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在老年人脑内出血和减压切除术后的结果

Thomas Kapapa¹, Stefanie Jesuthasan¹, Frederike Schiller¹

¹Department of Neurosurgery, University Hospital Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany.

Neurology international

|May 28, 2024

概括

由于脑内出血而经历解压缩性脑切除术的老年人 (>65岁) 显示出不良结果. 长期的功能恢复是有限的,很少有人实现独立.

科学领域:

神经外科神经外科
神经学神经学
老年病的医生老年病的医生

背景情况:

大脑内出血 (ICH) 的发生率随着年龄的增长而上升.
在老年人中,对ICH的治疗决定需要特定的结果数据.
减压切除术 (DC) 是严重的ICH的关键干预措施.

研究的目的:

为了评估65岁以上的ICH患者用DC治疗的结果.
为了比较年长 (>65) 和年轻 (≤65) 的ICH患者接受DC的结果.
为老年ICH患者的治疗决策提供信息.

主要方法:

连续ICH患者接受DC治疗的回顾性多中心观察性研究.
使用格拉斯哥结局尺度 (GOS) 评估的临床结果在离院和12个月后.
患者分层分为年龄组 (≤65岁和>65岁) 和结果类别 (有利/不利).

主要成果:

包括15名老年患者 (>65) 和41名年轻患者 (≤65).
在老年患者住院期间观察到较高的死亡率 (33.3%对24.4%).
年龄组之间的12个月GOS结果没有显著差异,但老年人没有良好的康复.

结论:

老年患者 (>65岁) 接受ICH的DC治疗,通常会出现不良结果.
在ICH和DC后,老年人的长期功能结果有限,很少有人恢复独立.
年龄是影响ICH和DC后恢复和功能独立的一个重要因素.

关键词:

大脑胀脑胀人口变化人口变化年长的老人老年人老年人.内高血压是什么意思最少的侵入性侵袭性疾病发病率疾病发病率疾病发病率死亡率死亡率幸存率幸存率生存率

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