Geriatric neurosurgery: Analysis of a single tertiary centre in Hong Kong

R. Chan, C. H. Mak, T. Tse, F. Cheung, Hm Chiu
{"title":"Geriatric neurosurgery: Analysis of a single tertiary centre in Hong Kong","authors":"R. Chan, C. H. Mak, T. Tse, F. Cheung, Hm Chiu","doi":"10.15761/TIM.1000195","DOIUrl":null,"url":null,"abstract":"The elderly aged 80 years and older represent a rapidly growing proportion of Hong Kong’s population. It was 3.1% in 2007 and has increased to 4.9% in 2017. It is expected to further raise to 10% in 2037. A retrospective cross-sectional study was conducted for all neurosurgery admission of aged 80 years and above in Queen Elizabeth Hospital from 1st January 2007 to 31st December 2016. Data was retrieved from Clinical Management System from Hospital Authority. Patient demographics, principal diagnosis, operation performed, perioperative complications, length of stay and mortality were collected and analyzed. A total of 2611 geriatric admissions were included, which accounted for 11.9% of all neurosurgery admission in that period. The majority (51%) of the elderly were admitted for head trauma. There were 397 elderly patients (15.2%) underwent neurosurgical operations. About 1/8 of elderly patients succumbed during the index hospital stay. When we dichotomized this 10-year period, our elderly population increased from 3.5% to 4.5%, however our geriatric admission percentage doubled from 7.8% to 15%. There was increased rate of performing neurosurgical operations on the elderly, from 9.3% rose up to 17.5% (p=0.129). The operation mortality rate dropped from 11.8% to 10.3% (p=0.157) and their average length of stay reduced from 38.9 days to 25 days (p=0.368). There was increasing demand for elderly neurosurgical care in the setting of growing geriatric population in Hong Kong. They were mostly trauma related. Nearly one-fifth of them required neurosurgical interventions. In recent years, we could achieve lower operation mortality rate and shorter length of stay. *Correspondence to: Robert SK Chan, Department of Neurosurgery, Queen Elizabeth Hospital, Hong Kong, E-mail: lwrobert@hotmail.com","PeriodicalId":23337,"journal":{"name":"Trends in Medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trends in Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15761/TIM.1000195","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2

Abstract

The elderly aged 80 years and older represent a rapidly growing proportion of Hong Kong’s population. It was 3.1% in 2007 and has increased to 4.9% in 2017. It is expected to further raise to 10% in 2037. A retrospective cross-sectional study was conducted for all neurosurgery admission of aged 80 years and above in Queen Elizabeth Hospital from 1st January 2007 to 31st December 2016. Data was retrieved from Clinical Management System from Hospital Authority. Patient demographics, principal diagnosis, operation performed, perioperative complications, length of stay and mortality were collected and analyzed. A total of 2611 geriatric admissions were included, which accounted for 11.9% of all neurosurgery admission in that period. The majority (51%) of the elderly were admitted for head trauma. There were 397 elderly patients (15.2%) underwent neurosurgical operations. About 1/8 of elderly patients succumbed during the index hospital stay. When we dichotomized this 10-year period, our elderly population increased from 3.5% to 4.5%, however our geriatric admission percentage doubled from 7.8% to 15%. There was increased rate of performing neurosurgical operations on the elderly, from 9.3% rose up to 17.5% (p=0.129). The operation mortality rate dropped from 11.8% to 10.3% (p=0.157) and their average length of stay reduced from 38.9 days to 25 days (p=0.368). There was increasing demand for elderly neurosurgical care in the setting of growing geriatric population in Hong Kong. They were mostly trauma related. Nearly one-fifth of them required neurosurgical interventions. In recent years, we could achieve lower operation mortality rate and shorter length of stay. *Correspondence to: Robert SK Chan, Department of Neurosurgery, Queen Elizabeth Hospital, Hong Kong, E-mail: lwrobert@hotmail.com
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
老年神经外科:香港单一三级医疗中心的分析
80岁及以上的长者在香港人口中所占的比例迅速增加。2007年为3.1%,2017年增至4.9%。预计到2037年将进一步提高到10%。对2007年1月1日至2016年12月31日在伊丽莎白女王医院接受神经外科手术的所有80岁及以上患者进行回顾性横断面研究。数据来自医院管理局的临床管理系统。收集并分析患者人口统计、主要诊断、手术情况、围手术期并发症、住院时间和死亡率。共纳入2611例老年入院患者,占同期所有神经外科入院患者的11.9%。大多数(51%)老年人因头部外伤入院。老年患者行神经外科手术397例(15.2%)。约1/8的老年患者在指数住院期间死亡。当我们对这10年进行二分类时,我们的老年人口从3.5%增加到4.5%,然而我们的老年入院率从7.8%增加到15%。老年人接受神经外科手术的比例从9.3%上升到17.5% (p=0.129)。手术死亡率由11.8%降至10.3% (p=0.157),平均住院时间由38.9天降至25天(p=0.368)。随着香港老年人口的增加,对老年神经外科护理的需求日益增加。他们大多与创伤有关。其中近五分之一的人需要神经外科干预。近年来手术死亡率降低,住院时间缩短。*通讯:香港伊利沙伯医院神经外科陈兆基,电邮:lwrobert@hotmail.com
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
PVAT mediated immunomodulation in vasculo-adipose balance in atherosclerosis Complex treatment after pathohistological and immunohistochemical analysis in synchronous neoplasms - anorectal achromatic malignant melanoma and gastric extrapleural solitary fibrous tumor Manifesto for research on intradermal vaccines proposed by the Italian Society of Mesotherapy Does complementary and alternative therapy work for SARS-CoV-2 (COVID-19)? Heart rate variability and heart rate under general anesthesia in rats of both sexes
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1