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Return to work after subarachnoid hemorrhage: The influence of cognitive deficits
INTRODUCTION: Cognitive deficits are frequently found after subarachnoid hemorrhage (SAH), but their influence on return to work is largely unknown. To improve identification of those patients at-risk for long-term return to work problems, we aimed to examine the value of cognitive deficits in the p...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6688815/ https://www.ncbi.nlm.nih.gov/pubmed/31398223 http://dx.doi.org/10.1371/journal.pone.0220972 |
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author | Buunk, Anne M. Spikman, Jacoba M. Metzemaekers, Jan D. M. van Dijk, J. Marc C. Groen, Rob J. M. |
author_facet | Buunk, Anne M. Spikman, Jacoba M. Metzemaekers, Jan D. M. van Dijk, J. Marc C. Groen, Rob J. M. |
author_sort | Buunk, Anne M. |
collection | PubMed |
description | INTRODUCTION: Cognitive deficits are frequently found after subarachnoid hemorrhage (SAH), but their influence on return to work is largely unknown. To improve identification of those patients at-risk for long-term return to work problems, we aimed to examine the value of cognitive deficits in the prediction of long-term return to work after subarachnoid hemorrhage. METHODS: SAH patients (N = 71) who were employed before SAH and were able to undergo neuropsychological assessment, were included. Demographic characteristics and acute SAH-related variables (SAH-type and external cerebrospinal fluid drainage) were taken into account. Neuropsychological tests for memory, speed, attention, executive function, and emotion recognition and a questionnaire for executive functions were used. Return to work was assessed using the Role Resumption List. RESULTS: Results showed that patients with incomplete return to work had significantly lower scores on neuropsychological measures for complex attention and executive functions (p < 0.05) compared to patients with complete return to work. Return to work could not be significantly predicted using only demographic characteristics and acute SAH-related variables, but adding measures of complex attention and executive functions resulted in a prognostic model that could reliably distinguish between complete and incomplete return to work. Statistically significant predictors in the final model were cerebrospinal fluid drainage and scores on a questionnaire for executive functions: patients with cerebrospinal fluid drainage and higher scores on the a questionnaire for executive functions were less likely to return to work. DISCUSSION: Together, these findings show that neuropsychological measures, especially for complex attention and executive functions, have added value to acute SAH-related and demographic variables in the prediction of long-term return to work after SAH. |
format | Online Article Text |
id | pubmed-6688815 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-66888152019-08-15 Return to work after subarachnoid hemorrhage: The influence of cognitive deficits Buunk, Anne M. Spikman, Jacoba M. Metzemaekers, Jan D. M. van Dijk, J. Marc C. Groen, Rob J. M. PLoS One Research Article INTRODUCTION: Cognitive deficits are frequently found after subarachnoid hemorrhage (SAH), but their influence on return to work is largely unknown. To improve identification of those patients at-risk for long-term return to work problems, we aimed to examine the value of cognitive deficits in the prediction of long-term return to work after subarachnoid hemorrhage. METHODS: SAH patients (N = 71) who were employed before SAH and were able to undergo neuropsychological assessment, were included. Demographic characteristics and acute SAH-related variables (SAH-type and external cerebrospinal fluid drainage) were taken into account. Neuropsychological tests for memory, speed, attention, executive function, and emotion recognition and a questionnaire for executive functions were used. Return to work was assessed using the Role Resumption List. RESULTS: Results showed that patients with incomplete return to work had significantly lower scores on neuropsychological measures for complex attention and executive functions (p < 0.05) compared to patients with complete return to work. Return to work could not be significantly predicted using only demographic characteristics and acute SAH-related variables, but adding measures of complex attention and executive functions resulted in a prognostic model that could reliably distinguish between complete and incomplete return to work. Statistically significant predictors in the final model were cerebrospinal fluid drainage and scores on a questionnaire for executive functions: patients with cerebrospinal fluid drainage and higher scores on the a questionnaire for executive functions were less likely to return to work. DISCUSSION: Together, these findings show that neuropsychological measures, especially for complex attention and executive functions, have added value to acute SAH-related and demographic variables in the prediction of long-term return to work after SAH. Public Library of Science 2019-08-09 /pmc/articles/PMC6688815/ /pubmed/31398223 http://dx.doi.org/10.1371/journal.pone.0220972 Text en © 2019 Buunk et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Buunk, Anne M. Spikman, Jacoba M. Metzemaekers, Jan D. M. van Dijk, J. Marc C. Groen, Rob J. M. Return to work after subarachnoid hemorrhage: The influence of cognitive deficits |
title | Return to work after subarachnoid hemorrhage: The influence of cognitive deficits |
title_full | Return to work after subarachnoid hemorrhage: The influence of cognitive deficits |
title_fullStr | Return to work after subarachnoid hemorrhage: The influence of cognitive deficits |
title_full_unstemmed | Return to work after subarachnoid hemorrhage: The influence of cognitive deficits |
title_short | Return to work after subarachnoid hemorrhage: The influence of cognitive deficits |
title_sort | return to work after subarachnoid hemorrhage: the influence of cognitive deficits |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6688815/ https://www.ncbi.nlm.nih.gov/pubmed/31398223 http://dx.doi.org/10.1371/journal.pone.0220972 |
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