Aneurysmal subarachnoid hemorrhage care in a middle-income public healthcare system: A real-world neurocritical care cohort.

Disease severity was high, with 45% presenting WFNS grades 4-5, 73% modified Fisher grade 4 hemorrhage, and 64% hydrocephalus.

Despite early treatment capability, only 28% of patients were admitted to an ICU within 48 h, while 38% never received ICU care.

Delayed cerebral ischemia occurred in 43%, radiologic vasospasm in 58%, ventriculitis in 22%, and infectious complications in 57%.

External ventricular drainage was required in 42%, and vasoactive drugs were used in 85%.