Authors: P E C A Passier J M A VisserMeily G J E Rinkel E Lindeman M W M Post
Publish Date: 2012/09/06
Volume: 22, Issue: 5, Pages: 1027-1043
Abstract
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 groupDatabases 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 ICFTwenty 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 HRQoLThis 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
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