+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Trajectory of functional recovery after hospital discharge for subarachnoid hemorrhage

Trajectory of functional recovery after hospital discharge for subarachnoid hemorrhage

Neurocritical Care 17(3): 343-347

Although there are extensive data on long-term disability after subarachnoid hemorrhage (SAH), there are few data on the trajectory of functional recovery after hospital discharge. From October 2009 to April 2010, we prospectively followed consecutive patients with non-traumatic SAH discharged from a university hospital. Modified Rankin Scale (mRS) scores were calculated at discharge from chart review and at 6 months by standardized telephone interview. Good functional status was defined as a mRS score of 0 2, and poor status as an mRS score of 3 6. Descriptive statistics were used to assess the trajectory of functional recovery and determine the proportion of patients whose functional status improved from poor to good. Among 52 patients with non-traumatic SAH (79 % aneurysmal) who were discharged alive, most (71 %) were discharged home. Median (IQR) mRS score was 3 (2 4) at discharge and 2 (1 2) at 6 months. Some functional recovery (any improvement in mRS score) was seen in most patients (83 %; 95 % CI, 72 93 %). Of the 28 patients with poor functional status at discharge, 16 (57 %) improved to good functional status at 6 months. All patients with Hunt Hess grade 4 or 5 hemorrhages (n = 14) had poor functional status at discharge, but half (95 % CI, 20 80 %) recovered to a good functional status at 6 months. Although our sample size is small, our findings suggest that a substantial proportion of patients with SAH who are disabled at discharge go on to regain functional independence within 6 months.

(PDF emailed within 0-6 h: $19.90)

Accession: 036563565

Download citation: RISBibTeXText

PMID: 22932992

DOI: 10.1007/s12028-012-9772-3

Related references

Nursing of patients with subarachnoid hemorrhage. Pre- and Post-operative care of patients with subarachnoid hemorrhage--a case with recovery from various postoperative complications and eventual discharge from the hospital. Kurinikaru Sutadi 7(4): 421-427, 1986

Fever burden and functional recovery after subarachnoid hemorrhage. Neurosurgery 63(2): 212-7; Discussion 217-8, 2008

Predictors of discharge functional outcome in good grade Hunt Hess subarachnoid hemorrhage patients. Annals of Neurology 54(Suppl 7): S26, 2003

Complete recovery from aneurysmal subarachnoid hemorrhage associated with out-of-hospital cardiopulmonary arrest. European Journal of Emergency Medicine 17(1): 42-44, 2010

Cognitive Status at Hospital Admission: Postoperative Trajectory of Functional Recovery for Hip Fracture. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences (): -, 2015

Elevated cardiac troponin I and functional recovery and disability in patients after aneurysmal subarachnoid hemorrhage. American Journal of Critical Care 19(6): 522-8; Quiz 529, 2011

Phosphodiesterase 5 inhibition attenuates cerebral vasospasm and improves functional recovery after experimental subarachnoid hemorrhage. Neurosurgery 70(1): 178-86; Discussion 186-7, 2012

Outcome after spontaneous subarachnoid hemorrhage. Relationship between admission glycemia and clinical status on admission and on hospital discharge. Medicina Clinica 114(16): 614-616, 2000

Randomized, Open-Label, Phase 1/2a Study to Determine the Maximum Tolerated Dose of Intraventricular Sustained Release Nimodipine for Subarachnoid Hemorrhage (NEWTON [Nimodipine Microparticles to Enhance Recovery While Reducing Toxicity After Subarachnoid Hemorrhage]). Stroke (): -, 2016

Comparison of out-of-hospital cardiac arrest occurring before and after paramedic arrival: epidemiology, survival to hospital discharge and 12-month functional recovery. Resuscitation 89(): 50-57, 2016

Subarachnoid gadolinium enhancement mimicking subarachnoid hemorrhage on FLAIR MR images. Fluid-attenuated inversion recovery. Ajr. American Journal of Roentgenology 173(5): 1414-1415, 1999

Differential trajectory of functional recovery and determinants for first time stroke survivors by using a LCGA approach: a hospital based analysis over a 1-year period. European Journal of Physical and Rehabilitation Medicine 49(4): 463-472, 2014

Functional recovery and timing of hospital discharge after primary total hip arthroplasty. Australian and New Zealand Journal of Surgery 68(8): 580-583, 1998

Predictors of functional recovery one year following hospital discharge for hip fracture a prospective study. Journals of Gerontology 45(3): M101-M107, 1990

The influence of attention deficits on functional recovery post stroke during the first 12 months after discharge from hospital. Journal of Neurology, Neurosurgery, and Psychiatry 79(6): 656-663, 2007