高收入发展中国家的老年神经外科:阿曼苏丹国的经验

IF 1.2 Q4 PSYCHIATRY
T. Al-Saadi, Abdulrahman Al-Mirza, Omar Al-Taei, H. Al-Saadi
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引用次数: 0

摘要

本研究旨在调查阿曼马斯喀特Khoula医院(KH)神经外科老年神经外科疾病的患病率和特点。大多数老年患者的各种神经外科病症正在增加,这导致神经外科需求的增加。人口老龄化对神经外科医院决策有直接影响。然而,用于评估发展中国家老年神经外科的数据有限。我们以2016年1月至2019年12月31日高收入发展中国家神经外科中心为例,对KH神经外科收治的老年病例进行回顾性图表回顾。记录患者的人口统计学、危险因素、诊断、到达时格拉斯哥昏迷量表、治疗类型和住院时间。我们的回顾性研究共招募了669名年龄在65岁以上的患者。整个队列的平均年龄为73.34岁,男女比例为(1.6:1)。最常见的诊断类别是创伤,占35.4%,其次是肿瘤和血管(各占16.3%)。脑积水占入院人数的3.7%。大多数患者接受手术治疗(73.1%)。治疗类型(手术vs保守)、住院时间和到达时GCS之间存在显著相关性(p < 0.05)。总之,在发展中国家,老年神经外科手术的趋势正在增加。神经外科病房最常见的入院原因是创伤性脑损伤。在处理老年神经外科病例时必须特别注意,需要更全面的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Geriatric Neurosurgery in High-Income Developing Countries: A Sultanate of Oman Experience
This study aimed to investigate the prevalence and characteristics of geriatric neurosurgical conditions in the Neurosurgical Department at Khoula Hospital (KH), Muscat, Sultanate of Oman. The majority of various neurosurgical conditions is increasing in elderly patients, which leads to an increase in neurosurgical demand. The aging population has a direct effect on hospital decision-making in neurosurgery. However, limited data are available to assess geriatric neurosurgery in developing countries. A retrospective chart review of geriatric cases admitted to the Neurosurgery Department in KH served as our 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 on arrival, treatment types, and length of stay were recorded. A total of 669 patients who were above the age of 65 years were recruited into our retrospective review. The mean age was 73.34 years in the overall cohort and the male-to-female ratio was (1.6:1). The most common diagnostic category was trauma, which accounted for 35.4% followed by oncology and vascular (16.3% each). Hydrocephalus accounted for 3.7% of the admissions. Most of the patients underwent surgical interventions (73.1%). The associations were significant between the treatment types (surgical vs. conservative), Length of Stay, and the GCS on arrival (p < 0.05). In conclusion, the trend of geriatric neurosurgery is increasing in developing countries. The most common reason for admission to the neurosurgical ward was Traumatic Brain Injury. Special care must be taken when dealing with geriatric neurosurgical cases and a more holistic approach is needed.
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CiteScore
1.90
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