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71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

21.06. - 24.06.2020

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Quality of life after ruptured and unruptured intracranial aneurysms

Lebensqualität bei Patienten nach rupturierten und inzidentellen intrakraniellen Aneurysmen

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  • presenting/speaker Nadja Grübel - Bezirkskrankenhaus Günzburg, Neurochirurgie, Günzburg, Deutschland
  • Ralph König - Bezirkskrankenhaus Günzburg, Neurochirurgie, Günzburg, Deutschland
  • Thomas Kapapa - Bezirkskrankenhaus Günzburg, Neurochirurgie, Günzburg, Deutschland
  • Christian Rainer Wirtz - Bezirkskrankenhaus Günzburg, Neurochirurgie, Günzburg, Deutschland
  • Andrej Pala - Bezirkskrankenhaus Günzburg, Neurochirurgie, Günzburg, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. sine loco [digital], 21.-24.06.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocP009

doi: 10.3205/20dgnc303, urn:nbn:de:0183-20dgnc3034

Published: June 26, 2020

© 2020 Grübel et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Aneurysmal subarachnoid haemorrhage (SAH) can lead to permanent neurological, psychosocial and neurocognitive deficits and can decisively influence the subsequent quality of life (QoL). These potential sequelaes after the treatment of unruptured intracranial aneurysms (UIA) is similarly an important factor in the decision making for the intervention and further counselling. The aim of our study was to compare QoL data including anxiety and depression as well as cognitive deficits in patients after treatment of UIA and patients after SAH.

Methods: Retrospectively, we compared the QoL of patients after endovascular and surgical treatment of UIA with patients after SAH using standardized questionnaires; 36-Item Short Form Health Survey (SF-36), Hospital Anxiety and Depression Scale (HADS), German questionnaire for self-perceived deficits in attention (FEDA) and not standardized questionnaire analyzing personal job-related situation, family circumstances and chronic illnesses.

Results: Based on SF-36 all patients with treated UIA showed reduced QoL compared to the normal control cohort. Both physical and psychological scales showed decreased QoL. In detailed comparison of patients after SAH and UIA all parameters of SF-36, except for pain are higher in patients with UIA. Return to work is a great indicator for complete recovery and an excellent tool to decrease potential depression periods. However, chronic illnesses and current job situations and not treatment itself had the most relevant influence on QoL in patients with UIA.

Conclusion: The concept of the QoL as an evaluation criterion of outcome has to be seen differentiated for SAH and UIA patients. The different initial situation in both patient collectives seems to lead to different individual assessments of QoL with different influencing factors.

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