scholarly journals Long-term Follow-up after Treatment for Cerebrovascular Disease. Long-term Follow-up of Surgically Treated SAH Patients in Their 70s. An Assessment of Active Life Expectancy.

2002 ◽  
Vol 30 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Shinjitsu NISHIMURA ◽  
Yoshiharu SAKURAI ◽  
Akiko NISHINO ◽  
Hiroaki ARAI ◽  
Hiroshi UENOHARA ◽  
...  
Neurosurgery ◽  
2006 ◽  
Vol 59 (3) ◽  
pp. 545-552 ◽  
Author(s):  
Diego Spagnoli ◽  
Lucia Innocenti ◽  
Lorenzo Bello ◽  
Mauro Pluderi ◽  
Susanna Bacigaluppi ◽  
...  

Abstract OBJECTIVE: The influence of cerebrovascular disease (CVD) on the short- and long-term results of surgery was evaluated in a series of consecutive patients with idiopathic normal-pressure hydrocephalus (iNPH). METHODS: Patients with suspected iNPH admitted to our department between June 1996 and June 2003 were evaluated with four clinical and handicap scales. CVD and risk factors for vascular disease were rated. All patients underwent intracranial pressure monitoring via a spinal catheter. Sixty-six patients received a ventriculoperitoneal shunt with a programmable valve. Prospective assessments were programmed at 2 weeks and 3 months after surgery (short-term follow-up). Long-term follow-up evaluations were arranged in June 2004 with patients and/or relatives and health/home care assistants. RESULTS: At the short-term follow-up examination, a significant clinical improvement was globally present in 89% of the patients (P < 0.05). CVD, such as leucoaraiosis or previous strokes, were present in 71% of the patients. Patients both with and without CVD and/or risk factors for vascular disease presented a significant improvement (P < 0.05) after shunting; 85 and 100% of the patients with and without CVD, respectively. At the long-term follow-up examination (mean, 52 ± 24.8 mo), 24% of the patients were dead and 8% had experienced stroke. Globally, 60% of the patients were still improved (P < 0.05); 52 and 79% of the patients with and without CVD, respectively. CONCLUSION: A high success rate in treatment of iNPH is possible in patients with and without CVD. Despite poorer short- and long-term treatment outcome of iNPH patients with CVD, a long-lasting improvement in their quality of life favors surgery.


2011 ◽  
Vol 127 (6) ◽  
pp. 540-546 ◽  
Author(s):  
Marianne S. Andresen ◽  
Irene Sandven ◽  
Cathrine Brunborg ◽  
Anne Mette Njaastad ◽  
Finn Strekerud ◽  
...  

2002 ◽  
Vol 30 (2) ◽  
pp. 83-87 ◽  
Author(s):  
Katsumi MATSUMOTO ◽  
Katsuhito AKAGI ◽  
Makoto ABEKURA ◽  
Tateo SAKAGUCHI ◽  
Takahiro TOMISHIMA ◽  
...  

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Kaishan Jiao

AbstractIn this study, we use long-term follow-up survey data to explore the inequality of the healthy life expectancy among the elderly and the trends of such expectancy among different birth cohorts and at different ages. The results show that older people with higher socioeconomic status do not have a significant advantage in healthy life expectancy. Its advantage in life expectancy is mainly due to the relatively low mortality rate under conditions of disability, i.e., the relatively long life expectancy with disability. This also shows that the elderly with higher socioeconomic status is at the stage of disability expansion. In addition, the study examines the age effect and cohort effect of health inequality and points out that health inequalities among different socioeconomic status groups are likely to increase in the future.


1992 ◽  
Vol 53 (3) ◽  
pp. 381-390 ◽  
Author(s):  
Freddy E.E. Vermeulen ◽  
Ruben P.H.M. Hamerlijnck ◽  
Jo J.A.M. Defauw ◽  
Sjef M.P.G. Ernst

The Lancet ◽  
1988 ◽  
Vol 331 (8580) ◽  
pp. 281-283 ◽  
Author(s):  
R.W. Stout ◽  
Vivienne Crawford

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