Analysis of factors that influence long-term independent living for elderly subarachnoid hemorrhage patients

Abstract Background The number of elderly subarachnoid hemorrhage (SAH) patients has been increasing. The aim of this study was to analyze long-term outcome for elderly (≧75 y) SAH patients and to establish a treatment strategy. Methods From January 2005 to December 2013, 86 consecutive cases were t...

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Bibliographic Details
Published in:World neurosurgery 2016-06, Vol.90, p.504-510
Main Authors: Shimamura, Norihito, MD. PhD, Naraoka, Masato, MD. PhD, Katagai, Takeshi, MD, Katayama, Kosuke, MD, Kakuta, Kiyohide, MD, Matsuda, Naoya, MD. PhD, Ohkuma, Hiroki, MD. PhD
Format: Article
Language:English
Subjects:
Activities of Daily Living - psychology
Aged
Aged, 80 and over
Cerebral aneurysm
Elderly patient
Female
Follow-Up Studies
Humans
Independent living
Independent Living - statistics & numerical data
Japan - epidemiology
Longitudinal Studies
Male
Neurosurgery
Neurosurgical Procedures - mortality
Neurosurgical Procedures - psychology
Neurosurgical Procedures - statistics & numerical data
Prevalence
Quality of Life - psychology
Radical intervention
Risk Factors
Subarachnoid hemorrhage
Subarachnoid Hemorrhage - mortality
Subarachnoid Hemorrhage - psychology
Subarachnoid Hemorrhage - surgery
Survival Rate
Treatment Outcome
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Summary:Abstract Background The number of elderly subarachnoid hemorrhage (SAH) patients has been increasing. The aim of this study was to analyze long-term outcome for elderly (≧75 y) SAH patients and to establish a treatment strategy. Methods From January 2005 to December 2013, 86 consecutive cases were treated. We used a modified Rankin scale (m-RS) at the outpatient clinic, or a telephone interview of patients and/or families. Kaplan-Meier plots were done for mortality and independent (m-RS 0 ∼ 2) state. Multivariate analysis was done to distinguish factors that influence on outcome. Results Median age was 79, Hunt-Kosnik grade 1 ∼ 3 was 79% and the radical intervention (clipping or coiling) rate was 78%. Mean follow-up period was 28.7±3.4 se months. Half of deaths occurred during the first two months. The number of cases of independent living gradually decreased to 50% at 28 months after SAH. Half of patients lived independently for 36 months at HK grades 1 to 3, and 3 months at HK grades 4 to 5 (p
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2016.03.057