Analysis of Factors That Influence Long-Term Independent Living for Elderly Subarachnoid Hemorrhage Patients

Shimamura, Norihito; Naraoka, Masato; Katagai, Takeshi; Katayama, Kosuke; Kakuta, Kiyohide; Matsuda, Noboru; Ohkuma, Hiroki

doi:10.1016/j.wneu.2016.03.057

Cited by 20 publications

(15 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Four studies investigated risk factors for mortality by using multivariate analysis. 4 , 5 , 15 , 21 ) Reported risk factors for mortality were poor clinical grade on admission in three studies 4 , 5 , 15) and aging in three studies. 5 , 15 , 21) Mortality of patients over age 85 was documented in four articles, and 37 of 60 patients (61.7%) died.…”

Section: Resultsmentioning

confidence: 97%

“… 4 , 5 , 15 , 21 ) Reported risk factors for mortality were poor clinical grade on admission in three studies 4 , 5 , 15) and aging in three studies. 5 , 15 , 21) Mortality of patients over age 85 was documented in four articles, and 37 of 60 patients (61.7%) died. 4 , 15 – 17) As the other risk factors for mortality, selection of conservative treatment without aneurysm occlusion was pointed out in two studies, 5 , 15) medical complication in one study, 21) rebleeding in one study, 4) intraventricular hemorrhage in one study, 4) being male in one study.…”

Section: Resultsmentioning

confidence: 97%

“… 4 , 5 , 11 , 16 , 21 ) Reported risk factors for neurological outcomes were poor clinical grade on admission in four studies, 5 , 11 , 16 , 21 ) medical complication in two studies, 5 , 21) being male in one study, 21) selection of conservative treatment without aneurysm occlusion in one study, 5) ACA aneurysm in one study, 11) cerebral vasospasm in one study, 5) hydrocephalus in one study, 5) aging in one study 5) and premorbid condition in one study. 21) However, none of the studies showed the actual number of cases, and meta-analysis of these risk factors using accumulated cases could not be performed. A comparative investigation among several time-spans at 75 or 80 years of age or older performed in three studies showed there was no cutoff age affecting outcome.…”

Section: Resultsmentioning

confidence: 99%

“… 5 , 15 , 21) Mortality of patients over age 85 was documented in four articles, and 37 of 60 patients (61.7%) died. 4 , 15 – 17) As the other risk factors for mortality, selection of conservative treatment without aneurysm occlusion was pointed out in two studies, 5 , 15) medical complication in one study, 21) rebleeding in one study, 4) intraventricular hemorrhage in one study, 4) being male in one study. 21) Meta-analysis of these risk factors using accumulated cases could also not be performed, due to the absence of the actual number of cases in several studies.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Aneurysmal Subarachnoid Hemorrhage in the Elderly over Age 75: A Systematic Review

Ohkuma

Shimamura

Naraoka

et al. 2017

Neurol. Med. Chir.(Tokyo)

Self Cite

View full text Add to dashboard Cite

The number of elderly patients with an aneurysmal subarachnoid hemorrhage (aSAH) has been increasing in aging- or aged societies in many countries. A treatment strategy for the elderly with aSAH has not been established, although many studies have been published emphasizing poor outcome for aSAH. The aim of this study was to analyze the factors and treatments affecting outcome in aSAH in the elderly in a systematic review of the literature by investigating patients over age 75. A literature search was done for “elderly aSAH” in PubMed and Embase. Literature with a clear description of treatment measures for aneurysmal occlusion and outcome was selected. Twelve studies, consisted of 816 cases, met the eligibility criteria. Patient characteristics included 83.2% female, 33.8% poor clinical grade on admission, 57.1% Fischer group 3, and 41% internal carotid artery aneurysm. As complications, symptomatic vasospasm was seen in 25.5% of patients, hydrocephalus in 31.1%, and medical complication in 38.4%. Favorable outcome was 35.0% in total, 45.3% for clipping, 36.3% for coiling, and 9.0% for conservative treatment. Several studies by multivariate analysis indicated that poor clinical grade on admission could be a risk factor for neurological outcome and mortality. Advanced age and selection of conservative treatment without aneurysmal occlusion could be a risk factor for mortality. Patients under age 85 with good clinical grade on admission can be candidates for treatment of aneurysm repair. However, treatment for patients over age 85 or with poor clinical grade should be carefully determined.

show abstract

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Aneurysmal Subarachnoid Hemorrhage in the Elderly over Age 75: A Systematic Review

Ohkuma

Shimamura

Naraoka

et al. 2017

Neurol. Med. Chir.(Tokyo)

Self Cite

View full text Add to dashboard Cite

show abstract

“…19 Conservative no treatment was indicated mainly in patients in a poor overall condition or neurologic condition, as is customary. 20 Blood samples and samples of CSF were collected every 8 hours for 4 days after implantation of an external ventricular drainage/lumbar catheter. The drainage system was implanted in particular cases between hours 8 and 16 after the onset of bleeding.…”

Section: Methodsmentioning

confidence: 99%