Korean J Cerebrovasc Dis.  2000 Mar;2(1):54-60.

Prognosis of Aneurysmal Subarachnoid Hemorrhage in the Elderly Patients

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Kyung-Hee University Medical Center, Seoul, Korea. neurokoh@medigate.net

Abstract

The purpose of this study is to investigate the overall management outcome and surgical outcome for the elderly patients with aneurysmal subarachnoid hemorrhage (SAH) as compared with that of younger patients. To address the question of managing SAH in the elderly patients, 52 consecutive patients aged 65 or older (elderly patients group: EPG) and 312 patients aged 64 or younger (younger patients group: YPG) who admitted to Kyung-Hee university medical center during recent three years (from Jan. 1996 to Dec. 1998) were analyzed and compared with each other. The managemnet mortality was 17.0% in YPG and 44.2% in EPG, and favorable management outcome (including good recovery: GR and moderate disability: MD in the grade of Grascow outcome scale) was achieved in 65.0% in YPG and 38.5% in EPG (p<0.05). The surgical mortality was 5.0% in YPG and 13.7% in EPG, and favorable surgical outcome was achieved in 79.2% in YPG and 72.7% in EPG (p>0.05). The surgical outcomes according to the preoperative clinical grade (Hunt-Hess grade: HHG) were recorded as follows; 1) In the patients with good preoperative clinical grade (HHG I or II), favorable surgical outcome (including GR and MD) was achieved in 86.5% in YPG and 79.7% in EPG, and the surgical mortality was 2.9% in YPG and 6.7% in EPG (p>0.05). 2) In the patients with poor preoperative clinical grade (HHG III or IV), favorable surgical outcome was achieved in 62.8% in YPG and 57.2% in EPG, and the surgical mortality was 11.8% in YPG and 28.6% in EPG (p>0.05). 3) The favorable outcome achieved in patients with good preoperative clinical grade (86.5% in YPG, 79.7% in EPG) was superior to that of patients with poor preoperative grade (62.8% in YPG, 57.2% in EPG)(p<0.05). We conclude that the surgical treatment of an intracranial aneurysms are advisable not only in younger patients but also in patients aged 65 years or more with good neurological grade following SAH.

Keyword

Subarachnoid hemorrhage; Intracranial aneurysm; Elderly patient; Outcome

MeSH Terms

Academic Medical Centers
Aged*
Aneurysm*
Humans
Intracranial Aneurysm
Mortality
Prognosis*
Subarachnoid Hemorrhage*
Full Text Links
  • KJCD
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr