M. Ryba et al., A STRATEGY FOR ANALYZING MULTIPLE PARAMETERS WITH APPLICATION TO ANEURYSMAL SAH PATIENTS ALL OF THEM CLIPPED BUT TREATED WITH AND WITHOUT CYCLOSPORINE, Acta neurochirurgica, 122(3-4), 1993, pp. 194-199
The study evaluated the effectiveness of the combination of nimodipine
and cyclosporine A vs nimodipine alone in the prevention of delayed n
eurologic deficit in 82 (31 plus 51) patients in whom intracranial ane
urysms were clipped within 72 h after subarachnoid haemorrhage. The te
sts performed included examination of the neurological condition befor
e and after operation, angiography of cerebral arteries to visualize v
asospasm, and analysis of the distribution and amount of blood in the
brain fluids and/or tissue according to Fisher's scale. Inclusion of c
yclosporine A in the treatment was clearly beneficial for the neurolog
ical condition. While cyclosporine A did not appear to produce a stati
stically significant improvement as evaluated by the chi-square test,
a positive result was obtained following analysis of the correlation c
oefficients after Pearson in combination with the logistic log-linear
regression analysis. The results argue against the utility of the chi-
square test for verifying clinical data obtained in a limited number o
f patients.