Long-term outcomes and quality of life in patients with subarachnoid hemorrhage
Author Information
Author(s): Bergamini Carlo, Brogi Etrusca, Salvigni Sara, Castagnoli Diletta, Catucci Mattea, Gasperini Chiara, Cecchini Erica, Bevoni Moana, Bartoletti Sabina, Russo Maria, Faedo Serena, Pietrantozzi Dario, Passero Silvia, Romoli Michele, Bini Giovanni, Venditto Alessandra, Lafe Elvis, D’Andrea Marcello, Tosatto Luigino, Ruggiero Maria, Agnoletti Vanni, Russo Emanuele
Primary Institution: Bufalini Hospital, Azienda Unità Sanitaria Locale (AUSL) Della Romagna, Cesena, Italy
Hypothesis
What is the long-term outcome and quality of life for patients with subarachnoid hemorrhage admitted to the ICU?
Conclusion
The study found that high Hunt-Hess grades and early high intracranial pressure were related to unfavorable outcomes, while quality of life varied widely among patients with poor outcomes.
Supporting Evidence
- Twenty-four patients (63.2%) had a favorable outcome (GOSE ≥ 4).
- Among 29 patients (76.3%) who survived at 1 year, median EQ-5D Index was 0.743.
- Median EQ-5D Index and median EQ-VAS were higher among patients with favorable outcomes.
Takeaway
This study looked at how patients who had bleeding in their brain do after a year in the hospital, and found that some do well while others struggle a lot.
Methodology
A single-center, observational, retrospective cohort study analyzing patients admitted to ICU with non-traumatic subarachnoid hemorrhage.
Potential Biases
Potential bias due to the retrospective nature of the study and reliance on caregiver reports for quality of life assessments.
Limitations
The study had a small sample size and was conducted at a single center, which may limit the generalizability of the findings.
Participant Demographics
Median age was 56 years, with 63.2% female participants.
Statistical Information
P-Value
p=0.037 for EQ-5D Index, p=0.003 for EQ-VAS
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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