Cognitive outcome and quality of life one year after subarachnoid haemorrhage.

Cognitive outcome and quality of life one year after subarachnoid haemorrhage.
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DOI:
10.1227/00006123-198903000-00009
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发表时间:
1989-03
期刊:
影响因子:
4.8
通讯作者:
P. McKenna;J. Willison;B. Phil;Derek Lowe;Glenn Neil-Dwyer
P. McKenna;J. Willison;B. Phil;Derek Lowe;Glenn Neil-Dwyer
中科院分区:
医学1区
文献类型:
--
作者:
P. McKenna;J. Willison;B. Phil;Derek Lowe;Glenn Neil-Dwyer

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在这项前瞻性研究中,对100例蛛网膜下腔出血(SAH)患者在出院、3个月和1年时进行了评估,使用现代神经心理学方法检查认知状态,并进行半结构化访谈以评估个性和生活质量的变化。对照组50例心肌梗死患者也进行了评估,在出院和1年。SAH组的认知测试结果无显著性差异,与对照组相比良好。同样,没有证据表明大多数SAH患者的生活质量因此下降。这些结果使我们得出结论,在SAH的内科和外科手术过程不复杂的情况下,患者的智力和生活状态不会永久或显著降低。这些结果之间的差异和其他研究的可能原因进行了讨论。
In this prospective study, 100 patients with subarachnoid haemorrhage (SAH) were assessed at discharge, 3 months, and 1 year using modern methods of neuropsychology to examine cognitive status and semistructured interviews to assess changes in personality and quality of life. A control group of 50 patients suffering myocardial infarction were also assessed at discharge and 1 year. Results of cognitive testing in the SAH group were unremarkable and compared well with the control group. Similarly, there was no evidence of a consequent reduction in the quality of life in the majority of the SAH patients. These results lead us to conclude that where the medical and surgical course of SAH is uncomplicated, patients recover with no permanent or significant reduction in their intellectual ability of life status. Possible reasons for the difference between these results and those of other studies are discussed.