Long-Term Functional Effects of Aneurysmal Subarachnoid Haemorrhage with Special Emphasis on the Patient's View

Fertl, Elisabeth; Killer, Monika; Eder, Hans G.; Linzmayer, L; Richling, B.; Auff, Eduard

doi:10.1007/s007010050345

Cited by 57 publications

(51 citation statements)

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“…The majority of these studies state that the quality of life is affected in patients with subarachnoid hemorrhage of an aneurysmal origin [2,3,4,5,6,7,8]. Other studies do not confirm these findings [9, 10]. For example, Wik et al [9] evaluated 60 patients with subarachnoid hemorrhage after 3 and 12 months and found that the quality of life of these patients is relatively good, but that certain factors related to worsening intervene, such as the sex of the patient.…”

Section: Introductionmentioning

confidence: 56%

“…Other factors that have also been related to poorer quality of life are physical handicap as rated on the Rankin scale [4, 11], the presence of depression [10], age [12, 13], cognitive impairment [14], an incorrect initial diagnosis [15], the Glasgow Outcome Scale (GOS) [16] and sleep problems [17]. The majority of these studies only examined one specific variable, but they did not try to investigate how and to what extent each factor can contribute to the different dimensions of quality of life.…”

Section: Introductionmentioning

confidence: 99%

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Description of Quality of Life and Its Predictors in Patients with Aneurysmal Subarachnoid Hemorrhage

et al. 2007

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Background: According to previous studies, the quality of life is usually substantially altered in patients who have suffered a subarachnoid hemorrhage of an aneurysmal origin. Some studies have attempted to find out which factors predict the deterioration in quality of life. Our study will try to describe the quality of life of these patients and discover which variables may predict it in each of its dimensions. Methods: The participants were 70 patients with aneurysmal subarachnoid hemorrhage between 15 and 85 years of age. The instrument used to measure the quality of life is the SF-36 with its eight dimensions. The predictor variables introduced into the multiple linear regressions are neurological condition on admission [World Federation of Neurological Surgeons (WFNS) scale and Hunt and Hess scale], extension of the hemorrhage (Fisher scale), sex, age, physical handicaps, and the Glasgow Outcome Scale (GOS) on release. Results: The results showed that 42.9% of the patients had a deteriorated quality of life after 4 months, and that the most affected dimension was the Physical Role (60%). The two factors that predict quality of life are sex and physical handicaps. Other factors that intervene are the GOS on release and the WFNS. Conclusions: The patients who have experienced an aneurysmal subarachnoid hemorrhage show greater difficulty in performing daily activities, and they present more depression and anxiety. The absence of handicaps and being male are predictor factors for an unaffected quality of life.

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Section: Introductionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Description of Quality of Life and Its Predictors in Patients with Aneurysmal Subarachnoid Hemorrhage

et al. 2007

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“…2 Fatigue, sleepiness, or vitality deterioration were also often mentioned symptoms in other studies and related to HRQoL. 2,3 A relationship between coping style and fatigue was found earlier in a study of patients with stroke. 11 In studies on patients with ischemic stroke, also a bivariate relation was found between neuroticism 12 and avoidance coping style 13 with poststroke depression.…”

Section: Discussionmentioning

confidence: 83%

Long-Term Health-Related Quality of Life After Aneurysmal Subarachnoid Hemorrhage

Visser-Meily

Rhebergen

Rinkel

et al. 2009

Stroke

159

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Background and Purpose-Many patients who survive an aneurysmal subarachnoid hemorrhage experience decreased health-related quality of life (HRQoL). Physical factors have been identified as determinants of HRQoL. We describe long-term HRQoL and assessed whether psychological symptoms and personality characteristics determine HRQoL after subarachnoid hemorrhage. Methods-In a cross-sectional study in 141 patients living independently in the community 2 to 4 years after subarachnoid hemorrhage, we assessed whether HRQoL, evaluated by the Stroke Specific Quality of Life scale, was related to psychological symptoms (mood disorders, fatigue, and cognitive complaints), personality characteristics (neuroticism and passive coping style), demographic characteristics, and subarachnoid hemorrhage disease characteristics. Results-Best Stroke Specific Quality of Life scale scores were found in the physical domain and worst in the emotional and social domains. Thirty-two percent reported anxiety, 23% depression, and 67% fatigue. Mood (beta between Ϫ0.42 and Ϫ0.18), fatigue (beta between Ϫ0.40 and Ϫ0.24), and cognitive complaints (beta between Ϫ0.46 and Ϫ0.16) were strongly associated with Stroke Specific Quality of Life scale scores in multivariate regression analyses. Conclusion-Depression, anxiety, and fatigue were present in a substantial proportion of patients and were strongly related to decreased HRQoL. These symptoms identified are helpful to tailor rehabilitation to the needs of patients in the chronic phase after subarachnoid hemorrhage.

