Rehabilitation outcome after primary subarachnoid haemorrhage.
Functional outcome of primary subarachnoid haemorrhage survivors was examined following rehabilitation in Singapore. Thirty-nine inpatients admitted over a 4-year period were studied retrospectively. There were 21 (53.8%) males and 18 (46.2%) females, mean age 50.9 (SD 12.7) years, at 37.3 days (SD 16.8) post-injury. Seven (17.9%) had dysphagia and 12 (30.8%) had dysphasia; 17 (43.6%) nondysphasics had cognitive impairment; 26 patients (66.7%) had Medical Research Council motor power under grade 4. Modified Barthel Index on Admission (MBIA) and Discharge (MBID) were 45.7 (SD 22.3) and 78.3 (SD 18.9), respectively (p = 0.001). Correlation between MBIA and MBID was statistically significant (r = 0.529, p = 0.001). Mean length of stay in rehabilitation was 42.3 days (SD 27.6). Thirty-four patients (87.2%) were discharged home. Nine out of 24 previously employed patients (37.5%) returned to gainful employment. Despite multiple deficits, the patients made significant functional improvement.
Tan Tock Seng Rehabilitation Centre, Ang Mo Kio Community Hospital, Singapore. eng_ching_yap@notes.ttsh.gov.sg
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Chua
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D003679:Deglutition / Q000502:physiology; D004651:Employment; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D019635:Neurosurgical Procedures; D010351:Patient Discharge; D012189:Retrospective Studies; D013345:Subarachnoid Hemorrhage / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery; D017741:Survivors; D016896:Treatment Outcome