Predictors of work status and quality of life 9–13 years after aneurysmal subarachnoid hemorrahage

Abstract

Questionnaire ratings of patients' psychosocial impairments 1 year after SAH give important information for the long-term prediction of their work status and HRQoL. In the long run, patients' unemployment becomes strongly associated with higher age, while their performance of usual activities can be predicted with learning and memory results.

Long-Term Functioning of Patients with Aneurysmal Subarachnoid Hemorrhage

“…Cognitive functioning/attention and fatigue are known predictors of work status. 25,28,29 The long-term IPA scores in this study were higher than zero, especially for the variables autonomy outdoors and work and education. However, the mean scores were all relatively low, representing the categories between good and reasonable.…”

“…They also found a higher age as the most important long-term predictor for a poor work status after A-SAH. 28 In Passier et al, 29 61.4% of the subjects returned to work after A-SAH, of which only 35.2% completely resumed their previous position. Cognitive functioning/attention and fatigue are known predictors of work status.…”

“…24 Vilkki et al 28 found 56.4% of patients with A-SAH not working in the long-term after the hemorrhage, of which 20% ascribed this to their SAH. They also found a higher age as the most important long-term predictor for a poor work status after A-SAH.…”

Call for uniform neuropsychological assessment after aneurysmal subarachnoid hemorrhage: Swiss recommendations

“…Also, the early identification of deficits may help both the patient and his/her relatives to understand the reason for possible difficulties in the psychosocial, familiar, recreational and occupational re-integration, absorb future complications, and be helpful in estimating the patient's shortand long-term working capacity. As such, a recent study demonstrated that the neuropsychological outcome 12 months after aSAH could predict the ability to work even 10 years after the assessment [78]. Since aSAH patients are generally much younger than patients experiencing ischemic stroke for example, the significance of this estimation and its impact on our society becomes obvious.…”

“…Detection of these impairments is crucial, as they are known to have a high incidence and impact on the subjects' well-being, the HRQoL and ability to work after aSAH [11,53,78]. Also, the early identification of deficits may help both the patient and his/her relatives to understand the reason for possible difficulties in the psychosocial, familiar, recreational and occupational re-integration, absorb future complications, and be helpful in estimating the patient's shortand long-term working capacity.…”