FUNCTIONAL OUTCOME OF PATIENTS WITH NON-TRAUMATIC ANEURYSMAL SUBARACHNOID HEMORRHAGE

Abstract

Objective: To describe the functional outcome of patients undergoing surgical treatment of intracranial aneurysm clipping admitted to the University of Campinas (Unicamp) hospital. Material and methods: Hunt-Hess and Fisher evaluation was performed with patients at admission. The Functional Independence Measure (FIM) test was performed post-operatively and at discharge, and the Glasgow Outcome Scale (GOS) assessment was carried out at patient discharge. Data on the length of hospital stay as well as affected arteries were obtained. Physical therapy, based on conventional kinesiotherapy, was performed twice a day. Results: A total of 13 patients were studied, with a prevalence of aneurysms in the middle cerebral artery (53.85%). The average age was 51.62 (±13.04) years, and the change in FIM between admission and discharge averaged 34.85 (± 20.85) points (p <0.001). Comparison of FIM with the Hunt-Hess, Fisher and GOS scales demonstrated no significant correlations. Conclusion: ASH is a serious event that results in cognitive and motor impairment of the patient. FIM could be an important predictive tool for monitoring in-hospital neurorehabilitation in the subacute phase of non-traumatic aneurysm. DESCRIPTORS Intracranial Aneurysm. Subarachnoid Hemorrhage. Physical Therapy Specialty. Rehabilitation.