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Do we all understand the WFNS grading?

Babaji. Do we all understand the WFNS grading?. Dr Nina Ghosh-Chowdhury Mr G Narenthiran Mr JP Holland. WFNS SAH grading. WFNS Committee WFNS SAH Grade (1998): in JN, JNNP No revisions since. WFNS SAH grading. GCS was the main determinant of mortality

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Do we all understand the WFNS grading?

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  1. Babaji Do we all understand the WFNS grading? Dr Nina Ghosh-Chowdhury Mr G Narenthiran Mr JP Holland

  2. WFNS SAH grading • WFNS Committee • WFNS SAH Grade (1998): in JN, JNNP • No revisions since

  3. WFNS SAH grading • GCS was the main determinant of mortality • In patients with GCS 13-14, presence of focal neurology signifies worse morbidity

  4. WFNS SAH grading

  5. Method • Registrars & Neurosurgeons & Endovascular Neuro-radiologists (n=13) • Questionnaire with clinical scenarios to grade with WFNS SAH grading system

  6. Conclusion • There is considerable inter-observer variability • Could have impact on clinical studies of SAH patients where WFNS grading system is used. • Need a revised WFNS grading system

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