Article

OBJECTIVE: To determine the predictive value of physical and psychological
factors assessed three months after aneurysmal subarachnoid hemorrhage (SAH) for
health-related quality of life (HRQoL) one year after the SAH. DESIGN:
Prospective cohort study. SUBJECTS: Patients with SAH (n=113) who visited our
SAH-outpatient clinic three months after SAH and who were living independently in
the community one year after SAH. METHODS: HRQoL was evaluated using the Stroke
Specific Quality of Life scale (SS-QoL). We used Spearman correlations, Somers'd,
and linear regression analyses. Independent variables were demographic and SAH
characteristics, cognitive and emotional complaints, depressive symptoms,
anxiety, cognitive functioning, and passive coping style. RESULTS: In the
regression analysis, female gender (beta value -0.17), cognitive complaints
(-0.31 ), cognitive functioning (0.40) and passive coping style (-0.23) were
independent predictors, and together explained 45.9% of the variance of the
SS-QoL total score. CONCLUSION: Female gender, cognitive complaints, cognitive
functioning and passive coping style assessed at 3 months after SAH are important
predictors of HRQoL 1 year after SAH. Early interventions to improve cognitive
and emotional functioning should be evaluated for their ability to improve
long-term HRQoL after SAH.

Langue : ANGLAIS