hemorrhage. Methods: a total of 126 asah patients who underwent endovascular treatment at the stroke Center of Dicle University, Department of Neurology between January 1, 2020, and January 1, 2024, were included. a fter excluding 2 patients with chronic kidney failure, 1 with malignancy, 1 with a procedure-related complication, and 8 due to early mortality, 114 patients were included in the study. Results: as a result of our study, a relationship was found between preoperative and postoperative 72-hour PNI values and functional status. a dditionally, a relationship was identified between postoperative 72-hour PNI values and mortality as well as infection. In our study, multivariable logistic regression analysis was used to evaluate the relationship between postoperative 72-hour PNI values and mortality. Postoperative 72-hour PNI was found to have a statistically significant relationship with the sF-36 energy subscale (p = 0.007). Discussion and Conclusion: albumin and lymphocyte values used to calculate PNI can be utilized to predict prognosis in patients with asah. The simplicity, low cost, and non-invasive nature of PNI calculation make it a clinically valuable tool.
