Natural course of subarachnoid hemorrhage is worse in elderly patients

Aging is a major risk factor for poor outcome in patients with ruptured or unruptured intracranial aneurysms (IA) submitted to treatment. It impairs several physiologic patterns related to cerebrovascular hemodynamics and homeostasis. Evaluate clinical, radiological patterns and prognostic factors o...

Full description

Saved in:
Bibliographic Details
Published in:Arquivos de neuro-psiquiatria 2014-11, Vol.72 (11), p.862-866
Main Authors: Pahl, Felix Hendrik, Oliveira, Matheus Fernandes de, Rotta, José Marcus
Format: Article
Language:English
Subjects:
Age Factors
Aged
aneurisma
Aneurysm, Ruptured - classification
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - physiopathology
Cerebrovascular Circulation - physiology
Female
Glasgow Outcome Scale
hemorragia subaracnóide
Homeostasis - physiology
Humans
idade
Male
NEUROSCIENCES
Prognosis
prognóstico
PSYCHIATRY
Radiography
Risk Factors
Severity of Illness Index
Statistics, Nonparametric
Subarachnoid Hemorrhage - classification
Subarachnoid Hemorrhage - diagnostic imaging
Subarachnoid Hemorrhage - physiopathology
Tertiary Care Centers
tratamento
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aging is a major risk factor for poor outcome in patients with ruptured or unruptured intracranial aneurysms (IA) submitted to treatment. It impairs several physiologic patterns related to cerebrovascular hemodynamics and homeostasis. Evaluate clinical, radiological patterns and prognostic factors of subarachnoid hemorrhage (SAH) patients according to age. Three hundred and eighty nine patients with aneurismal SAH from a Brazilian tertiary institution (Hospital do Servidor Público Estadual de São Paulo) were consecutively evaluated from 2002 to 2012 according to Fisher and Hunt Hess classifications and Glasgow Outcome Scale. There was statistically significant association of age with impaired clinical, radiological presentation and outcomes in cases of SAH. Natural course of SAH is worse in elderly patients and thus, proper recognition of the profile of such patients and their outcome is necessary to propose standard treatment.
ISSN:0004-282X
1678-4227
1678-4227
0004-282X
DOI:10.1590/0004-282X20140146