Abstract
Background and purpose
Many persons with subarachnoid hemorrhage (SAH) from a ruptured intracranial aneurysm recover to functional independence but
nevertheless experience reduced quality of life (QoL). The aim of this study was to summarize the evidence on determinants
of reduced QoL in this diagnostic group.
nevertheless experience reduced quality of life (QoL). The aim of this study was to summarize the evidence on determinants
of reduced QoL in this diagnostic group.
Methods
Databases PubMed, PsychINFO, and CINAHL were used to identify empirical studies reporting on quantitative relationships between
possible determinants and QoL in persons with aneurysmal SAH and published in English. Determinants were classified using
the International Classification of Functioning, Disability and Health (ICF).
possible determinants and QoL in persons with aneurysmal SAH and published in English. Determinants were classified using
the International Classification of Functioning, Disability and Health (ICF).
Results
Twenty studies met the inclusion criteria for this review, in which 13 different HRQoL questionnaires were used. Determinants
related to Body Structure & Function (clinical condition at admission, fatigue, and disturbed mood), Activity
limitations (physical disability and cognitive complaints), and Personal factors (female gender, higher age, neuroticism, and passive coping) are consistently related to worse HRQoL after aneurysmal SAH.
Treatment characteristics were not consistently related to HRQoL.
related to Body Structure & Function (clinical condition at admission, fatigue, and disturbed mood), Activity
limitations (physical disability and cognitive complaints), and Personal factors (female gender, higher age, neuroticism, and passive coping) are consistently related to worse HRQoL after aneurysmal SAH.
Treatment characteristics were not consistently related to HRQoL.
Conclusion
This study identified a broad range of determinants of HRQoL after aneurysmal SAH. The findings provide clues to tailor multidisciplinary
rehabilitation programs. Further research is needed on participation, psychological characteristics, and environmental factors
as determinants of HRQoL after SAH.
rehabilitation programs. Further research is needed on participation, psychological characteristics, and environmental factors
as determinants of HRQoL after SAH.
- Content Type Journal Article
- Pages 1-17
- DOI 10.1007/s11136-012-0236-1
- Authors
- P. E. C. A. Passier, Rudolf Magnus Institute of Neuroscience and Centre of Excellence for Rehabilitation Medicine, University Medical Centre Utrecht and Rehabilitation Centre De Hoogstraat, P.O. Box 85500, 3508 GA Utrecht, The Netherlands
- J. M. A. Visser-Meily, Rudolf Magnus Institute of Neuroscience and Centre of Excellence for Rehabilitation Medicine, University Medical Centre Utrecht and Rehabilitation Centre De Hoogstraat, P.O. Box 85500, 3508 GA Utrecht, The Netherlands
- G. J. E. Rinkel, Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, Utrecht, The Netherlands
- E. Lindeman, Rudolf Magnus Institute of Neuroscience and Centre of Excellence for Rehabilitation Medicine, University Medical Centre Utrecht and Rehabilitation Centre De Hoogstraat, P.O. Box 85500, 3508 GA Utrecht, The Netherlands
- M. W. M. Post, Rudolf Magnus Institute of Neuroscience and Centre of Excellence for Rehabilitation Medicine, University Medical Centre Utrecht and Rehabilitation Centre De Hoogstraat, P.O. Box 85500, 3508 GA Utrecht, The Netherlands
- Journal Quality of Life Research
- Online ISSN 1573-2649
- Print ISSN 0962-9343