title: Predictors of long-term health-related quality of life in patients with aneurysmal subarachnoid hemorrhage.
abstract: OBJECTIVE
  To determine the predictive value of physical and psychological factors assessed three months after aneurysmal subarachnoid hemorrhage (SAH) for health-related quality of life (HRQoL) one year after the SAH.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  Patients with SAH (n=113) who visited our SAH-outpatient clinic three months after SAH and who were living independently in the community one year after SAH.
  
  
  METHODS
  HRQoL was evaluated using the Stroke Specific Quality of Life scale (SS-QoL). We used Spearman correlations, Somers'd, and linear regression analyses. Independent variables were demographic and SAH characteristics, cognitive and emotional complaints, depressive symptoms, anxiety, cognitive functioning, and passive coping style.
  
  
  RESULTS
  In the regression analysis, female gender (beta value -0.17), cognitive complaints (-0.31 ), cognitive functioning (0.40) and passive coping style (-0.23) were independent predictors, and together explained 45.9% of the variance of the SS-QoL total score.
  
  
  CONCLUSIONS
  Female gender, cognitive complaints, cognitive functioning and passive coping style assessed at 3 months after SAH are important predictors of HRQoL 1 year after SAH. Early interventions to improve cognitive and emotional functioning should be evaluated for their ability to improve long-term HRQoL after SAH.
authors.affiliation: Rudolf Magnus Institute of Neuroscience and Centre of Excellence for Rehabilitation Medicine, University Medical Centre Utrecht and Rehabilitation Centre De Hoogstraat, Utrecht, The Netherlands.
authors.forename: P E C A
authors.initials: PE
authors.lastname: Passier
authors.forename: J M A
authors.initials: JM
authors.lastname: Visser-Meily
authors.forename: M J E
authors.initials: MJ
authors.lastname: van Zandvoort
authors.forename: G J E
authors.initials: GJ
authors.lastname: Rinkel
authors.forename: E
authors.initials: E
authors.lastname: Lindeman
authors.forename: M W M
authors.initials: MW
authors.lastname: Post
mesh_terms: D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D005260:Female; D015600:Glasgow Coma Scale; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D017063:Outcome Assessment, Health Care; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D013345:Subarachnoid Hemorrhage / Q000503:physiopathology* / Q000523:psychology*