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Journal of Education, Health and Sport

Review of neurosurgical operative procedures in patients in the tenth decade of life
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Review of neurosurgical operative procedures in patients in the tenth decade of life

Authors

  • Zygmunt Siedlecki Department of Neurosurgery, Neurotraumatology and Pediatric Neurosurgery, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń https://orcid.org/0000-0003-1584-2027
  • Jakub Woźniak Department of Neurosurgery, Neurotraumatology and Pediatric Neurosurgery, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń
  • Emilia Główczewska-Siedlecka Department of Geriatric, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń
  • Maciej Śniegocki Department of Neurosurgery, Neurotraumatology and Pediatric Neurosurgery, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń

DOI:

https://doi.org/10.12775/JEHS.2020.10.06.010

Keywords

neurosurgical procedures, elderly people

Abstract

People over the age of 90 are hospitalized in neurosurgical departments, and the increase of life expectancy is conducive to such cases. Surgical treatment in older people is always at high risk, which may be due to the frailty syndrome that occurs. Qualification for surgical treatment of neurosurgical disorders in the elderly is not undertaken in the same way as in the younger population. This manuscript analyzes the patients in the 10th decade of life who were surgically treated at the neurosurgery clinic in 2019. It was shown that most of them were life threatening conditions. The most frequently operated disease was acute subdural hematoma, slightly less often chronic subdural hematoma and only a few cases of lumbar spine procedures. The analysis of patients treated surgically in comparison to patients not qualified for surgery because of other potenially neurosurgical diseases clearly indicates that surgical treatment of these patients is definitely rare.

References

Makary, M. A., Segev, D. L., Pronovost, P. J. et al. (2010). Frailty as a predictor of surgical outcomes in older patients. Journal of the American College of Surgeons, 210(6), 901-908.

Fried, L. P., Tangen, C. M., Walston, J. et al. (2001). Frailty in older adults: evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), M146-M157.

Kim, S., Brooks, A. K., & Groban, L. (2015). Preoperative assessment of the older surgical patient: honing in on geriatric syndromes. Clinical interventions in Aging, 10, 13.

Robinson, T. N., Wu, D. S., Pointer, L., Dunn, C. L., Cleveland Jr, J. C., & Moss, M. (2013). Simple frailty score predicts postoperative complications across surgical specialties. The American Journal of Surgery, 206(4), 544-550.

Epstein, N. E. (2011). Spine surgery in geriatric patients: Sometimes unnecessary, too much, or too little. Surgical neurology international, 2.

Nagashima, H., Dokai, T., Hashiguchi, H et al. (2011). Clinical features and surgical outcomes of cervical spondylotic myelopathy in patients aged 80 years or older: a multi-center retrospective study. European Spine Journal, 20(2), 240-246.

Lee, D. H., Buth, K. J., Martin, B. J., Yip, A. M., & Hirsch, G. M. (2010). Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery. Circulation, 121(8), 973.

Robinson, T. N., Wu, D. S., Stiegmann, G. V., & Moss, M. (2011). Frailty predicts increased hospital and six-month healthcare cost following colorectal surgery in older adults. The American journal of surgery, 202(5), 511-514.

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Published

2020-06-11

How to Cite

1.
SIEDLECKI, Zygmunt, WOŹNIAK, Jakub, GŁÓWCZEWSKA-SIEDLECKA, Emilia and ŚNIEGOCKI, Maciej. Review of neurosurgical operative procedures in patients in the tenth decade of life. Journal of Education, Health and Sport. Online. 11 June 2020. Vol. 10, no. 6, pp. 95-100. [Accessed 5 July 2025]. DOI 10.12775/JEHS.2020.10.06.010.
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Issue

Vol. 10 No. 6 (2020)

Section

Research Articles

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