Long-term health-related quality of life after decompressive hemicraniectomy in stroke patients with life-threatening space-occupying brain edema

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschung

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Long-term health-related quality of life after decompressive hemicraniectomy in stroke patients with life-threatening space-occupying brain edema. / Von Sarnowski, B.; Kleist-Welch Guerra, W.; Kohlmann, T. et al.
in: Clinical Neurology and Neurosurgery, Jahrgang 114, Nr. 6, 01.07.2012, S. 627-633.

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschung

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Von Sarnowski B, Kleist-Welch Guerra W, Kohlmann T, Moock J, Khaw AV, Kessler C et al. Long-term health-related quality of life after decompressive hemicraniectomy in stroke patients with life-threatening space-occupying brain edema. Clinical Neurology and Neurosurgery. 2012 Jul 1;114(6):627-633. doi: 10.1016/j.clineuro.2011.12.026

Bibtex

@article{9c09a9236b7848e8a06d7676f5b6235d,
title = "Long-term health-related quality of life after decompressive hemicraniectomy in stroke patients with life-threatening space-occupying brain edema",
abstract = "Background: Although randomized clinical trials have reported significant improvement in mortality and functional outcome as measured with modified Rankin Scale (mRS) or Barthel index (BI) in stroke patients with space-occupying anterior circulation infarctions treated with hemicraniectomy, many clinicians are still concerned about the long-term health-related quality of life (HRQoL). Aim: Assessment of HRQoL after hemicraniectomy to holistically reevaluate clinical outcome. Methods: Eleven patients (6 men, 5 women; mean age 48 (SD 5.8) years) were examined at 9-51 months after hemicraniectomy. Test batteries comprised NIH stroke scale, BI, mRS, neuropsychological tests (Visual Object and Space Perception Battery and clock test), and HRQoL-scales (Short Form 36 Health Survey (SF-36), Nottingham Health Profile (NHP), Questions on Life Satisfaction, Hospital Anxiety and Depression Scale and EQ-5D). Results: Median values for NIHSS, BI and mRS were 11.5, 55 and 3.5. In HRQoL-scales, subscales related to physical mobility and functioning were consistently severely impaired, while subscales related to psychological well-being were impaired to a lesser extent. Mean scores for physical functioning and physical role were 10.5 and 12.5 in the SF-36, and 61.3 and 43.3 for physical mobility and energy in the NHP; emotional role and mental health scored 63.3 and 66.4 (SF-36), scores for emotional reaction and social isolation were 18.9 and 16.0 (NHP), respectively. Conclusion: Although, physical components of HRQoL are highly impaired, these stroke patients achieved a satisfying level of psychological well-being which was endorsed by a nearly unanimous retrospective appraisal of life-saving hemicraniectomy.",
keywords = "Health sciences, Acute stroke treatment, Decompressive surgery, Health-related quality of life, Stroke outcome",
author = "{Von Sarnowski}, B. and {Kleist-Welch Guerra}, W. and T. Kohlmann and J. Moock and A.V. Khaw and C. Kessler and U. Schminke and H.W.S. Schroeder",
note = "Copyright 2012 Elsevier B.V., All rights reserved.",
year = "2012",
month = jul,
day = "1",
doi = "10.1016/j.clineuro.2011.12.026",
language = "English",
volume = "114",
pages = "627--633",
journal = "Clinical Neurology and Neurosurgery",
issn = "1872-6968",
publisher = "Elsevier B.V.",
number = "6",

}

RIS

TY - JOUR

T1 - Long-term health-related quality of life after decompressive hemicraniectomy in stroke patients with life-threatening space-occupying brain edema

AU - Von Sarnowski, B.

AU - Kleist-Welch Guerra, W.

AU - Kohlmann, T.

AU - Moock, J.

AU - Khaw, A.V.

AU - Kessler, C.

AU - Schminke, U.

AU - Schroeder, H.W.S.

N1 - Copyright 2012 Elsevier B.V., All rights reserved.

