Treatment refusal
In a study, patients with poor Hunt and Hess Stroke Scale, loss of consciousness at symptom onset, or largest intracranial aneurysm sizes ≥5 mm in size showed a high mortality rate. A high number of treatment refusals was present in this study. These findings have implications for medical insurance policy, doctor-patient communication, and popular science education 1)
1)
Yang Y, Wang B, Ge X, Lu W, Peng C, Zhao Y, Li J, Wang J, Lei P, Zhang J, Feng L, Liu Z, Yang X. Natural Course of Ruptured but Untreated Intracranial Aneurysms: A Multicenter 2-Year Follow-Up Study. Stroke. 2023 Jun 12. doi: 10.1161/STROKEAHA.123.042530. Epub ahead of print. PMID: 37306018.