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Life situation 5years after subarachnoid haemorrhage

Journal article
Authors Hanna C Persson
Lovisa Carlsson
Katharina Stibrant Sunnerhagen
Published in Acta Neurologica Scandinavica
Volume 137
Issue 1
Pages 99-104
ISSN 0001-6314
Publication year 2018
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
Pages 99-104
Language en
Links doi.org/10.1111/ane.12815
Keywords cohort studies, follow-up studies, quality of life, subarachnoid haemorrhage, quality-of-life, acquired brain-injury, stroke impact scale, intracranial aneurysms, occupational gaps, months poststroke, health, states, everyday life, satisfaction, eq-5d
Subject categories Neurosciences

Abstract

ObjectivesSubarachnoid haemorrhage (SAH) has high mortality and morbidity among survivors. SAH mainly affects young people and may result in long-term disabilities such as decreased Health-related Quality of Life (HRQoL), mental health and cognitive function. The aim of this study was to investigate the life situation 5years after a SAH including physical/emotional status, participation and HRQoL. Materials & MethodsIn this cross-sectional descriptive study, a mail survey was sent to all persons treated at a neurosurgery unit in Gothenburg, Sweden, for non-traumatic SAH in 2009-2010, approximately 5years post-SAH. The survey included questions regarding HRQoL; EuroQol 5-Dimensions (EQ-5D), the impact of the SAH; Stroke Impact Scale (SIS), Occupational Gaps Questionnaire and participation in society; Impact of Participation and Autonomy (IPA). ResultsForty-two 5year survivors were sent the survey, of whom 26 (62%) responded (59years old, range 33-85). The participants had generally low HRQoL and scored low in the domain of anxiety and depression. Many reported problems with emotions, fatigue, memory and executive function, but few problems with physical condition. However, nearly all participants reported to have an acceptable level of participation and 64% were independent in their daily life. ConclusionsIn this 5-year follow-up after SAH, the participants reported to have a greater number of hidden disabilities compared to physical problems, whereas most had acceptable participation in society. A yearly follow-up after a SAH could be suggested aiming to improving the cognitive and mental health.

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