scholarly journals HG2 Characterizing The Individual Course of Health-Related Quality of Life After Subarachnoid Hemorrhage

2011 ◽  
Vol 14 (7) ◽  
pp. A240
Author(s):  
Y. Winter ◽  
J. Klotsche ◽  
F. Ringel ◽  
A. Spottke ◽  
N. Gharevi ◽  
...  
2010 ◽  
Vol 30 (2) ◽  
pp. 137-145 ◽  
Author(s):  
P.E.C.A. Passier ◽  
J.M.A. Visser-Meily ◽  
M.J.E. van Zandvoort ◽  
G.J.E. Rinkel ◽  
E. Lindeman ◽  
...  

2001 ◽  
Vol 94 (2) ◽  
pp. 241-251 ◽  
Author(s):  
Bernd O. Hütter ◽  
Ilonka Kreitschmann-Andermahr ◽  
Joachim M. Gilsbach

Object. Based on the results of earlier studies it is agreed that the significance of aneurysm location and surgery for neuropsychological impairments after subarachnoid hemorrhage (SAH) is secondary to the effects of the bleeding itself. Therefore, the present study was performed to evaluate whether bleeding, acute clinical course, and surgery have persistent effects on health-related quality of life (QOL) after SAH. Methods. A series of 116 patients was examined for 4 to 5 years (mean 52.2 months) after aneurysmal SAH by means of a QOL questionnaire. Eighty-six patients (74.1%) had undergone surgery early (≤ 72 hours post-SAH). There were 77 women (66.4%) and 39 men (33.6%) in the study group, and the mean age of the patients was 50.3 ± 13.3 years (range 30–69 years). Patients who had undergone surgery for a left-sided middle cerebral artery (MCA) aneurysm complained of significantly more impairments in social contact, communication, and cognition than those treated for a right-sided MCA aneurysm. No other effects of aneurysm location (including the anterior communicating artery) emerged. Multiple aneurysms, intraoperative aneurysm rupture, and partial resection of the gyrus rectus had no adverse effects on later daily life. Only temporary clipping was associated with increased complaints in some QOL areas. Disturbances of the circulation of cerebrospinal fluid and the presence of intraventricular hemorrhage led to more impairments in daily life. Specific effects of the anatomical pattern of the bleeding could be identified, but no adverse effects of vasospasm were found. Multivariate analyses revealed, in particular, that patient age and admission neurological status (Hunt and Hess grade) are substantial predictors of the psychosocial sequelae of SAH. Conclusions. In contrast to the mild effects of aneurysm surgery, patient's age, initial neurological state on admission, and the bleeding pattern substantially influence late QOL after SAH.


2010 ◽  
Vol 13 (7) ◽  
pp. A349
Author(s):  
Y Winter ◽  
F Ringel ◽  
A Spottke ◽  
N Gharevi ◽  
T Klockgether ◽  
...  

Neurosurgery ◽  
2015 ◽  
Vol 77 (6) ◽  
pp. 908-915 ◽  
Author(s):  
Julia M. Young ◽  
Benjamin R. Morgan ◽  
Bratislav Mišić ◽  
Tom A. Schweizer ◽  
George M. Ibrahim ◽  
...  

2019 ◽  
Vol 32 (11) ◽  
pp. 706
Author(s):  
Lídia Sousa ◽  
Ana Antunes ◽  
Tiago Mendes ◽  
Sofia Reimão ◽  
Lia Lucas Neto ◽  
...  

Introduction: There is limited evidence regarding long-term outcomes of aneurysmal subarachnoid hemorrhage survivors. Most follow-up programs are relatively short and focused on physical functions. Endovascular aneurysmal embolization enables recovery of normal vascular architecture. However, there is growing evidence that neuropsychological and behavior sequelae can significantly impact the lives of these patients, even when treatment is successful. In this study, we reviewed cognition, psychiatric and neuropsychological symptoms, global functionality, and health-related quality of life 10 to 12 years after an aneurysmal subarachnoid hemorrhage.Material and Methods: A cross-sectional observational study was carried out in a university hospital. All cases of aneurysmal subarachnoid hemorrhage admitted between January 2004 and December 2006 and endovascularly treated were reviewed. Participants underwent a neuropsychological evaluation and a clinical interview with a psychiatrist.Results: Fourteen patients participated in the study. Almost 70% (n = 10) showed cognitive impairment; in more than 40% (n = 6) of the subjects, significant symptoms of anxiety were identified, and 35% (n = 5) were classified as having clinical depression. Relevant posttraumatic symptoms were reported by more than 70% (n = 10) of patients, and almost 30% (n = 4) showed other moderate neuropsychiatric symptoms. Overall, health-related quality of life was impaired, and personality changes were frequently reported by the participants and their relatives.Discussion: A significant prevalence of ongoing deficits in high-level functioning and reduced health-related quality of life were observed in a sample of young and professionally active individuals that were successfully treated and discharged from follow-up consultations.Conclusion: There is a need for better follow-up strategies, targeting more subtle deficits and psychological symptoms after aneurysmal subarachnoid hemorrhage.


2014 ◽  
Vol 22 (11) ◽  
pp. 3071-3079 ◽  
Author(s):  
Pauline A. J. Vissers ◽  
Melissa S. Y. Thong ◽  
Frans Pouwer ◽  
Brenda L. den Oudsten ◽  
Grard A. P. Nieuwenhuijzen ◽  
...  

Author(s):  
Celia Elena del Perpetuo Socorro Mendiburu-Zavala ◽  
Aourumy Alessandra Naal-Canto ◽  
Ricardo Peñaloza-Cuevas ◽  
Josué Carrillo Mendiburu

Bruxism is the habit of squeezing and grinding the dental organs (ODs), with dental contacts that have no purpose. The Oral Health-Related Quality of Life (OHRQoL) is defined as a multidimensional aspect that reflects the comfort of the individual in relation to their physiological and psychological functions, of the state of oral health. To determine the relationship between probable bruxism and OHRQoL in patients who came for care at the University Unit of Social Insertion (UUIS) of the Autonomous University of Yucatán (UADY), México from September 2019 to January 2020. Observational, analytical of case controls and cross-sectional. Two instruments were applied to 70 patients: the OHIP-EE-14 (validated by Castrejón-Pérez R.C., Borges-Yañez S.A.) and a questionnaire prepared by Mendiburu-Zavala C., based on Ordoñez Plaza et al., González-Emsoto et al., and De La Hoz-Aizpurua et al for the diagnosis of probable bruxism. Descriptive and inferential statistics were used. 47.1% (n=33) did present probable bruxism (CPB) and 52.9% (n=37) did not (SPB). The most frequent age group was 18-35 years old, with 67.2% (n=47), 34.3% (n=24) CPB. The most frequent circadian manifestation was waking with 49% (n=16). Those of CPB, a mean of 20.45±7.95 was obtained in the OHIP-EE-14 for the OHRQoL and SPB score, the mean was 7.81±4.84.  There are statistically significant differences between CPB and SPB patients (p<.001). The probable bruxism does affect the OHRQoL  level.


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