Characteristics and Clinical Outcomes in Elderly Patients with Spontaneous Intracerebral Hemorrhage

, Chang Jin Shin1; , Yu Sam Won1; , Chun Sik Choi1; , Jong Joo Lee1; , Sion Kim2

Clinical Article

Journal of Korean Society of Geriatric Neurosurgery 2016;12(2):222-226.
Published online September 30, 2016.

Characteristics and Clinical Outcomes in Elderly Patients with Spontaneous Intracerebral Hemorrhage

Chang Jin Shin1 , Yu Sam Won1 , Chun Sik Choi1 , Jong Joo Lee1 , Sion Kim2

¹Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, ²Department of Neurosurgery, Gumdan Top General Hospital, Incheon, Korea

고령 환자에서의 자발성 뇌내출혈의 임상적 특징과 결과

신창진¹·원유삼¹·최천식¹·이종주¹·김시온²

성균관대학교 의과대학 강북삼성병원 신경외과학교실

Abstract

Objective
We tried to describe demographic characteristics, past medical history, initial status, laboratory parameters, neuroimaging finding and outcomes of older patients of intracerebral hemorrhage (ICH) compared with younger patients.
Methods
We retrospectively analyzed 218 spontaneous ICH patients between January 2009 and December 2013. The patients were divided into two age groups: <75 years (n=156, 71.6%) and ≥75 years (n=62, 28.4%). We analyzed data of location of hemorrhage, initial systolic blood pressure, past medical history, laboratory parameters, initial mental status and post-treatment outcome estimated Glasgow coma scale (GCS) and modified Rankin scale (mRS) at discharge and 3 months.
Results
The older group comprised 25 males (40.3%) and 37 females (59.7%). The younger group comprised 98 males (62.8%) and 58 females (37.2%). Deep ICH comprised 50.0% of cases followed by lobar ICH (30.7%) in the older group. In the younger group, deep portion ICH comprised 73.1%. Initial GCS of elderly patients was lower than younger patients. There were 135 (86.5%) younger and 46 (74.2%) older patients with poor outcomes (mRS 3~5).
Conclusion
Our results showed that ICH occurred more frequently in female patients and in lobar ICH in older age group. Initial mental status of older patients was poor and their mortalities were high.

Key Words: Intracerebral hemorrhage, Glasgow coma scale, Outcomes