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 and 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.

Basic information

• Original name: The Treatment Results of Patients after Aneurysmal Sah – the Comparison of the Groups under 70 and over 70 Years of Age
• Authors: SMRČKA, Martin (203 Czech Republic, guarantor, belonging to the institution), Vilém JURÁŇ (203 Czech Republic, belonging to the institution), Ondřej NAVRÁTIL (203 Czech Republic), Karel SVOBODA (203 Czech Republic) and Kamil ĎURIŠ (203 Czech Republic, belonging to the institution).
• Edition: 15th World Congress of Neurosurgery, September 8-13, 2013, Seoul, Korea, 2013.

Other information

• Original language: English
• Type of outcome: Conference abstract
• Field of Study: 30000 3. Medical and Health Sciences
• Country of publisher: Republic of Korea
• Confidentiality degree: is not subject to a state or trade secret
• RIV identification code: RIV/00216224:14110/13:00071178
• Organization unit: Faculty of Medicine
• Keywords in English: Aneurysmal Sah; Patients under 70 and over 70 Years of Age

Abstract

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.