首页> 美国卫生研究院文献>The Journal of Neurology and Psychopathology >Aneurysmal subarachnoid haemorrhage: outcomes of early rehabilitation after surgical repair of ruptured intracranial aneurysms
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Aneurysmal subarachnoid haemorrhage: outcomes of early rehabilitation after surgical repair of ruptured intracranial aneurysms

机译:动脉瘤性蛛网膜下腔出血:颅内动脉瘤破裂手术修复后早期康复的结果

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摘要

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.
机译:目的:目的是分析接受动脉瘤性蛛网膜下腔出血(SAH)手术后早期康复治疗的患者的功能和认知结局。方法:评估方案包括所有相关的临床数据,Hunt-Hess量表,功能独立性量度(FIM)和小型精神状态检查(MMSE)。结果:研究纳入59例患者,其中男性占52.5%(31),女性占47.5%(28)。患者的平均年龄为52岁,动脉瘤破裂时的平均年龄为57.6%。平均住院时间为25天; 67.8%(40)的患者已出院回家。出院时72.7%的患者无运动障碍,但59.6%的患者表现出认知障碍。到出院时,有43.4%(23)的患者在日常生活中获得独立,18.9%(10)的患者需要间歇性监督,而37.7%(20)的患者需要定期监督这些活动的进行。结论:认知障碍的严重程度对出院时的功能状态和所需的监督水平具有预测价值。

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