• Akshay V Kulkarni, DeviBhagavatula IndiraBIDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India., Subhas K Konar, and Dhaval Shukla.
• Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
• Neurol India. 2021 Mar 1; 69 (2): 336-341.

BackgroundPatients with aneurysmal subarachnoid hemorrhage (SAH) have a low quality of life (QOL) despite diagnostic and therapeutic advancements. Less than half of the survivors can return to their previous jobs and have difficulty in being a functional part of society. Our study aimed to understand the overall outcome and QOL of these patients and to identify the predictive factors determining the same.MethodsThe clinical and radiological data were recorded at presentation, subsequent intervals at the hospital, and during discharge. Patients were interviewed telephonically or in the clinic subsequently at 3 months after treatment with following outcome assessment tools: Modified Rankin Scale (mRS), Barthel Index (BI), QOL after Brain Injury Overall Scale (QOLIBRI-OS), and Short Form 36 (SF 36) QOL scale.ResultsOut of the total patients (n = 143), 124 patients survived, of which 106 patients could be interviewed. The mRS, QOLIBRI-OS, BI, and SF36 had a good correlation with each other. Only 4.7% had moderate to severe disability on the mRS scale, and 2.8% had severe disability according to the Barthel index. Nearly one-third of patients had deteriorated QOL. The mental health domain was worst affected. The major determinant of QOL was GCS at presentation (mean P value 0.01), a course in the ward (0.0001), GCS at discharge (0.001).ConclusionThough fewer of the patients had a severe disability, a majority of them had deterioration in QOL.

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