Original ArticleLife Satisfaction and Return to Work After Aneurysmal Subarachnoid Hemorrhage
Section snippets
Subjects
The study group comprised individuals who had experienced SAH from a ruptured aneurysm that had been treated by clipping or coiling between January 2003 and July 2005 in the University Medical Center Utrecht (UMCU) and who were living at home at the time of the study. Excluded were individuals with nonaneurysmal SAH, severe comorbidity, or reduced life expectancy, and those who could not speak Dutch. Those who agreed to participate were asked to complete a mailed questionnaire. The UMCU's
Results
Between January 2003 and July 2005, a total of 212 SAH survivors were treated by aneurysm coiling or clipping at UMCU. Of this group, 21 died in the hospital, 8 were discharged to a nursing home, 5 lived in a foreign country, and 4 had severe comorbidity. Thus, a total of 174 subjects were eligible for the survey and received a questionnaire; of these, 141 (81%) agreed to participate in this study. The 141 subjects with SAH who chose to participate and the 33 individuals with SAH who declined
Discussion
In this study, more than one-third of the subjects who were living at home after an episode of SAH were not satisfied with their life as a whole, and about half of the subjects were not satisfied with their employment situation and sexual life. Age, employment (especially after SAH), level of disability at hospital discharge, mood, and passive coping together explained almost half of the variance in life satisfaction.
Our results generally are in line with those of previous studies of HRQOL in
References (31)
- et al.
Assessment of outcome after severe brain damage
Lancet
(1975) - et al.
Long-term functional effects of aneurysmal subarachnoid haemorrhage with special emphasis on the patient's view
Acta Neurochir
(1999) - et al.
Description of quality of life and its predictors in patients with aneurysmal subarachnoid hemorrhage
Cerebrovasc Dis
(2007) - et al.
Neurological and psychosocial outcome 4 to 7 years after subarachnoid hemorrhage
Neurosurgery
(1997) - et al.
Long-term health-related quality of life after aneurysmal subarachnoid hemorrhage: Relationship with psychological symptoms and personality characteristics
Stroke
(2009) - et al.
Subarachnoid hemorrhage treated with clipping: Long-term effects on employment, relationships, personality, and mood
Neurosurgery
(2007) - et al.
Factors associated with reintegration to normal living after subarachnoid hemorrhage
Neurosurgery
(2000) - et al.
Quality of life in patients and partners after aneurysmal subarachnoid hemorrhage
Stroke
(1998) - et al.
Health-related quality of life after aneurysmal subarachnoid hemorrhage: Impacts of bleeding severity, computerized tomography findings, surgery, vasospasm, and neurological grade
J Neurosurgery
(2001) - et al.
Cognitive outcome and quality of life one year after subarachnoid haemorrhage
Neurosurgery
(1989)
The four qualities of life: Ordering concepts and measures of the good life
J Happiness Studies
Subjectifying quality of life as a medical rehabilitation outcome
Disabil Rehabil
Psychosocial outcomes at 18 months after good neurological recovery from aneurysmal subarachnoid haemorrhage
J Neurol Neurosurg Psychiatry
Relationship of local infarctions to cognitive and psychosocial impairments after aneurysmal subarachnoid hemorrhage
Neurosurgery
Life satisfaction of persons with spinal cord injury compared to a population group
Scand J Rehabil Med
Cited by (108)
Therapeutic Approaches for Cerebrovascular Dysfunction After Aneurysmal Subarachnoid Hemorrhage: An Update and Future Perspectives
2022, World NeurosurgeryCitation Excerpt :According to this study, survivors frequently experienced impairment in the domains of memory, executive function, and language affecting activities of daily living, return to work, and QoL. Two to 4 years after aSAH, <50% of patients resume their work entirely, which is the main cause of dissatisfaction for those who survive an aSAH.150 Fifty-nine percent of survivors developed increased irritability and emotionality, with a significantly higher mean depression score than in control individuals.151
Long-Term Cognitive Outcome following Aneurysmal Subarachnoid Haemorrhage
2022, Journal of Stroke and Cerebrovascular DiseasesClinical significance of platelet to neutrophil ratio and platelet to lymphocyte ratio in patients with aneurysmal subarachnoid hemorrhage
2021, Journal of Clinical NeurosciencePsychological distress after subarachnoid haemorrhage: A systematic review and meta-analysis
2021, Journal of Psychosomatic ResearchEmergency Medical Management of Aneurysmal Subarachnoid Hemorrhage
2023, Neurocritical Care
The authors have no conflict of interest.