PAPER

Aneurysmal subarachnoid haemorrhage: outcomes of early rehabilitation after surgical repair of ruptured intracranial aneurysms

B M Saciri¹, N Kos²

¹ Institute for Rehabilitation, Republic of Slovenia, Linhartova 51, 1000 Ljubljana, Slovenia
² Medical Rehabilitation Unit, University Medical Centre Ljubljana, Zaloska 7, 1000 Ljubljana, Slovenia

Correspondence to:
Correspondence to:
Dr B M Saciri, Jakceva 40/46, 1000 Ljubljana, Slovenia;
vali.branka{at}siol.net

Objectives: The aim was to analyse functional and cognitive outcomes in patients receiving early rehabilitation treatment after surgery for aneurysmal subarachnoid haemorrhage (SAH).

Methods: The assessment protocol included all relevant clinical data, the Hunt-Hess scale, the functional independence measure (FIM), and the mini mental state examination (MMSE).

Results: Of 59 patients included in the study, 52.5% (31) were men and 47.5% (28) were women. The patients' average age was 52 years, and 57.6% were employed at the time of the aneurysm rupture. The mean duration of hospital stay was 25 days; 67.8% (40) of the patients were discharged home. At discharge, 72.7% of the patients were without any motor impairment, but 59.6% showed cognitive impairment. By the time of discharge, 43.4% (23) of the patients had attained independence in activites of daily living, 18.9% (10) needed intermittent supervision, and 37.7% (20) required constant supervision in the performance of these activities.

Conclusions: The severity of cognitive impairment has predictive value for the functional status and the level of supervision required at discharge.

Keywords: subarachnoid haemorrhage; functional and cognitive outcome; early rehabilitation

Abbreviations: SAH, subarachnoid haemorrhage; FIM, functional independence measure; MMSE, mini mental state examination

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