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“…Los dominios más afectados son la función social y el rol emocional, que aparecen deteriorados en más del 30% de los pacientes. Nuestros datos coinciden con los aportados por otros trabajos, que indican la presencia de alteraciones sociales y emocionales en estos pacientes 12,14,16,17,26 . Concretamente, en el estudio de Hop y cols.…”

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Calidad de vida en pacientes con aneurismas intracraneales: cirugía versus tratamiento endovascular

et al. 2006

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Recibido;325 Neurocirugía 2006; 17: Resumen Objetivo. Basados en estudios anteriores, nuestro propósito es determinar la calidad de vida de los pacientes con aneurismas intracraneales después de haber sido intervenido mediante cirugía o embolización y comparar la calidad de vida de estos dos grupos. Material y métodos. El cuestionario SF-36 fue aplicado retrospectivamente a 93 pacientes con aneurismas tratados mediante cirugía (n=56) o embolización (n=37).Resultados. La calidad de vida de los pacientes tratados con cirugía estaba deteriorada en el 50% y en los pacientes tratados por embolización el 40,5% no mostraron ningún deterioro en ninguno de los dominios del SF-36. Los análisis muestran que el dominio de la función física está menos deteriorada en los pacientes que han sido embolizados que los que han sido intervenidos quirúrgicamente.Conclusiones. Los pacientes con aneurismas intracraneales tratados mediante cirugía o embolización tienen afectada la calidad de vida. El tratamiento endovascular puede causar menos limitaciones en la función física. En la calidad de vida de estos pacientes influyen varios factores, además del tipo de tratamiento. PALABRAS CLAVE: Calidad de vida. Aneurismas intracraneales. Hemorragia subaracnoidea. Cirugía. Endovascular Quality of life in intracranial aneurysm: surgery versus endovascular treatment SummaryBackground. Based on earlier studies, we aimed to determine the quality of life of patients with intracranial aneurysm after their treatment by surgery or embolization and to compare the quality of life of these two groups.Methods. The SF-36 health questionnaire was retrospectively applied to 93 patients with intracranial aneurysm treated with surgery (n=56) or embolization (n=37).Results. The quality of life of some patients was impaired but 50% of patients treated with surgery and 40,5% of patients treated with embolization showed no impairment in any SF-36 domain. The quality of life in the Physical Functioning domain was higher in embolization-treated than in surgery-treated patients.Conclusions. Some patients with intracranial aneurysms treated with surgery or endovascular embolization have an impaired quality of life. Endovascular treatment may cause less limitation in physical function. The quality of life of these patients is affected by numerous factors, in addition to the type of treatment.KEY WORDS: Quality of life. Intracranial aneurysm. Subarachnoid haemorrhage. Surgery. Endovascular. Embolization. IntroducciónEl concepto de calidad de vida ha sido profundamente estudiado desde diferentes disciplinas en los últimos 30 años 25 . En la medicina tradicional solo se consideraban los resultados de una intervención mediante los conceptos de curación, remisión y recurrencia, entre otros 7 . Esta visión de los resultados de una intervención no tiene en cuenta la repercusión que ha tenido la enfermedad en la vida del paciente en diversas áreas como son la familiar, social o laboral. La calidad de vida relacionada con la salud (CVRS) se ha definido como "el valor asig...

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Long-Term Functional Effects of Aneurysmal Subarachnoid Haemorrhage with Special Emphasis on the Patient's View

Cited by 57 publications

References 20 publications

Description of Quality of Life and Its Predictors in Patients with Aneurysmal Subarachnoid Hemorrhage

Description of Quality of Life and Its Predictors in Patients with Aneurysmal Subarachnoid Hemorrhage

Long-Term Health-Related Quality of Life After Aneurysmal Subarachnoid Hemorrhage

Calidad de vida en pacientes con aneurismas intracraneales: cirugía versus tratamiento endovascular

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