Journal of Korean Society of Geriatric Neurosurgery 2013;9(2):178-183.
Published online December 30, 2013.
Assessment of Surgical Outcome in Elderly Patients with Aneurysmal Subarachnoid Hemorrhage
Jin Seop Hwang , Sang Hyo Kim , Jeong Hwan Lee , Won Il Joo , Chung Kee Chough , Hae Kwan Park , Kyung Jin Lee , Hyoung Kyun Rha
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
가톨릭대학교 의과대학 신경외과학교실, 뇌신경센터
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..
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.
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.
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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