Geriatric Cerebrovascular Neurosurgery: Institutional Experience from Khoula Hospital

Background: The aging of the healthy population without severe morbidity exposes them to cerebrovascular diseases and demand effective management. This study aimed to study the prevalence of geriatric cerebrovascular neurosurgical conditions in the Neurosurgical Department at Khoula Hospital, Muscat...

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Autores principales:	Abdulrahman Al-Mirza, Omar Al-Taei, Tariq Al-Saadi
Formato:	article
Lenguaje:	EN
Publicado:	Shahid Beheshti University of Medical Sciences 2021
Materias:	cerebrovascular surgery geriatric population haemorrhage Medicine R
Acceso en línea:	https://doaj.org/article/52c34f5bf65545a89129d276ee6f0145
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spelling	oai:doaj.org-article:52c34f5bf65545a89129d276ee6f01452021-11-16T10:51:17ZGeriatric Cerebrovascular Neurosurgery: Institutional Experience from Khoula Hospital2383-18712383-209610.34172/icnj.2021.27https://doaj.org/article/52c34f5bf65545a89129d276ee6f01452021-07-01T00:00:00Zhttps://journals.sbmu.ac.ir/neuroscience/article/view/34447/27360https://doaj.org/toc/2383-1871https://doaj.org/toc/2383-2096Background: The aging of the healthy population without severe morbidity exposes them to cerebrovascular diseases and demand effective management. This study aimed to study the prevalence of geriatric cerebrovascular neurosurgical conditions in the Neurosurgical Department at Khoula Hospital, Muscat, Sultanate of Oman. Methods: A retrospective chart review of was done on geriatric cases admitted to the Neurosurgery Department in Khoula Hospital as an example of a neurosurgical center in a high-income developing country from January 2016 to 31st December 2019. Patients’ demographics, risk factors, diagnosis, Glasgow Coma Scale (GCS) on arrival, medications used, and length of stay were recorded. Results: 109 patients aged over 65 years were recruited in our retrospective review with a mean age of 74.12 years. Male-to-female ratio was (1.2:1). Intracerebral hemorrhage (ICH) was the most common vascular diagnosis (39.0%) followed by subarachnoid hemorrhage (SAH) (22.9%). Most patients (41.9%) had a GCS score of less than 8. About one-fifth of the patients received antiplatelet and anticoagulant medications. Most of the patients underwent surgical intervention (61.9%). 59% of the patients stayed in the hospital for less than 15 days. There were significant associations between the length of stay, treatment types (surgical vs. conservative), and age (P<0.05). Conclusion: Cerebrovascular pathologies are a growing cause of mortality and morbidity worldwide including developing countries because of the increasing number of elderly people. Antiplatelet medication and anticoagulants should be used with caution in the elderly.Abdulrahman Al-MirzaOmar Al-TaeiTariq Al-SaadiShahid Beheshti University of Medical Sciencesarticlecerebrovascular surgerygeriatric populationhaemorrhageMedicineRENInternational Clinical Neuroscience Journal, Vol 8, Iss 3, Pp 129-134 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cerebrovascular surgery geriatric population haemorrhage Medicine R
spellingShingle	cerebrovascular surgery geriatric population haemorrhage Medicine R Abdulrahman Al-Mirza Omar Al-Taei Tariq Al-Saadi Geriatric Cerebrovascular Neurosurgery: Institutional Experience from Khoula Hospital
description	Background: The aging of the healthy population without severe morbidity exposes them to cerebrovascular diseases and demand effective management. This study aimed to study the prevalence of geriatric cerebrovascular neurosurgical conditions in the Neurosurgical Department at Khoula Hospital, Muscat, Sultanate of Oman. Methods: A retrospective chart review of was done on geriatric cases admitted to the Neurosurgery Department in Khoula Hospital as an example of a neurosurgical center in a high-income developing country from January 2016 to 31st December 2019. Patients’ demographics, risk factors, diagnosis, Glasgow Coma Scale (GCS) on arrival, medications used, and length of stay were recorded. Results: 109 patients aged over 65 years were recruited in our retrospective review with a mean age of 74.12 years. Male-to-female ratio was (1.2:1). Intracerebral hemorrhage (ICH) was the most common vascular diagnosis (39.0%) followed by subarachnoid hemorrhage (SAH) (22.9%). Most patients (41.9%) had a GCS score of less than 8. About one-fifth of the patients received antiplatelet and anticoagulant medications. Most of the patients underwent surgical intervention (61.9%). 59% of the patients stayed in the hospital for less than 15 days. There were significant associations between the length of stay, treatment types (surgical vs. conservative), and age (P<0.05). Conclusion: Cerebrovascular pathologies are a growing cause of mortality and morbidity worldwide including developing countries because of the increasing number of elderly people. Antiplatelet medication and anticoagulants should be used with caution in the elderly.
format	article
author	Abdulrahman Al-Mirza Omar Al-Taei Tariq Al-Saadi
author_facet	Abdulrahman Al-Mirza Omar Al-Taei Tariq Al-Saadi
author_sort	Abdulrahman Al-Mirza
title	Geriatric Cerebrovascular Neurosurgery: Institutional Experience from Khoula Hospital
title_short	Geriatric Cerebrovascular Neurosurgery: Institutional Experience from Khoula Hospital
title_full	Geriatric Cerebrovascular Neurosurgery: Institutional Experience from Khoula Hospital
title_fullStr	Geriatric Cerebrovascular Neurosurgery: Institutional Experience from Khoula Hospital
title_full_unstemmed	Geriatric Cerebrovascular Neurosurgery: Institutional Experience from Khoula Hospital
title_sort	geriatric cerebrovascular neurosurgery: institutional experience from khoula hospital
publisher	Shahid Beheshti University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/52c34f5bf65545a89129d276ee6f0145
work_keys_str_mv	AT abdulrahmanalmirza geriatriccerebrovascularneurosurgeryinstitutionalexperiencefromkhoulahospital AT omaraltaei geriatriccerebrovascularneurosurgeryinstitutionalexperiencefromkhoulahospital AT tariqalsaadi geriatriccerebrovascularneurosurgeryinstitutionalexperiencefromkhoulahospital
_version_	1718426544675749888

Geriatric Cerebrovascular Neurosurgery: Institutional Experience from Khoula Hospital

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