Evidence map›Paper›PMID 38129710›Full record

Observational studyNeurocritical care2024

Cognitive, Mental Health, Functional, and Quality of Life Outcomes 1 Year After Spontaneous Subarachnoid Hemorrhage: A Prospective Observational Study.

Verena Rass, Klaus Altmann, Laura Zamarian, Anna Lindner, Mario Kofler, Max Gaasch, Bogdan-Andrei Ianosi, Lauma Putnina, Philipp Kindl, Margarete Delazer and 4 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Neurocritical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Health-related quality of life after spontaneous subarachnoid hemorrhage - a prospective cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Verena Rass *Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Klaus Altmann *Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Laura ZamarianDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Anna LindnerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Mario KoflerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Max GaaschDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Bogdan-Andrei IanosiDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Lauma PutninaDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Philipp KindlDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Margarete DelazerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Alois J SchiefeckerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Ronny BeerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Bettina PfauslerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Raimund HelbokDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria. Raimund.Helbok@kepleruniklinikum.at.ORCID 0000-0001-5682-0145
Innsbruck Medical University · ATJohannes Kepler University of Linz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with spontaneous subarachnoid hemorrhage (SAH) frequently encounter cognitive dysfunction and mental health issues with negative effects on health-related quality of life (HR-QoL). Here, we aimed to describe the prevalence of cognitive deficits, mental health problems, and HR-QoL impairments 1 year after SAH.

methodsIn this prospective observational study, 177 patients with SAH admitted to our neurointensive care unit over a time span of ten years followed the invitation for an in-person 1-year follow-up, including a standardized neuropsychological test battery. Mental health issues (anxiety and depression) and HR-QoL were evaluated using questionnaires (Hospital Anxiety and Depression Scale; 36-item Short Form questionnaire). Functional outcome was assessed with the modified Rankin Scale (mRS) score.

resultsPatients were 54 years of age (interquartile range 47-62 years) and presented with a median Hunt and Hess score of 2 (interquartile range 1-3) at admission. Most patients (93%) achieved good functional 1-year outcomes (mRS score 0-2). Seventy-one percent of patients had deficits in at least one cognitive domain, with memory deficits being the most prevalent (51%), followed by deficits in executive functions (36%), visuoconstruction (34%), and attention (21%). Even patients with perimesencephalic SAH (18%) or with full functional recovery (mRS score = 0, 46%) had a comparable prevalence of cognitive deficits (61% and 60%, respectively). Symptoms of depression and anxiety were reported by 16% and 33% of patients, respectively. HR-QoL was impaired in 37% (55 of 147). Patients with cognitive deficits (p = 0.001) or mental health issues (p < 0.001) more frequently reported impaired HR-QoL.

conclusionsMost patients with SAH have cognitive deficits and mental health issues 1 year after SAH. These deficits impair patients' quality of life.

Indexed as

Cognitive DysfunctionQuality of LifeSubarachnoid HemorrhageAnxietyDepressionExecutive FunctionFemaleHumansMaleMental HealthMiddle AgedNeuropsychological TestsProspective StudiesCognitive deficitsMental health outcomesNeuropsychological evaluationQuality of lifeSubarachnoid hemorrhage

Identifiers

PMID38129710
PMCPMC11335887
OpenAlexW4390062287

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.