Aneurysmal subarachnoid haemorrhage: outcomes of early rehabilitation after surgical repair of ruptured intracranial aneurysms
- 1Institute for Rehabilitation, Republic of Slovenia, Linhartova 51, 1000 Ljubljana, Slovenia
- 2Medical Rehabilitation Unit, University Medical Centre Ljubljana, Zaloska 7, 1000 Ljubljana, Slovenia
- Correspondence to: Dr B M Saciri, Jakceva 40/46, 1000 Ljubljana, Slovenia; vali.branka{at}siol.net
- Received 13 March 2001
- Accepted 14 November 2001
- Revised 3 September 2001
Abstract
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.
- SAH, subarachnoid haemorrhage
- FIM, functional independence measure
- MMSE, mini mental state examination
