[Long-term cognitive and functional status in survivors of an aneurysmal subarachnoid hemorrhage: Analysis of a retrospective cohort].

Autor:	Neira N; Servicio de Medicina Física y Rehabilitación, Parc de Salut Mar, Barcelona, España., Leiva N; Servicio de Medicina Física y Rehabilitación, Parc de Salut Mar, Barcelona, España; Servicio de Geriatría, Parc de Salut Mar, Barcelona, España., Vílchez-Oya F; Servicio de Reumatología, Parc de Salut Mar, Barcelona, España., Salas LA; Servicio de Medicina Física y Rehabilitación, Parc de Salut Mar, Barcelona, España., Boza R; Servicio de Medicina Física y Rehabilitación, Parc de Salut Mar, Barcelona, España; Grup de Investigación en Rehabilitación, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, España., Guillén-Solà A; Servicio de Medicina Física y Rehabilitación, Parc de Salut Mar, Barcelona, España; Grup de Investigación en Rehabilitación, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, España; Facultad de Medicina, Universistat Autònoma de Barcelona, Barcelona, España., Duarte E; Servicio de Medicina Física y Rehabilitación, Parc de Salut Mar, Barcelona, España; Grup de Investigación en Rehabilitación, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, España; Facultad de Medicina, Universistat Autònoma de Barcelona, Barcelona, España. Electronic address: eduarte@parcdesalutmar.cat.
Jazyk:	Spanish; Castilian
Zdroj:	Rehabilitacion [Rehabilitacion (Madr)] 2022 Apr-Jun; Vol. 56 (2), pp. 93-98. Date of Electronic Publication: 2021 Apr 12.
DOI:	10.1016/j.rh.2021.02.006
Abstrakt:	Objective: Little data is available on long-term functional and cognitive outcomes in patients with aneurysmal subarachnoid hemorrhage (ASH). The main objective of this study was to assess cognition, functional state, mood disorders, and quality of life in patients with SAH at least six months following the ASH. Patients and Methods: Cross-sectional study of 40 patients (aged 58.2 [SD 9.9] years) with ASH, discharged from a Neurologic Rehabilitation unit between January 2010 and July 2017. Main Outcome Variables: functional status (Barthel index), cognition (Pfeiffer questionnaire), depression (Hamilton scale), and health-related quality of life (European Quality of Life-5 Dimensions [EQ-5D]), as well as type and duration of therapeutic rehabilitation procedures after discharge. Results: From 35 patients with cognitive disorders, only 12 received cognitive therapy at hospital discharge. In the long-term follow-up, cognitive impairment persisted in 22 patients. When compared with those without cognitive impairment, they presented significantly worse mean differences in the Barthel index (15.5 [95% CI: 1.2-29.7]), Hamilton scale (-0.8 [95% CI: -1.27 to -0.37]), and EQ-5D (27.6 [95% CI: 12.4-19]). Conclusion: The prevalence of long-term cognitive impairments in survivors of a SAH episode is high, and their presence is associated with worse functional status, more depression and worse quality of life. The low percentage of subjects who received cognitive therapies through their recovery process and the clinical implications observed, support the need of including neuropsychological therapies in the rehabilitation programs after an SAH event. (Copyright © 2021 Sociedad Española de Rehabilitación y Medicina Física. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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