Abstract：
BACKGROUND:Aneurysmal subarachnoid hemorrhage (SAH) causes long-term psychosocial impairments even in patients who regain functional independence. Little is known about predictors of these impairments. We studied how early clinical data and neuropsychological results predict work status and health-related quality of life (HRQoL) 9-13 years after SAH. METHODS:One hundred one patients performed a neuropsychological test battery and returned their self-rating and partner's rating of a psychosocial impairment questionnaire approximately 1 year after SAH. These data were analyzed for association to the patients' work status and self-rated HRQoL approximately 10 years later. RESULTS:Age inversely, lower levels of self-rated impairments, employment and higher levels of education at the first follow-up independently predicted employment at the long-term follow-up. Although most cognitive test results were significantly associated with employment status at the long-term follow-up, they were of limited additional value as predictors of work status. The best predictor combination for long-term high HRQoL was good performance in a face recognition test and lower levels of self-rated impairments at the first follow-up as well as male sex. Problems in usual activities at the long-term follow-up were predicted by poor results in the face recognition and in a word list-learning task. CONCLUSION:Questionnaire ratings of patients' psychosocial impairments 1 year after SAH give important information for the long-term prediction of their work status and HRQoL. In the long run, patients' unemployment becomes strongly associated with higher age, while their performance of usual activities can be predicted with learning and memory results.
journal_name
Acta Neurochir (Wien)journal_title
Acta neurochirurgicaauthors
Vilkki J,Juvela S,Malmivaara K,Siironen J,Hernesniemi Jdoi
10.1007/s00701-012-1417-ysubject
Has Abstractpub_date
2012-08-01 00:00:00pages
1437-46issue
8eissn
0001-6268issn
0942-0940journal_volume
154pub_type
杂志文章abstract：BACKGROUND:Meticulous haemostasis is one of the most important factors during microneurosurgical resection of brain arteriovenous malformation (AVM). Controlling major arterial feeders and draining veins with clips and bipolar coagulation are well-established techniques, while managing with bleeding from deep tiny vess...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01420184
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1007/BF01406875
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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更新日期：2013-10-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章,评审
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更新日期：1998-01-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-004-0393-2
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更新日期：2013-02-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-013-1856-0
更新日期：2013-11-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-006-0734-4
更新日期：2006-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/BF02747192
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pub_type： 杂志文章,评审
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pub_type： 杂志文章
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更新日期：2013-05-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01413283
更新日期：1985-01-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01407170
更新日期：1989-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2002-04-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01411480
更新日期：1996-01-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01850866
更新日期：1997-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-09-01 00:00:00
