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Long-term reintegration and quality of life in patients with subarachnoid hemorrhage and a good neurological outcome : Findings after more than 20 years

Sonesson, Bengt ; Kronvall, Erik LU ; Säveland, Hans LU ; Brandt, Lennart LU and Nilsson, Ola G. LU (2018) In Journal of Neurosurgery 128(3). p.785-792
Abstract

OBJECTIVE: The goal of this study was to examine long-term quality of life (QOL) and reintegration in patients with good neurological recovery after aneurysmal subarachnoid hemorrhage (aSAH) and SAH of unknown cause (SAH NUD). METHODS: A long-term follow-up was performed in an original cohort of 113 individuals who had suffered SAH (93 with aSAH and 20 with SAH NUD) between 1977 and 1984. Self-reporting assessments, performed > 20 years after the bleeding episode, included the Quality of Life Scale (QOLS), Psychological General Well-Being (PGWB) index, and Reintegration to Normal Living (RNL) index, along with information on sleep disturbances and work status. RESULTS: Seventy-one survivors were identified. Questionnaires were... (More)

OBJECTIVE: The goal of this study was to examine long-term quality of life (QOL) and reintegration in patients with good neurological recovery after aneurysmal subarachnoid hemorrhage (aSAH) and SAH of unknown cause (SAH NUD). METHODS: A long-term follow-up was performed in an original cohort of 113 individuals who had suffered SAH (93 with aSAH and 20 with SAH NUD) between 1977 and 1984. Self-reporting assessments, performed > 20 years after the bleeding episode, included the Quality of Life Scale (QOLS), Psychological General Well-Being (PGWB) index, and Reintegration to Normal Living (RNL) index, along with information on sleep disturbances and work status. RESULTS: Seventy-one survivors were identified. Questionnaires were returned by 67 individuals who had suffered SAH 20-28 years previously. The QOL was rated in the normal range for both the QOLS score (aSAH 90.3 vs SAH NUD 88.6) and the PGWB index (aSAH 105.9 vs SAH NUD 102.8). Ninety percent of patients had returned to their previous employment. Complete RNL was reported by 40% of patients with aSAH and by 46% of patients with SAH NUD; mild to moderate readjustment difficulties by 55% and 38%, respectively; and severe difficulties by 5% of patients with aSAH and 15% of patients with SAH NUD. Self-rated aspects of cognition, mood, and energy resources in addition resulted in a substantial drop in overall reintegration. Sleep disturbances were reported by 26%. CONCLUSIONS: More than half of patients with SAH who had early good neurological recovery experienced reintegration difficulties after > 20 years. However, the general QOL was not adversely affected by this impairment. Inability to return to work after SAH was associated with lower QOLS scores. Sleep disturbances were associated with lower PGWB scores.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Psychological General Well-Being index, Quality of Life Scale, Reintegration to Normal Living index, Sleep, Subarachnoid hemorrhage, Vascular disorders
in
Journal of Neurosurgery
volume
128
issue
3
pages
8 pages
publisher
American Association of Neurosurgeons
external identifiers
  • scopus:85042663016
  • pmid:28452618
ISSN
0022-3085
DOI
10.3171/2016.11.JNS16805
language
English
LU publication?
yes
id
783ef8cf-4b4a-402c-a74d-a8b832aeee1e
date added to LUP
2018-04-09 14:13:39
date last changed
2024-07-08 12:07:39
@article{783ef8cf-4b4a-402c-a74d-a8b832aeee1e,
  abstract     = {{<p>OBJECTIVE: The goal of this study was to examine long-term quality of life (QOL) and reintegration in patients with good neurological recovery after aneurysmal subarachnoid hemorrhage (aSAH) and SAH of unknown cause (SAH NUD). METHODS: A long-term follow-up was performed in an original cohort of 113 individuals who had suffered SAH (93 with aSAH and 20 with SAH NUD) between 1977 and 1984. Self-reporting assessments, performed &gt; 20 years after the bleeding episode, included the Quality of Life Scale (QOLS), Psychological General Well-Being (PGWB) index, and Reintegration to Normal Living (RNL) index, along with information on sleep disturbances and work status. RESULTS: Seventy-one survivors were identified. Questionnaires were returned by 67 individuals who had suffered SAH 20-28 years previously. The QOL was rated in the normal range for both the QOLS score (aSAH 90.3 vs SAH NUD 88.6) and the PGWB index (aSAH 105.9 vs SAH NUD 102.8). Ninety percent of patients had returned to their previous employment. Complete RNL was reported by 40% of patients with aSAH and by 46% of patients with SAH NUD; mild to moderate readjustment difficulties by 55% and 38%, respectively; and severe difficulties by 5% of patients with aSAH and 15% of patients with SAH NUD. Self-rated aspects of cognition, mood, and energy resources in addition resulted in a substantial drop in overall reintegration. Sleep disturbances were reported by 26%. CONCLUSIONS: More than half of patients with SAH who had early good neurological recovery experienced reintegration difficulties after &gt; 20 years. However, the general QOL was not adversely affected by this impairment. Inability to return to work after SAH was associated with lower QOLS scores. Sleep disturbances were associated with lower PGWB scores.</p>}},
  author       = {{Sonesson, Bengt and Kronvall, Erik and Säveland, Hans and Brandt, Lennart and Nilsson, Ola G.}},
  issn         = {{0022-3085}},
  keywords     = {{Psychological General Well-Being index; Quality of Life Scale; Reintegration to Normal Living index; Sleep; Subarachnoid hemorrhage; Vascular disorders}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{3}},
  pages        = {{785--792}},
  publisher    = {{American Association of Neurosurgeons}},
  series       = {{Journal of Neurosurgery}},
  title        = {{Long-term reintegration and quality of life in patients with subarachnoid hemorrhage and a good neurological outcome : Findings after more than 20 years}},
  url          = {{http://dx.doi.org/10.3171/2016.11.JNS16805}},
  doi          = {{10.3171/2016.11.JNS16805}},
  volume       = {{128}},
  year         = {{2018}},
}