| Assessment of Surgical Outcome in Elderly Patients with Aneurysmal Subarachnoid Hemorrhage |
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Jin Seop Hwang , Sang Hyo Kim , Jeong Hwan Lee , Won Il Joo , Chung Kee Chough , Hae Kwan Park , Kyung Jin Lee , Hyoung Kyun Rha |
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Department of Neurosurgery, Yeouido St. Mary’s Hospital, Neuroscience Center, College of Medicine, The Catholic University of Korea |
| 고령환자에서 동맥류 파열로 인한 지주막하 출혈의 수술 후 예후에 대한 평가 |
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황진섭ㆍ김상효ㆍ이정환ㆍ주원일ㆍ조정기ㆍ박해관ㆍ이경진ㆍ나형균 |
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가톨릭대학교 의과대학 신경외과학교실, 뇌신경센터 |
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| Abstract |
Objective
As the life expectancy is increased, the numbers of elderly patients with aneurysmal subarachnoid hemorrhage (SAH) have been
more rising. The objective of this study was to investigate the relationship of age to other prognostic factors and patients’ outcome after
surgical management in elderly patients..
Methods
This study was reviewed retrospectively for patients who underwent surgical management (clipping or coiling) after aneurysmal SAH
from January, 2005 to December, 2012 at our Hospital. A total of 194 patients were selected and divided into age groups of <65 (148 patients)
and ≥65 years old (46 patients). Their initial Hunt-Hess grade and Fisher grade on admission and Glasgow Outcome Scale at discharge
were reviewed.
Results
Data analysis showed that a favorable outcome was achieved in 16 of total 46 elderly patients (34.7%) at discharge. Age (p<0.001),
Fisher grade (p=0.001) and Hunt & Hess grade (p=0.001) were significantly correlated with patients’ outcome.
Conclusion
Age is a predictor of poor outcome in aneurysmal SAH of elderly patients. In addition, initial neurological status, amount of hematoma
on CT and hydrocephalus are closely related to prognosis of elderly patients with SAH. |
| Key Words:
AgedㆍSubarachnoid hemorrhageㆍGlasgow outcome scale |
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