Long-term quality of life after decompressive craniectomy
This study aims to assess the quality of life (QoL) in patients who have undergone decompressive craniectomy (DC) for any pathology that has caused life-threatening intracranial hypertension. Similarly, it aims to evaluate QoL perceived by caregivers or external informants. In addition to that, the...
| Autores: | , , , |
|---|---|
| Tipo de documento: | artigo |
| Data de publicação: | 2023 |
| País: | España |
| Recursos: | Universidad Autónoma de Madrid |
| Repositório: | Biblos-e Archivo. Repositorio Institucional de la UAM |
| Idioma: | inglês |
| OAI Identifier: | oai:repositorio.uam.es:10486/709020 |
| Acesso em linha: | http://hdl.handle.net/10486/709020 https://dx.doi.org/10.3389/fneur.2023.1222080 |
| Access Level: | Acceso aberto |
| Palavra-chave: | brain injuries traumatic decompressive craniectomy intracranial hypertension morbidity quality of life Medicina |
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Long-term quality of life after decompressive craniectomyBuffagni, DanielZamarrón, ÁlvaroMelgosa, IsabelGutiérrez González, Raquelbrain injuriestraumaticdecompressive craniectomyintracranial hypertensionmorbidityquality of lifeMedicinaThis study aims to assess the quality of life (QoL) in patients who have undergone decompressive craniectomy (DC) for any pathology that has caused life-threatening intracranial hypertension. Similarly, it aims to evaluate QoL perceived by caregivers or external informants. In addition to that, the last purpose is to determine which clinical or therapeutic factors could correlate with a better. s: A single-center cross-sectional study was designed. All patients over 18 years old who underwent a supratentorial DC at our department due to intracranial hypertension of any etiology, from January 2015 to December 2021, were retrospectively selected. Patients with incomplete follow-up (under 1 year from the event or those who died) or who declined to participate in the study were excluded. QoL was assessed with SF-36 and CAVIDACE scales. The correlation between clinical and therapeutic variables and SF-36 subscales was studied with Spearman’s correlation and the Mann–Whitney U-t . s: A total of 55 consecutive patients were recruited: 22 patients had died, three were missed for follow-up, and 15 declined to participate, thus 15 subjects were finally included. The mean follow-up was 47 months (IQR 21.5–67.5). A significant reduction in the “role physical” and “role emotional” subscales of SF-36 was observed compared with the general population. According to caregivers, a significant reduction was assigned to the “physical wellbeing” and “rights” domains. The “physical functioning” score was poorer in women, older patients, those with dominant hemisphere disease, those who required tracheostomy, and those with poor outcomes in the modified Rankin scale. A strong correlation was found between the QoL index at the CAVIDACE scale and the SF-36 subscales “physical functioning” and “role physic. n: Most patients and caregivers reported acceptable QoL after DC due to a life-threatening disease. A significant reduction in SF- 36 subscales scores “role limitation due to physical problems” and “role limitation due to emotional problems” was referred by patients. According to caregivers’ QoL perception, only 25% of the survey’s participants showed low scores in the QoL index of the CAVIDACE scale. Only 26.7% of the patients showed mood disordFrontiers MediaDepartamento de CirugíaFacultad de Medicina20232023-07-26research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/709020https://dx.doi.org/10.3389/fneur.2023.1222080reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/7090202026-06-23T12:46:27Z |
| dc.title.none.fl_str_mv |
Long-term quality of life after decompressive craniectomy |
| title |
Long-term quality of life after decompressive craniectomy |
| spellingShingle |
Long-term quality of life after decompressive craniectomy Buffagni, Daniel brain injuries traumatic decompressive craniectomy intracranial hypertension morbidity quality of life Medicina |
| title_short |
Long-term quality of life after decompressive craniectomy |
| title_full |
Long-term quality of life after decompressive craniectomy |
| title_fullStr |
Long-term quality of life after decompressive craniectomy |
| title_full_unstemmed |
Long-term quality of life after decompressive craniectomy |
| title_sort |
Long-term quality of life after decompressive craniectomy |
| dc.creator.none.fl_str_mv |
Buffagni, Daniel Zamarrón, Álvaro Melgosa, Isabel Gutiérrez González, Raquel |
| author |
Buffagni, Daniel |
| author_facet |
Buffagni, Daniel Zamarrón, Álvaro Melgosa, Isabel Gutiérrez González, Raquel |
| author_role |
author |
| author2 |
Zamarrón, Álvaro Melgosa, Isabel Gutiérrez González, Raquel |
| author2_role |
author author author |
| dc.contributor.none.fl_str_mv |
Departamento de Cirugía Facultad de Medicina |
| dc.subject.none.fl_str_mv |
brain injuries traumatic decompressive craniectomy intracranial hypertension morbidity quality of life Medicina |
| topic |
brain injuries traumatic decompressive craniectomy intracranial hypertension morbidity quality of life Medicina |
| description |
This study aims to assess the quality of life (QoL) in patients who have undergone decompressive craniectomy (DC) for any pathology that has caused life-threatening intracranial hypertension. Similarly, it aims to evaluate QoL perceived by caregivers or external informants. In addition to that, the last purpose is to determine which clinical or therapeutic factors could correlate with a better. s: A single-center cross-sectional study was designed. All patients over 18 years old who underwent a supratentorial DC at our department due to intracranial hypertension of any etiology, from January 2015 to December 2021, were retrospectively selected. Patients with incomplete follow-up (under 1 year from the event or those who died) or who declined to participate in the study were excluded. QoL was assessed with SF-36 and CAVIDACE scales. The correlation between clinical and therapeutic variables and SF-36 subscales was studied with Spearman’s correlation and the Mann–Whitney U-t . s: A total of 55 consecutive patients were recruited: 22 patients had died, three were missed for follow-up, and 15 declined to participate, thus 15 subjects were finally included. The mean follow-up was 47 months (IQR 21.5–67.5). A significant reduction in the “role physical” and “role emotional” subscales of SF-36 was observed compared with the general population. According to caregivers, a significant reduction was assigned to the “physical wellbeing” and “rights” domains. The “physical functioning” score was poorer in women, older patients, those with dominant hemisphere disease, those who required tracheostomy, and those with poor outcomes in the modified Rankin scale. A strong correlation was found between the QoL index at the CAVIDACE scale and the SF-36 subscales “physical functioning” and “role physic. n: Most patients and caregivers reported acceptable QoL after DC due to a life-threatening disease. A significant reduction in SF- 36 subscales scores “role limitation due to physical problems” and “role limitation due to emotional problems” was referred by patients. According to caregivers’ QoL perception, only 25% of the survey’s participants showed low scores in the QoL index of the CAVIDACE scale. Only 26.7% of the patients showed mood disord |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023 2023-07-26 |
| dc.type.none.fl_str_mv |
research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10486/709020 https://dx.doi.org/10.3389/fneur.2023.1222080 |
| url |
http://hdl.handle.net/10486/709020 https://dx.doi.org/10.3389/fneur.2023.1222080 |
| dc.language.none.fl_str_mv |
Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
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Frontiers Media |
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Frontiers Media |
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reponame:Biblos-e Archivo. Repositorio Institucional de la UAM instname:Universidad Autónoma de Madrid |
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Universidad Autónoma de Madrid |
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Biblos-e Archivo. Repositorio Institucional de la UAM |
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