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2% vs. 26.5% and 26.1%, p = 0.06). Compared to the late group, adjusted OR (95% CI) for in-hospital mortality was 0.78 (0.63-0.96) for the early group, while there was no significant difference in the ultra-early group (0.90 (0.69-1.16)). Early neurosurgery within 2-4 hours of the ED visit was associated with favorable survival outcomes in patients with spontaneous hemorrhagic stroke. Early neurosurgery within 2-4 hours of the ED visit was associated with favorable survival outcomes in patients with spontaneous hemorrhagic stroke. Transi