Estado cognitivo y funcional a largo plazo en supervivientes de una hemorragia subaracnoidea aneurismática: análisis de una cohorte retrospectiva

Neira, Natalia; Leiva, Natalia Hidalgo; Vílchez-Oya, Francisco; Salas, Lucia; Boza, Roser; Guillén-Solà, Anna; Duarte, Esther

doi:10.1016/j.rh.2021.02.006

Cited by 2 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To date, there are no reports of PICS incidence in patients surviving aSAH. Still, some have reported poor quality of life even five years after aSAH in patients who made a good recovery according to the Glasgow Outcome Scale [19][20][21][22][23]. These findings may suggest that besides already complex SAH-induced brain injury, other factors could contribute to one or more components of PICS.…”

Section: Introductionmentioning

confidence: 99%

Post-Intensive Care Syndrome in Patients Suffering From Acute Subarachnoid Hemorrhage: Results From an Outpatient Post-ICU Aftercare Clinic

Ramnarain¹,

Oudsten²,

Oldenbeuving³

et al. 2023

Cureus

View full text Add to dashboard Cite

IntroductionSurvivors of an acute subarachnoid hemorrhage (aSAH) may suffer from a long-term neurological disability, cognitive impairment, anxiety, and depression, which can also be related to post-intensive care syndrome (PICS). The aim of this study was to examine the prevalence of PICS symptoms in post-intensive care (ICU) aftercare aSAH patients. MethodsWe conducted an observational cohort study in aSAH patients from a post-ICU aftercare clinic (ICU-AC). PICS symptoms were evaluated using the Impact of Event Scale-Revised (IES-R), Hospital Anxiety and Depression Scale (HADS), and a medical questionnaire for physical and cognitive functioning. ResultsA total of 110 patients were included. The prevalence of anxiety and depressive symptoms was 23.6% and 19.1%, respectively. Post-traumatic stress disorder (PTSD) was seen in 26.4%. Cognitive complaints were lack of concentration (63.6%), short-term memory loss (45.8%), and reduced speed of thinking (60.9%). The most reported physical complaints were fatigue (73.6%), limitations in daily activity (72.7%), muscle weakness (41.8%), pain (36.4%), and weight loss (30.9%). PICS symptoms related to all three domains were present in 30% of patients. ConclusionThe prevalence of PICS in patients after aSAH is high. Even in patients without aSAH-related neurological impairment who were discharged home, a high prevalence of PICS symptoms was reported. Early screening for PICS should comprise all three domains and is important to facilitate a better tailored rehabilitation of these patients.

show abstract