Abstract Details

Title Centenarians with Cerebrovascular Disease: 38 Patients from a Single Center. How much do we know? What can we improve?

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P2 - Poster Session 2 (11:45 AM-12:45 PM)

Poster/Presentation
Number 6-021

Objective To better meet their needs and improve care, the authors analyzed the clinical characteristics, co-morbidities, and outcomes of centenarians with cerebrovascular disease.

Background There is a dearth of literature on cerebrovascular disease in the oldest old-a fragile population with distinctive characteristics and specific exigencies.

Design/Methods Retrospective QI analysis of de-identified data on 6,348 patients (2007-2022) from the Boca Raton Regional Hospital Get With The Guidelines-Stroke database.

Results

Centenarians (n=38) comprised 0.6% of the patients; 76% were female. Prior to admission 53% ambulated independently, 16% with assistance, and 5% were not ambulatory. Comorbid conditions included the following: hypertension-87%; dysplipidemia-58%; atrial fibrillation/flutter-34%; previous stroke-26%; previous TIA-18%; CAD/MI-18%; diabetes-8%; and carotid stenosis-8%.

Stroke subtypes were as follows: ischemic stroke-74%, TIA-21%; intraparenchymal hemorrhage-5%; and SAH-0%. Clinical characteristics on admission follow: NIHSS (mean=8, range 0-28); SBP (mean=162, range 110-199); DBP (mean=78, range 50-111); BMI (mean=23, range 15-27); LDL (mean=113, range 44 -207); glucose (mean=115, range 72-84). Eleven percent of the ischemic stroke patients received either IV thrombolytics (n=2) or thrombectomy (n=1).

Ambulation on discharge follows: 16% ambulated independently; 37% with assistance, and 34% were not ambulatory. Disposition on discharge follows: 39% went home (mean NIHSS on admission=2, range 0-7); 21% went to other healthcare facilities (mean NIHSS on admission=6, range 1-23); and 34% of the patients were discharged with hospice (mean NIHSS on presentation=16, range 4-28). Among patients discharged to hospice, 69% were NPO the entire admission and 77% were not ambulatory at discharge.

Conclusions Centenarians discharged home after being admitted for cerebrovascular disease had lower presenting NIHSS than those discharged to a healthcare facility or discharged with hospice. Missing data precludes comparisons, but the majority of centenarians discharged with hospice were NPO the entire admission and were unable to ambulate at discharge.

Authors/Disclosures
Roxana M. Dragomir, MD (Florida Atlantic University) PRESENTER	Dr. Dragomir has nothing to disclose.
Octavio Carranza-Renteria, MD	Dr. Carranza-Renteria has nothing to disclose.
Denis Babici, MD	Dr. Babici has nothing to disclose.
	No disclosure on file
	No disclosure on file
Diana M. Barratt, MD, MPH, FAAN (Diana Barratt, MD, MPH, FAAN)	Dr. Barratt has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Legally Pink, LLC. Dr. Barratt has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Vlantis Law, LLC. Dr. Barratt has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Traub Lieberman. Dr. Barratt has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Callahan Fusco. Dr. Barratt has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Chane Socarras. Dr. Barratt has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Conroy Simberg. Dr. Barratt has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for Crandall & Katt. Dr. Barratt has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Kelley Kronenberg. Dr. Barratt has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for Plakas Mannos. Dr. Barratt has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Marshall Denehey. Dr. Barratt has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for Pritt & Spano. Dr. Barratt has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for Russo Law.

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