Natural course of subarachnoid hemorrhage is worse in elderly patients

Arquivos de Neuro-Psiquiatria

Felix Hendrik Pahl¹  Matheus Fernandes De Oliveira¹  José Marcus Rotta¹ 

关键词: subarachnoid hemorrhage;    aneurysm;    age;    outcome;    treatment;    hemorragia subaracnóide;    aneurisma;    idade;    prognóstico;    tratamento;   

DOI  :  10.1590/0004-282X20140146

来源: SciELO

【 摘 要 】

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.Objective Evaluate clinical, radiological patterns and prognostic factors of subarachnoid hemorrhage (SAH) patients according to age. Method 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. Results There was statistically significant association of age with impaired clinical, radiological presentation and outcomes in cases of SAH. Conclusion 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.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License