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[The outcome of cerebrovascular disease in the elderly]
1Department of Neurosurgery, Mito National Hospital.
Insights
Elderly patients (70+) with cerebrovascular disease experienced worse outcomes than younger individuals. Their condition declined over six months, with significantly higher mortality rates compared to non-elderly patients.
Area of Science:
- Neurology
- Geriatrics
- Public Health
Background:
- Cerebrovascular disease affects individuals of all ages, but outcomes may differ significantly based on age.
- The elderly population (defined as 70 years and older) presents unique challenges in managing and predicting the course of cerebrovascular events.
Purpose of the Study:
- To compare the outcomes of cerebrovascular disease in elderly (70+) versus non-elderly (<70) patient groups.
- To identify predictors of clinical course in patients with cerebrovascular disease.
Main Methods:
- A comparative study of 51 elderly and 156 non-elderly patients diagnosed with cerebrovascular disease.
- Classification of patients by cerebrovascular event type: intracerebral hemorrhage, cerebral infarction, or subarachnoid hemorrhage.
- Evaluation using the Glasgow Outcome Scale at discharge and 6-month follow-up.
Main Results:
- Elderly patients exhibited more severe disability at discharge compared to non-elderly patients.
- Non-elderly patients showed improvement (good recovery or moderate disability) at 6 months, while elderly patients' conditions often declined.
- Elderly patients had higher mortality rates: 17.6% at discharge and 52.0% at 6 months, versus 13.5% and 18.8% for non-elderly patients.
Conclusions:
- Cerebrovascular disease outcomes are significantly worse in the elderly population.
- Patient age and clinical status at discharge are critical predictors for the long-term course of cerebrovascular disease.
Abstract:
The outcome of cerebrovascular disease in the elderly, defined as persons 70 years of age and over, and in the non-elderly, those under 70 years, was compared. Fifty-one consecutive elderly and 156 non-elderly patients were studied. The patients in each group were classified according to type of cerebrovascular event: intracerebral hemorrhage, cerebral infarction, or subarachnoid hemorrhage. Patients were evaluated by using the Glasgow Outcome Scale both at the time discharge and 6 months later. The elderly patients were more severely disabled at the time of discharge than the non-elderly patients. The number of patients evaluated as "good recovery" or "moderate disability" had increased at the 6-month follow-up examination in the non-elderly patients, whereas the condition of many of the elderly patients had declined. The death rate of the elderly at the time of discharge and 6 months later was 17.6% and 52.0%, respectively, as opposed to 13.5% and 18.8% in the non-elderly group. The outcome of cerebrovascular disease was much worse in the elderly patients than in the non-elderly patients. Patient age and status at discharge were important predictors of the clinical course.