Neuropsychological Recovery after Subarachnoid Hemorrhage
Demographic and Medical Predictors of FunctionalChanges from Three to 12 Months post SAH
Omschrijving
This study examined the effect of demographic andclinical variables on recovery of neuropsychologicalfunctioning after SAH. Medical condition and hospitalcourse, including disease severity and complications,were recorded prospectively. Demographics includingage, sex, race/ethnicity, primary language, and yearsof education were obtained via interview. Three and12 months after the SAH, participants were invited tocomplete a comprehensive neuropsychological batteryin the patient's preferred language, English orSpanish. Overall cognition and 7 cognitive domainswere assessed: attention, psychomotor speed,visuospatial skills, language, verbal and visualmemory, and executive functions. Psychomotor speedand attention recovered over time. Global mentalstatus 3 months after SAH was the best correlate ofneuropsychological functioning at one year. Factorsthat contributed to greater cognitive impairmentafter SAH included older age, anterior aneurysmlocation, amount and location of blood, infarctions,cerebral edema, worse clinical grade, male sex, andnot speaking English, but not vasospasm alone.Findings are discussed in relation to current literature.
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