PY - 2012/7/1

Y1 - 2012/7/1

N2 - Background: Although randomized clinical trials have reported significant improvement in mortality and functional outcome as measured with modified Rankin Scale (mRS) or Barthel index (BI) in stroke patients with space-occupying anterior circulation infarctions treated with hemicraniectomy, many clinicians are still concerned about the long-term health-related quality of life (HRQoL). Aim: Assessment of HRQoL after hemicraniectomy to holistically reevaluate clinical outcome. Methods: Eleven patients (6 men, 5 women; mean age 48 (SD 5.8) years) were examined at 9-51 months after hemicraniectomy. Test batteries comprised NIH stroke scale, BI, mRS, neuropsychological tests (Visual Object and Space Perception Battery and clock test), and HRQoL-scales (Short Form 36 Health Survey (SF-36), Nottingham Health Profile (NHP), Questions on Life Satisfaction, Hospital Anxiety and Depression Scale and EQ-5D). Results: Median values for NIHSS, BI and mRS were 11.5, 55 and 3.5. In HRQoL-scales, subscales related to physical mobility and functioning were consistently severely impaired, while subscales related to psychological well-being were impaired to a lesser extent. Mean scores for physical functioning and physical role were 10.5 and 12.5 in the SF-36, and 61.3 and 43.3 for physical mobility and energy in the NHP; emotional role and mental health scored 63.3 and 66.4 (SF-36), scores for emotional reaction and social isolation were 18.9 and 16.0 (NHP), respectively. Conclusion: Although, physical components of HRQoL are highly impaired, these stroke patients achieved a satisfying level of psychological well-being which was endorsed by a nearly unanimous retrospective appraisal of life-saving hemicraniectomy.

AB - Background: Although randomized clinical trials have reported significant improvement in mortality and functional outcome as measured with modified Rankin Scale (mRS) or Barthel index (BI) in stroke patients with space-occupying anterior circulation infarctions treated with hemicraniectomy, many clinicians are still concerned about the long-term health-related quality of life (HRQoL). Aim: Assessment of HRQoL after hemicraniectomy to holistically reevaluate clinical outcome. Methods: Eleven patients (6 men, 5 women; mean age 48 (SD 5.8) years) were examined at 9-51 months after hemicraniectomy. Test batteries comprised NIH stroke scale, BI, mRS, neuropsychological tests (Visual Object and Space Perception Battery and clock test), and HRQoL-scales (Short Form 36 Health Survey (SF-36), Nottingham Health Profile (NHP), Questions on Life Satisfaction, Hospital Anxiety and Depression Scale and EQ-5D). Results: Median values for NIHSS, BI and mRS were 11.5, 55 and 3.5. In HRQoL-scales, subscales related to physical mobility and functioning were consistently severely impaired, while subscales related to psychological well-being were impaired to a lesser extent. Mean scores for physical functioning and physical role were 10.5 and 12.5 in the SF-36, and 61.3 and 43.3 for physical mobility and energy in the NHP; emotional role and mental health scored 63.3 and 66.4 (SF-36), scores for emotional reaction and social isolation were 18.9 and 16.0 (NHP), respectively. Conclusion: Although, physical components of HRQoL are highly impaired, these stroke patients achieved a satisfying level of psychological well-being which was endorsed by a nearly unanimous retrospective appraisal of life-saving hemicraniectomy.

KW - Health sciences

KW - Acute stroke treatment

KW - Decompressive surgery

KW - Health-related quality of life

KW - Stroke outcome

UR - http://www.scopus.com/inward/record.url?scp=84862009846&partnerID=8YFLogxK

U2 - 10.1016/j.clineuro.2011.12.026

DO - 10.1016/j.clineuro.2011.12.026

M3 - Journal articles

C2 - 22236827

VL - 114

SP - 627

EP - 633

JO - Clinical Neurology and Neurosurgery

JF - Clinical Neurology and Neurosurgery

SN - 1872-6968

IS - 6

ER -

DOI

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