The Treatment Results of Patients after Aneurysmal Sah – the
Comparison of the Groups under 70 and over 70 Years of Age

a 2013

The Treatment Results of Patients after Aneurysmal Sah – the Comparison of the Groups under 70 and over 70 Years of Age

SMRČKA, Martin; Vilém JURÁŇ; Ondřej NAVRÁTIL; Karel SVOBODA; Kamil ĎURIŠ et al.

Základní údaje

Originální název

The Treatment Results of Patients after Aneurysmal Sah – the Comparison of the Groups under 70 and over 70 Years of Age

Autoři

SMRČKA, Martin; Vilém JURÁŇ; Ondřej NAVRÁTIL; Karel SVOBODA a Kamil ĎURIŠ

Vydání

15th World Congress of Neurosurgery, September 8-13, 2013, Seoul, Korea, 2013

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Korejská republika

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/13:00071178

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Aneurysmal Sah; Patients under 70 and over 70 Years of Age

Změněno: 20. 1. 2014 13:55, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Introduction: The aim of this work was to compare the treatment results of patients after aneurysmal SAH with regards to age. Material and Method: We enroled 342 patients treated in years 2006-2012. 45 pacients were over 70 years and 297 patients were under 70 years of age. Their status in admission (HH), SAH severity (Fischer), methods to treat the aneurysm and the treatment result (GOS) were evaluated. For statistics Fischers exact test an Chisquare test were used. Results: There was no diference in clinical status (HH) of the groups, p=0,1804. There was a diference in the SAH severity, p=0,0067, more severe in senior group. The conservative treatment in the group over 70 was in 29%, under 70 in 13%, (p=0,0182). In patients with intervention endovascular treatment in the senior group was used in 31%, surgery in 69%, under 70 there was 27% of endovascular treatment and 73% of surgery, which is not different (p = 0,6747). The overall result were worse in the senior group, p=0,0192. Mortality (GOS1) in senior group was 44%, in younger 25% (p = 0, 012). The good result (GOS 4+5) in senior group was 38%, in younger 56% (p = 0, 0169). Conclusions: Patients over 70 years of age have a trend towards a more severe SAH clinically and significantly on CT. The higher percentage of these patients is treated conservatively. If it comes to intervention, surprisingly there was no difference between the groups in the method used. The overall treatment results in senior group were significantly worse.

Citovat

SMRČKA, Martin; Vilém JURÁŇ; Ondřej NAVRÁTIL; Karel SVOBODA a Kamil ĎURIŠ. The Treatment Results of Patients after Aneurysmal Sah – the Comparison of the Groups under 70 and over 70 Years of Age. In 15th World Congress of Neurosurgery, September 8-13, 2013, Seoul, Korea. 2013.

@proceedings{1160081,
   author = {Smrčka, Martin and Juráň, Vilém and Navrátil, Ondřej and Svoboda, Karel and Ďuriš, Kamil},
   booktitle = {15th World Congress of Neurosurgery, September 8-13, 2013, Seoul, Korea},
   keywords = {Aneurysmal Sah; Patients under 70 and over 70 Years of Age},
   language = {eng},
   title = {The Treatment Results of Patients after Aneurysmal Sah – the Comparison of the Groups under 70 and over 70 Years of Age},
   year = {2013}
}

TY  - CONF
ID  - 1160081
AU  - Smrčka, Martin - Juráň, Vilém - Navrátil, Ondřej - Svoboda, Karel - Ďuriš, Kamil
PY  - 2013
TI  - The Treatment Results of Patients after Aneurysmal Sah – the Comparison of the Groups under 70 and over 70 Years of Age
KW  - Aneurysmal Sah
KW  - Patients under 70 and over 70 Years of Age
N2  - Introduction: The aim of this work was to compare the treatment results of patients after aneurysmal SAH with regards to age. Material and Method: We enroled 342 patients treated in years 2006-2012. 45 pacients were over 70 years and 297 patients were under 70 years of age. Their status in admission (HH), SAH severity (Fischer), methods to treat the aneurysm and the treatment result (GOS) were evaluated. For statistics Fischers exact test an Chisquare test were used. Results: There was no diference in clinical status (HH) of the groups, p=0,1804. There was a diference in the SAH severity, p=0,0067, more severe in senior group. The conservative treatment in the group over 70 was in 29%, under 70 in 13%, (p=0,0182). In patients with intervention endovascular treatment in the senior group was used in 31%, surgery in 69%, under 70 there was 27% of endovascular treatment and 73% of surgery, which is not different (p = 0,6747). The overall result were worse in the senior group, p=0,0192. Mortality (GOS1) in senior group was 44%, in younger 25% (p = 0, 012). The good result (GOS 4+5) in senior group was 38%, in younger 56% (p = 0, 0169). Conclusions: Patients over 70 years of age have a trend towards a more severe SAH clinically and significantly on CT. The higher percentage of these patients is treated conservatively. If it comes to intervention, surprisingly there was no difference between the groups in the method used. The overall treatment results in senior group were significantly worse.
ER  -

SMRČKA, Martin; Vilém JURÁŇ; Ondřej NAVRÁTIL; Karel SVOBODA a Kamil ĎURIŠ. The Treatment Results of Patients after Aneurysmal Sah – the Comparison of the Groups under 70 and over 70 Years of Age. In \textit{15th World Congress of Neurosurgery, September 8-13, 2013, Seoul, Korea}. 2013.

Přehled o publikaci