Outcomes of 24 patients with subarachnoid hemorrhage aged 80 years or older in a single center

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• 作者：Shuichiro Asano ; Tetsuo Hara ; Toshihiko Haisa ; Koichiro Okamoto ; Takahiro Kato ; Hiroyasu Ohno ; Kanehiro Hasuo ; Tatsuya Kondo
• 关键词：Elderly patients ; Prognosis ; Subarachnoid hemorrhage ; Treatment option ; Eighty years of age and over ; Clinical outcome
• 刊名：Clinical Neurology and Neurosurgery
• 出版年：2007
• 期刊代码：60_03038467
• 类别：med
• 出版时间：December 2007
• 卷：109
• 期：10
• 页码：853-857
• 文件大小：93 K

摘要

In the developed countries, elderly population is rapidly increasing, but outcomes of elderly patients with subarachnoid hemorrhage (SAH) remain unclear.

Patients and methods

We retrospectively reviewed the medical records of non-traumatic SAH patients aged 80 years or older, who were hospitalized in a single center between 2000 and 2005.

Results

There were 24 patients (80–92 years old and 83%female), representing 8.8%of all non-traumatic SAHs (n = 272). Of those, six patients received an intervention (five clipping and one endovascular coiling) and the remaining 18 patients were managed conservatively. The patients who received an intervention were younger and had a better consciousness at presentation. Early mortality rate within 30 days after SAH was higher in the conservative group (61%[11/18] and 17%[1/6], p = 0.155). At 6 months, mortality rate was significantly higher in the conservative group (83%[15/18] and 33%[2/6], p = 0.038), and independence rate was higher in the intervention group (33%[2/6] and 0%[0/18], p = 0.054). Logistic regression analysis showed that age and degree of consciousness on admission were significant predictor of outcome in 4 weeks, and that receiving intervention was significant predictor of outcome in 6 months.

Conclusion

In elderly SAH patients with good clinical condition at presentation, an active intervention may improve the outcome.