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Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection
Short- to mid-term functional outcome in spontaneous cervical artery dissection is favorable, but the concomitant psychosocial impact is underreported. We aimed to determine these possible sequelae, with a special focus on sex differences, in our cohort of spontaneous cervical artery dissection subj...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8755839/ https://www.ncbi.nlm.nih.gov/pubmed/35022509 http://dx.doi.org/10.1038/s41598-021-04686-7 |
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author | Mayer-Suess, Lukas Geiger, Moritz Dejakum, Benjamin Boehme, Christian Domig, Lena M. Komarek, Silvia Toell, Thomas Kiechl, Stefan Knoflach, Michael |
author_facet | Mayer-Suess, Lukas Geiger, Moritz Dejakum, Benjamin Boehme, Christian Domig, Lena M. Komarek, Silvia Toell, Thomas Kiechl, Stefan Knoflach, Michael |
author_sort | Mayer-Suess, Lukas |
collection | PubMed |
description | Short- to mid-term functional outcome in spontaneous cervical artery dissection is favorable, but the concomitant psychosocial impact is underreported. We aimed to determine these possible sequelae, with a special focus on sex differences, in our cohort of spontaneous cervical artery dissection subjects. During a standardized prospective in-house follow-up visit we, among other values, evaluated functional outcome (modified Rankin Scale [mRS]), psychosocial measures (return to work-, divorce rate) and health-related quality of life (WHO-QoL-BREF and SF-36-questionnaires). 145 patients participated in the long-term prospective follow-up. Median follow-up time was 6.5 years and excellent functional outcome (mRS ≤ 1) was achieved in 89.0% subjects. 87.6% returned to work and 17.6% married patients had a divorce during follow-up. Even though relevant baseline-/discharge characteristics and functional outcome did not differ between the sexes, women were less likely to return to work compared to men (79.7% vs. 93.8%; P = 0.010) and divorce rate was considerably higher in women (30.2% vs. 9.2%; P = 0.022). Health related quality of life did not differ significantly between the sexes, but women consistently reported lower values. Even though functional outcome is beneficial in most patients, measures to prevent poor psychosocial outcome should be considered in the long-term care of patients with spontaneous cervical artery dissection, especially women. |
format | Online Article Text |
id | pubmed-8755839 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-87558392022-01-14 Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection Mayer-Suess, Lukas Geiger, Moritz Dejakum, Benjamin Boehme, Christian Domig, Lena M. Komarek, Silvia Toell, Thomas Kiechl, Stefan Knoflach, Michael Sci Rep Article Short- to mid-term functional outcome in spontaneous cervical artery dissection is favorable, but the concomitant psychosocial impact is underreported. We aimed to determine these possible sequelae, with a special focus on sex differences, in our cohort of spontaneous cervical artery dissection subjects. During a standardized prospective in-house follow-up visit we, among other values, evaluated functional outcome (modified Rankin Scale [mRS]), psychosocial measures (return to work-, divorce rate) and health-related quality of life (WHO-QoL-BREF and SF-36-questionnaires). 145 patients participated in the long-term prospective follow-up. Median follow-up time was 6.5 years and excellent functional outcome (mRS ≤ 1) was achieved in 89.0% subjects. 87.6% returned to work and 17.6% married patients had a divorce during follow-up. Even though relevant baseline-/discharge characteristics and functional outcome did not differ between the sexes, women were less likely to return to work compared to men (79.7% vs. 93.8%; P = 0.010) and divorce rate was considerably higher in women (30.2% vs. 9.2%; P = 0.022). Health related quality of life did not differ significantly between the sexes, but women consistently reported lower values. Even though functional outcome is beneficial in most patients, measures to prevent poor psychosocial outcome should be considered in the long-term care of patients with spontaneous cervical artery dissection, especially women. Nature Publishing Group UK 2022-01-12 /pmc/articles/PMC8755839/ /pubmed/35022509 http://dx.doi.org/10.1038/s41598-021-04686-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Mayer-Suess, Lukas Geiger, Moritz Dejakum, Benjamin Boehme, Christian Domig, Lena M. Komarek, Silvia Toell, Thomas Kiechl, Stefan Knoflach, Michael Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection |
title | Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection |
title_full | Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection |
title_fullStr | Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection |
title_full_unstemmed | Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection |
title_short | Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection |
title_sort | sex-differences in psychosocial sequelae after spontaneous cervical artery dissection |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8755839/ https://www.ncbi.nlm.nih.gov/pubmed/35022509 http://dx.doi.org/10.1038/s41598-021-04686-7 |
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