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Health-related quality of life outcomes and influencing factors in patients with unruptured intracranial aneurysms after endovascular treatment.

التفاصيل البيبلوغرافية
العنوان: Health-related quality of life outcomes and influencing factors in patients with unruptured intracranial aneurysms after endovascular treatment.
المؤلفون: Zhai XD; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., Ma YJ; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., Yu JX; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., Wang CX; Department of Evidence-Based Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China., Geng JW; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., Xiang SS; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., Wang J; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., Guan X; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., Li GL; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., He C; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., Hu P; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China.; China International Neuroscience Institute (China-INI), Beijing, China., Zhang HQ; Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, China. xwzhanghq@163.com.; China International Neuroscience Institute (China-INI), Beijing, China. xwzhanghq@163.com.
المصدر: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2021 Oct; Vol. 30 (10), pp. 2843-2852. Date of Electronic Publication: 2021 Jun 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Netherlands Country of Publication: Netherlands NLM ID: 9210257 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2649 (Electronic) Linking ISSN: 09629343 NLM ISO Abbreviation: Qual Life Res Subsets: MEDLINE
أسماء مطبوعة: Publication: 2005- : Netherlands : Springer Netherlands
Original Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-
مواضيع طبية MeSH: Endovascular Procedures* , Intracranial Aneurysm*/surgery, Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Quality of Life/psychology ; Risk Factors ; Treatment Outcome
مستخلص: Background: Health-related quality of life (HRQoL) is an important indicator when evaluating prognosis and disease-related treatments. Our current knowledge of the HRQoL outcomes of unruptured intracranial aneurysm (UIA) patients treated by the endovascular intervention appeared to be very limited. To fill this gap, the present study investigated the HRQoL outcomes and identified the influencing factors in UIA patients treated by endovascular intervention.
Methods: We conducted a single-center cross-sectional study on patients who underwent endovascular treatment for UIAs. HRQoL outcomes were assessed by the 36-item Short Form Health Survey (SF-36). The SF-36 results of the Chinese reference population were used as the reference data. The independent variables with a univariate analysis result of P < 0.05 were included in the multivariate analysis. Finally, multivariable linear regression analysis was performed to identify the factors influencing HRQoL. Bonferroni correction was utilized for multiple testing correction.
Results: A total of 200 patients (83 males and 117 females, mean age of 55.2 ± 9.48 years) with UIAs treated by endovascular intervention were enrolled. The scores of SF-36 in 8 domains for UIA patients treated by endovascular intervention did not all reach the average level of the Chinese reference population after an average recovery period of 30.67 ± 8.6 months. Ischemic cerebrovascular disease history, advanced age, and mRS progression at discharge were independent risk factors of HRQoL for UIA patients treated by endovascular intervention, but physical exercise at least once a week and daily sleep time no < 6 h were independent protective factors.
Conclusion: The HRQoL of UIA patients treated by the endovascular intervention was decreased to varying degrees compared with those of the Chinese reference population. The influencing factors of HRQoL explored by this study provide insights for improving the clinical management and daily lives of these patients. HRQoL assessment should be included in future aneurysm prognostic studies to provide better evidence.
(© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
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معلومات مُعتمدة: 2016YFC1300800 National Key R&D program of China; DFL20180801 Beijing Municipal Administration of Hospitals' Ascent Plan
فهرسة مساهمة: Keywords: Endovascular treatment; Health-related quality of life; Influencing factors; SF-36; Unruptured intracranial aneurysms
تواريخ الأحداث: Date Created: 20210621 Date Completed: 20211125 Latest Revision: 20211125
رمز التحديث: 20221213
DOI: 10.1007/s11136-021-02904-3
PMID: 34152576
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-2649
DOI:10.1007/s11136-021-02904-3