Article Text

Download PDFPDF
P112 Management and outcome of subarachnoid haemorrhage (SAH) in older people: a centre series
  1. T Boumrah1,
  2. J Fahmy1,
  3. S Trippier2,
  4. A Hainsworth1,
  5. J Madigan3,
  6. E Pereira1,
  7. P Minhas4,
  8. A Shtaya1
  1. 1Molecular and Clinical Sciences Research Institute, St George’s University of London, London, UK
  2. 2Stroke Unit, St George’s University Hospital NHS Trust, London, UK
  3. 3Neuroradiology Department, St George’s University Hospital NHS Trust, London, UK
  4. 4Atkinson Morley Neurosurgery Centre, St George’s University Hospital NHS Trust, London, UK


Objectives To study the management and factors associated with outcomes in SAH in elderly over 80 years of age.

Design Retrospective records review.

Subjects All Patients with SAH confirmed on head CT admitted Jan 2012-Dec 2017.

Methods We admitted 1079 patients with SAH, 32 were aged ≥80 y (3%). We subdivided the patients into a poor outcome group (POG) (Modified Rankin Scale (mRS) 4–6), (n=24, 14F/10M, mean age 83.7±0.7 y) and good outcome group (GOG) (mRS 0–3) (n=8, 7F/1M, mean age 82.6±0.6 y). Spearman’s rank-order test evaluated correlation between outcome (mRS) and all other variables (WFNS grade, GCS, Motor score of GCS, age, sex, smoking, hypertension, intraventricular haemorrhage (IVH) and intracerebral haemorrhages (ICH)).

Results 9 patients (38%) of POG were WFNS grades IV – V versus 1 patient (13%) in GOG. More POG than GOG patients had IVH (83% vs 38%, rs=−0.44 p=0.011). 20% of POG had ICH vs none in GOG. GOG patients had better GCS (rs=−0.37, p=0.04), lower WFNS grade (rs=0.43, p=0.01) and did not need external ventricular drain (EVD) (rs=0.51, p=0.003). There was no significant correlation between outcome and sex, smoking, hypertension, size of aneurysm (4.9 mm ±1.0 in GOG vs 5.4 mm ±1.1 in POG, rs=−0.29, p=0.28), percentage receiving coiling or clipping, GCS motor score, procedure complications and general medical complications.

Conclusions 75% of patients’ aged ≥80 y with SAH had poor outcome. WFNS grade (I-III), higher GCS patients who did not need EVD had better outcome.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.