[A follow-up of patients operated on for acute arterial aneurysmal rupture].
The paper analyzes the long-term results of treatment and assesses the quality of life in patients admitted to the N. N. Burdenko Research Institute of Neurosurgery, Academy of Medical Sciences, for acute subarachnoidal hemorrhage (ASH) from arterial aneurysms. The study was based on the questioning survey of 168 patients and/or their relatives in the periods of 1 to 7 years after ASH and surgery. The findings have indicated that the pattern of outcomes in the late periods after ASH and surgery differs from that in the early periods after the onset of the disease. These differences concern all types of outcome. Recovery of cerebral functions continues for a long period of time. As the rehabilitative period passes, neurological disorders are absent or mild in 55% of the patients. The patients with significant neurological defects reduced in number by three times as compared with that on discharge and accounted for 9.7%. At the same time the death caused by the underlying disease occurred in the late postoperative periods in 7 cases. In this connection, the outcomes of the disease should be finally assessed in the periods of not earlier than half a year after surgery. 80.7% of the patients operated on are completely adapted in everyday life; 9% need an occasional aid; 7.1% entirely depend on other people; 42% of the patients work; however, only 27.1% of the patients returned to their former work and 23.2% cannot work due to their prior disease. The highest disability rates and hence a low life quality are observed in patients operated on at Hunt-Hess stages IV-V. The findings suggest that the brain is highly plastic and that efforts and material costs on the nursing and rehabilitation of patients with ASH yield good results.
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000401:mortality / Q000601:surgery*; D005130:Eye Hemorrhage / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000401:mortality / Q000601:surgery*; D008297:Male; D008569:Memory Disorders / Q000209:etiology; D008875:Middle Aged; D009422:Nervous System Diseases / Q000209:etiology; D019635:Neurosurgical Procedures; D011183:Postoperative Complications / Q000209:etiology; D012422:Rupture, Spontaneous / Q000401:mortality / Q000601:surgery; D013345:Subarachnoid Hemorrhage / Q000401:mortality / Q000601:surgery; D015996:Survival Rate; D016896:Treatment Outcome