Discrepancy in neurologic outcomes following aneurysmal subarachnoid hemorrhage as a function of socioeconomic class.

Objective To investigate potential health care discrepancies in patients with ruptured cerebral aneurysms undergoing microsurgical intervention. Methods We retrospectively reviewed patients with ruptured intracranial aneurysms treated at our tertiary referral university hospital (UH) and safety net county hospital (CH) from 2010 to 2015. We identified 73 UH patients and 58 CH patients. Results UH patients had shorter time duration between rupture and intervention (P Conclusions Limited resource availability in a safety net hospital system could be a major driving force behind the health care discrepancy identified in our ruptured cerebral aneurysm population. Reallocation of resources to supplement advanced inpatient acute care technologies and, more importantly, post–acute care environments can narrow the outcomes gap.