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首页> 外文期刊>British journal of neurosurgery >Neurosurgery in octogenarians
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Neurosurgery in octogenarians

机译：八岁老人的神经外科

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Introduction. The developed world has an aging population with an increasing neurosurgical demand. The benefit of neurosurgical intervention in the octogenarian population and the outcome is unclear. The 2010 NCEPOD report on all surgical care for the elderly (> 80 years) concluded that extreme age was an additional risk for which care was often lacking. Methods. Retrospective case review of 134 octogenarian admissions to a regional neurosurgical unit from January to December 2010. Admission pathology, co-morbidities, delay to surgery, length of stay, discharge destination, functional outcome and mortality were assessed. Results. There were 49 elective and 81 emergency admissions. Of which, 51% of elective admissions were for degenerative spine and 20% for functional/pain disorders. Also 55% of emergency admissions were for cranial trauma. Co-morbidities and ASA grade were higher in the emergency group. Peri-operative mortality was 0% for elective admission and 10.4% for emergency patients. Outcome following cranial trauma was good in 62% of patients. Degenerative spine outcome was good in 69% of patients. All patients with pain/functional pathology had immediate initial improvement but 56% had recurrence of pain at 6 months. 88% of elective admissions and 22% of emergency admissions were discharged directly to home with a mean length of stay of 7 days for elective and 13 days for emergency patients. Conclusions. Patient selection is crucial when considering neurosurgery in the octogenarian population. Our octogenarian patients had higher complication rate and 30-day mortality than those < 80 year old, demonstrating the additional risk and need for enhanced peri-operative care.
机译：介绍。发达国家人口老龄化，对神经外科的需求不断增加。神经外科手术对八十岁以上人群的益处以及结果尚不清楚。 2010年NCEPOD关于老年人（> 80岁）的所有外科手术治疗的报告得出结论，极端年龄是经常缺乏护理的另一个风险。方法。回顾性病例回顾，从2010年1月至2010年12月，对134例八岁以上的神经外科住院患者进行了评估。评估了入院病理，合并症，手术延迟，住院时间，出院目的地，功能结局和死亡率。结果。有49个选修课和81个紧急招生。其中，选择性入院的51％是退行性脊柱病，而20％的是功能/疼痛疾病。另外，有55％的急诊入院是由于颅脑创伤。急诊组的合并症和ASA等级较高。择期入院的围手术期死亡率为0％，急诊患者为10​​.4％。颅外伤后的结果在62％的患者中好。脊柱退变的预后良好，占69％。所有具有疼痛/功能性病理的患者均可立即开始改善，但56％的患者在6个月后复发。 88％的选择性住院病人和22％的紧急病人住院病人直接被送回家中，选择性住院的平均住院时间为7天，紧急病人的平均住院时间为13天。结论当考虑在八十岁以下人群中进行神经外科手术时，患者的选择至关重要。我们的高龄患者比80岁以下的患者具有更高的并发症发生率和30天的死亡率，这表明存在额外的风险，需要加强围手术期护理。

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