Quality of Life in Patients after Subarachnoid Haemorrhage – Follow-up after One Year

Authors: M. Preiss 1;  J. Koblihová 2;  L. Krámská 3;  E. Dušánková 4;  D. Netuka 5;  L. Bernardová 5;  V. Beneš 5
Authors‘ workplace: Psychiatrické centrum Praha 1;  Ústřední lékařsko-psychologické oddělení, Ústřední vojenská nemocnice Praha 2;  Neurochirurgie, Katedra pedagogiky a psychiatrie, Technická univerzita Liberec, Krajská nemocnice Liberec 3;  Linka psychopomoci, Praha 4;  Neurochirurgická klinika 1. LF UK, IPVZ a ÚVN Praha 5
Published in: Cesk Slov Neurol N 2008; 71/104(3): 309-316
Category: Original Paper


55 patients were assessed after undergoing neurosurgery for SAH by means of a semistructured interview focused on the mental, social and emotional changes following treatment for cerebral artery aneurysm. The group consisted of patients of the neurosurgical ward of the Central Military Hospital in Prague for whom complete neurosurgical and psychological data were available and who were able to attend twice psychological examinations one year after neurosurgery. The average length of sick leave after neurosurgery was 5.3 months (SD = 3.6 – and had not yet ended at the time of the one-year-after examination. Only 2 persons (4%) needed more assistance at home as a result to their handicap. 47% of the group was active, either studying or working. 30% of the group received some form of disability pension. The total number of people on full disability pension increased substantially – before SAH they were 6; now 14. 22% of the group visited a doctor for some kind of psychological problems but none was hospitalized due to such problems. 44% evaluated their overall health status as unchanged compared to the time before the surgery, 40% as worse and 16% as better or even much better. The research shows the difficulty of life for survivors of SAH. A limitation of the study is the possible effect of cognitive deficits on subjective evaluation.

Key words:
subarachnoid haemorrhage – quality of life – follow-up – semistructured interview


1. Ropper AH, Zervas NT. Outcome 1 year after SAH from cerebral aneurysm: management morbidity, mortality and functional status in 112 consecutive good-risk patients. J Neurosurg 1984; 60(5): 909–915.

2. Adams CBT, Loach AB, O´Laire S. Intracranial aneurysm: analysis of results of microneurosurgery. Brit Med J 1976; 2(6036): 607–609.

3. Testa C, Andreoli A, Arista A, Limoni P, Tognetti F. Overall results in 304 consecutive patients with acute spontaneous subarachnoid hemorrhage. Surg Neurol 1985; 24(4): 377–385.

4. Gade A. Amnesia after operations on aneurysms of the anterior communicating artery. Surg Neurol 1982; 18(1): 46–49.

5. Barbarotto R, De Santis A, Laiacona M, Basso A, Spagnoli D, Capitani E. Neuropsychological follow-up of patiens operated for aneurysm of the middle cerebral artery and posterior communicating artery. Cortex 1989; 25(2): 275–288.

6. Bornstein RA, Weir BKA, Petruk KC, Disney LB. Neuropsychological function in patients after subarachnoidal hemorrhage. Neurosurgery 1987; 21(5): 651–654.

7. De Luca J. Cognitive dysfunction after aneurysm of the anterior communicating artery. J Clin Exp Neuropsychol 1992; 14(6): 924–934.

8. Hütter BO, Gilsbach JM, Kreitschmann I. Quality of life and cognitive deficits after subarchnoid haemorrhage. Br J Neurosurg 1995; 9(4): 465–475.

9. Ogden JA, Utley T, Mee EW. Neurological and psychosocial outcome 4 to 7 years after subarachnoid hemorrhage. Neurosurgery 1997; 41(1): 25–34.

10. World Health Organisation. International classification of impairments, disabilities and handicaps. A manual of classification relating to the consequences of disease. Geneva: WHO 1980.

11. Egge A, Waterloo K, Sjoholm H, Ingebrigsten T, Forsdahl S, Jacobsen EA et al. Outcome 1 year after aneurysmal subarachnoid hemorrhage: relation between cognitive performance and neuroimaging. Acta Neurol Scand 2005; 112(2): 76–80.

12. Buchanan KM, Elias LJ, Doplen GB. Differing perspectives on outcome after subarachnoid hemorrhage: The patient, the relative, the neurosurgeon. Neurosurgery 2000; 46(4): 831–838.

13. Hellawell D, Taylor R, Pentland B. Persisting symptoms and carer´s, views of outcome after subarachnoid haemorrhage. Clin Rehab 1999; 13: 333–340.

14. Raaymakers TW. Functional outcome and quality of life after angiography and operation for unruptured intracranial aneurysm. On behalf of the MARS Study Group. J Neurol Neurosurg Psychiatry 2000; 68(5): 571–576.

15. Hop JW, Rinkel GJ, Algra A, van Gijn J. Changes in functional outcome and quality of life in patients and caregivers after aneurysmal subarachnoid hemorrhage. J Neurosurg 2001; 95(6): 957–963.

16. King JT Jr, Horowitz MB, Kassam AB, Yonas H, Roberts MS. The short form-12 and the measurement of health status in patients with cerebral aneurysms: performance, validity and reliability. J Neurosurg 2005; 102(3): 489–494.

17. Flanagan JC. The concept of quality of life for American community members. Social Indicators 1975; 63: 56–59.

18. Flanagan JC. Measurement of quality of life: current state of the art. Arch Phys Med Rehabil 1982; 63(2): 56–59.

19. McGlynn SM, Schacter DL. Unawareness of deficits in neuropsychological syndromes. J Clin Exp Neuropsychol 1989; 11(2): 143–205.

20. Preiss M, Koblihová J, Netuka D, Klose J, Charvát F, Beneš V et al. Kognitivní deficit po léčbě intrakraniálních aneuryzmat - výsledky vyšetření verbální paměti měsíc po zákroku a s odstupem 1 roku. Česk Slov Neurol N 2007; 69/101(1): 37–42.

21. Preiss M, Koblihova J, Netuka D, Klose J, Charvat F, Benes V. Ruptured cerebral aneurysm patients treated by clipping or coiling: comparison of long-term neuropsychological and personality outcome. Zentralbl Neurochir 2007; 68(4): 169–75.

22. Malt UF, Blikla G, Hoivik B. The Late Effect of Accidental Injury Questionnaire (LEAIQ). Acta Psychiatr Scand Suppl 1989; 355: 113– 130.

23. Koblihová J. Dotazník následků úrazů. Závěrečná práce postgraduálního kursu dopravní psychologie. Praha: 1999.

24. The Rankin Scale For Stroke Disability. Institute for algorithmic medicine [online]. Dostupné z: < http://www.medalreg.com/qhc/medal/ch37/37_16/37-16-02-ver9.php3>.

25. Barthel Index [online]. Dostupné z: <http://www.dundee.ac.uk/medther/Stroke/Scales/barthel.htm>.

26. Hunt and Hess scale. Wikipedia [online]. Last revision 27th June 2006. Dostupné z: < http://en.wikipedia.org/wiki/Hunt_and_Hess_scale>.

27. Ediční plán 2001. Český statistický úřad [online]. c2006. Dostupné z: <http://www.czso.cz/csu/2006edicniplan.nsf/t/3D00461A25/$File/4032060116.xls pro rok 2001>.

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