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Age as a prognostic factor after intracranial aneurysm rupture
J Rosenørn1, V Eskesen, K Schmidt
1University Clinics of Neurosurgery, Copenhagen County Hospital, Glostrup, Denmark.
British Journal of Neurosurgery
|January 1, 1987
Summary
Surgery improves outcomes for patients with ruptured aneurysms. Younger patients (under 40) in good condition who undergo surgery have the best chance of a normal mental state after treatment.
Area of Science:
- Neurosurgery
- Neurology
- Clinical Outcomes
Background:
- Subarachnoid hemorrhage from ruptured aneurysms is a critical neurological emergency.
- Patient outcomes are influenced by various factors including age, clinical severity, and treatment modality.
Purpose of the Study:
- To assess the impact of surgical intervention on survival and mental state in ruptured aneurysm patients.
- To investigate the influence of patient age and clinical grade on treatment outcomes.
Main Methods:
- Retrospective analysis of 1,076 patients with ruptured aneurysms admitted to neurosurgical units.
- Follow-up assessment of survival and mental normality over 2 years.
- Comparison of outcomes between operated and non-operated patients across different age groups and clinical grades.
Main Results:
- Patients who underwent surgery demonstrated better survival and mental state outcomes compared to non-operated patients, irrespective of age and initial clinical grade.
- Younger patients (under 40) in good clinical condition (grades 1-3) who received surgery showed a significantly higher likelihood of achieving a normal mental outcome.
Conclusions:
- Surgical intervention is associated with improved outcomes in ruptured aneurysm patients.
- While age is generally not a significant factor, younger patients in good condition may particularly benefit from surgery, achieving better mental recovery.