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World Neurosurg. 2013 Dec;80(6):853-8. doi: 10.1016/j.wneu.2012.08.021. Epub 2012 Sep 25.

Which clinical variable influences health-related quality of life the most after spontaneous subarachnoid hemorrhage? Hunt and Hess scale, Fisher score, World Federation of Neurosurgeons score, Brussels coma score, and Glasgow coma score compared.

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  • 1Universitätsklinikum Ulm, Neurochirurgische Klinik, Ulm, Germany. Electronic address: Thomas.Kapapa@uniklinik-ulm.de.

Abstract

OBJECTIVE:

To determine the strength of the correlation between the Hunt and Hess scale, Fisher score, Brussels coma score, World Federation of Neurosurgeons score, and Glasgow coma score and health-related quality of life.

METHODS:

Evaluable questionnaires from 236 patients (5.6 years [± standard deviation, 2.854 years] on average after hemorrhage) were included in the analysis. Quality of life was documented using the MOS-36 item short form health survey. Because of the ordinal nature of the variables, Kendall tau was used for calculation. Significance was established as P ≤ 0.05.

RESULTS:

Weak and very weak correlations were found in general (r ≤ 0.28). The strongest correlations were found between the Glasgow coma score and quality of life (r = 0.236, P = 0.0001). In particular, the "best verbal response" achieved the strongest correlations in the comparison, at r = 0.28/P = 0.0001. The Fisher score showed very weak correlations (r = -0.148/P = 0.012). The Brussels coma score (r = -0.216/P = 0.0001), Hunt and Hess scale (r = -0.197/P = 0.0001), and the World Federation of Neurosurgeons score (r = -0.185/P = 0.0001) revealed stronger correlations, especially in terms of the physical aspects of quality of life.

CONCLUSIONS:

The Glasgow coma scale revealed the strongest, and the Fisher score showed the weakest correlations. Thus the Fisher score, as an indicator of the severity of a hemorrhage, has little significance in terms of health-related quality of life.

Copyright © 2013 Elsevier Inc. All rights reserved.

KEYWORDS:

BP; Bodily pain; Brussels coma score; Clinical factors; GH; General health; Glasgow coma score; Health-related quality of life; Hunt and Hess scale; MH; MOS-36 Item Short Form Health Survey; Mental health; PCS; PF; PHSS; PYSS; Physical component summary; Physical functioning; Physical sum score; Psychological sum score; RE; RP; Role emotional; Role physical; SF; SF36; Social functioning; Subarachnoid hemorrhage; VT; Vitality; WFNS score

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PMID:
23022643
[PubMed - indexed for MEDLINE]
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