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 -0.42 and -0.18), fatigue (beta between -0.40 and -0.24), and cognitive complaints (beta between -0.46 and -0.16) were strongly associated with Stroke Specific Quality of Life scale scores in multivariate regression analyses. CONCLUSIONS: 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.
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 -0.42 and -0.18), fatigue (beta between -0.40 and -0.24), and cognitive complaints (beta between -0.46 and -0.16) were strongly associated with Stroke Specific Quality of Life scale scores in multivariate regression analyses. CONCLUSIONS: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.
Authors: P E C A Passier; M W M Post; M J E van Zandvoort; G J E Rinkel; E Lindeman; J M A Visser-Meily Journal: J Neurol Date: 2011-01-05 Impact factor: 4.849
Authors: Toshihiro Sasaki; Ulrike Hoffmann; Motomu Kobayashi; Huaxin Sheng; Abdelkader Ennaceur; Frederick W Lombard; David S Warner Journal: Neurocrit Care Date: 2016-10 Impact factor: 3.210
Authors: Andrew L A Garton; Jonathan A Sisti; Vivek P Gupta; Brandon R Christophe; E Sander Connolly Journal: Stroke Date: 2016-12-08 Impact factor: 7.914
Authors: Stepani Bendel; Timo Koivisto; Olli-Pekka Ryynänen; Esko Ruokonen; Jarkko Romppanen; Vesa Kiviniemi; Ari Uusaro Journal: Crit Care Date: 2010-04-28 Impact factor: 9.097