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Title of Journal: J Neurol

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Abbravation: Journal of Neurology

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Steinkopff-Verlag

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DOI

10.1016/0016-2361(89)90303-7

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1432-1459

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Longterm domainspecific improvement following po

Authors: J Mocco Evan R Ransom Ricardo J Komotar Paulina B Sergot Noeleen Ostapkovich J Michael Schmidt Kurt T Kreiter Stephan A Mayer E Sander Connolly
Publish Date: 2006/10/24
Volume: 253, Issue: 10, Pages: 1278-1284
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Abstract

While efforts have been made to document shortterm outcomes following poor grade aneurysmal subarachnoid hemorrhage aSAH no data exist concerning the degree of delayed improvement in neurological function Here we assess cognitive function level of independence and quality of life QoL over 12 months following poor grade aSAHData on definitively treated poor grade patients Hunt and Hess grade IV or V surviving 12 months postaSAH were obtained through a prospectively maintained SAH database Demographic information medical history and clinical course were analyzed Health outcomes assessments completed by surviving patients at discharge DC three months 3 M and 12 months 12 M followup including the Telephone Interview for Cognitive Status TICS Barthel Index BI and Sickness Impact Profile SIP were used to evaluate cognitive function level of independence and QoLFiftysix poor grade patients underwent aneurysmsecuring intervention and survived at least 12 months postaSAH Thirtyfive 63 surviving patients underwent health outcomes assessments at DC 3 M and 12 M postaSAH A majority of patients had improved scores on the TICS DC to 3 M 91 3 M to 12 M 82 BI DC to 3 M 96 3 M to 12 M 92 and SIP 3 M to 12 M 80 following aSAH Using pairedsample analyses significant improvement on each test was observedA substantial portion of patients experience cognitive recovery increased independence and improved QoL following poor grade aSAH Delayed followup assessments are necessary when evaluating functional recovery in this population These findings have the potential to impact poor grade aSAH management and prognosisJ Mocco was supported by the Congress of Neurological Surgeons Wilder Penfield Clinical Research Fellowship Evan R Ransom was supported by a Doris Duke Clinical Research Fellowship Ricardo J Komotar was supported by an NIH Research Training Fellowship Stephan A Mayer was supported by grantinaid 9750432N from the American Heart Association

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