Long-Term Outcomes of Aneurysm Management in Elderly Patients with Subarachnoid Hemorrhage

Objective: To analyze the long-term outcomes of patients with poor-grade aneurysm management of elderly patients with subarachnoid hemorrhage (aSAH). Materials & Methods: A prospective study was conducted at Shahida Islam Medical College and Hospital, Lodhran, Pakistan from March 2023 to February 2024. The study enrolled patients aged 65-85 years who were admitted to the hospital with a diagnosis of poor-grade aneurysmal subarachnoid hemorrhage. Evaluations involved clinical examinations, imaging studies, and standardized outcome measures such as the modified Rankin Scale (mRS) to assess neurological and functional outcomes. Results: At the 3-month follow-up, 23.8% of patients had an mRS score of ? 3, while 76.2% had an mRS score of > 3. Among those with an mRS score of ? 3, 44.8% were aged 65-75 years, and 55.2% were aged 76-85 years. Similarly, at the 12-month follow-up, 26.2% of patients had an mRS score of ? 3, and 73.8% had an mRS score of > 3. Among patients with mRS score of ? 3, 37.5% were aged 65-75 years. Among those with an mRS score of > 3, 43.3% were in the 65-75-year age group and 56.7% were in the 76-85-year age group. Conclusion: Long-term outcomes gradually improved even among elderly patients with severe subarachnoid hemorrhage (SAH) if they were provided with aneurysm repair as surgical management. Patients with older age having SAH should not be ignored for surgical management based on their age.