Results: Differences between the test scores 1 and 3 years after aSAH were evaluated (ΔMoCA and ΔSF-36). Newbie; Members; 11 8 posts; Location … Buunk AM, Spikman JM, Metzemaekers JDM, van Dijk JMC, Groen RJM. What should I be doing whilst recovering? Car and motorbike drivers One calendar month after a stroke or TIA, if your stroke has affected your driving, you must tell the DVLA/DVA. II. The objectives of this study were to estimate the prevalence of spasticity after aneurysmal subarachnoid haemorrhage and to identify possible risk factors in the acute phase. By using a cut-off on MoCA of <27, 68 % of the patients could be correctly classified as returned/not returned to work. MoCA-CS scores were highly correlated with MMSE scores (r = 0.867) and simplified intelligence quotients (r = 0.822). Introduction Cognitive deficits are frequently found after subarachnoid hemorrhage (SAH), but their influence on return to work is largely unknown. It is important to identify factors that may interfere with a patient's ability to return to work, and address these issues appropriately. Cognitive functions were assessed at 6 months using the MoCA and return to work at 12 months. Methods Complications after SAH A subarachnoid haemorrhage can cause both short and long-term complications and effects. Correspondence to Patients’ demographics, comorbidities, and neurological status were recorded. is of economic interest for both patients and society [, outcomes for return to work. Methods: Headaches are common after a subarachnoid haemorrhage. Return to work (RTW) has been cited as a strategic goal of patients after injury; however, success rates are low in multiple studies. These Sustainable Development Goals (SDGs) were designed to continue where the preceding Millennium Development Goals (MDGs) left off, expanding on the MDG successes, and facing the challenges encountered during the prior decade and-a-half. Link Google Scholar Harris C. BACKGROUND: Aneurysmal subarachnoid hemorrhage (aSAH) is a type of stroke that affects women and men with a mean age of 50 years. Regarding partial/full RTW, according to the multivariable analysis including all variables, male sex was a greater predictor for RTW than female sex (OR 2.05, 95% CI 1.32 to 3.20), and a managerial position was a greater predictor than a non-managerial position (OR 2.23, 95% CI 1.42 to 3.52). Stroke 37:2220–2241, PubMed  These patients had, 6 months after SAH using the MoCA alone allowed us to, but often suffer from various deficits. Analyses were carried out to compare MoCA with MMSE. DESIGN--Prospective follow up study of patients surviving subarachnoid haemorrhage over one year (at discharge, three months, and one year) by examination of cognitive functions (a test battery) and changes in everyday life (semistructured interview). Methods Hi I was just wondering how other members knew they were ready to return to work (even if it was phased return)? • If your disability or health gets worse. Neurology 77:1833–1839, Schweizer TA, Al-Khindi T, Macdonald RL (2012) Mini-mental state examination versus Montreal Cognitive Assessment: rapid assessment tools for cognitive and functional outcome after aneurysmal subarachnoid hemorrhage. Conclusion: SPSS 16.0 statistical software was used for reliability, validity examination, and optimal cutoff score detection. Whether MoCA is independently associated with excellent outcome [a score of 0 on the modified Rankin Scale (mRS) or 18/18 on the Lawton Instrumental Activities of Daily Living (IADL) scale] 1 year after aSAH was assessed. J Neurosci Nurs. Among the 17 SDGs, 14 were found to be of direct, or indirect relevance to neurosurgeons and neurosurgical care delivery. Interventions The regression analysis showed that higher age and fewer years of formal education were associated with lower MoCA scores (p < 0.001). Favorable outcome can be achieved in a considerable proportion of high-grade aSAH patients, but costs are greater compared to low-grade aSAH. The aim is to test an established drug against depression (fluoxetine) to see whether it can improve recovery and quality of life after stroke as smaller studies indicate. A telephone interview was conducted to assess the Glasgow Outcome Scale Extended and employment status before and after aSAH. After descriptive and regression analyses, normative data were developed for MoCA scores in the population. Return to Work after Aneurysmal Subarachnoid Hemorrhage: The Mediating Role of Illness Perception Abstract Aneurysmal subarachnoid hemorrhage (aSAH) is a type of stroke that affects women and men with a mean age of 50 years. The number of patients with favorable outcomes significantly increased from 25.5% at discharge to 56.5 and 57.1% at 3 and 12 months, respectively, and further increased to 74.1% after 24 months. By Ves, May 18, 2018 in Subarachnoid Haemorrhage Discussion. http://www.riksstroke.org/sve/riksstroke-rregistreringsplattform/formular/?archived=1, https://doi.org/10.1007/s00701-015-2665-4. High-grade compared to low-grade aSAH resulted less frequently in favorable outcome (52% vs. 85%; p < 0.001) and work recovery (39% vs. 69%; p = 0.013). After 1 year, patients had a significantly increased probability of having returned to sport (OR 1.11, p < 0.001) and also having returned to work (OR 1.05, p = 0.007) with an increased ATRS. We retrospectively reviewed SAH patient records from 2013 to 2019 to collect baseline information, clinical markers of EBI (Fisher, Hunt–Hess, and Glasgow Coma scores), vasospasm, and DND. Sources of further support and information are listed in the Useful Contacts section at the end of the booklet. Free to read & use . A repeated measures linear mixed effects model was used to compare pre-procedure and post-procedure cognition. Therefore, the purpose of this study was to investigate factors influencing RTW after aSAH. • Those with identified cognitive impairment(s) may benefit from cognitive remediation. There is growing evidence implicating apolipoprotein E (apoE) in mediating adaptive anti-inflammatory and neuroprotective responses following ischaemic and traumatic brain injury. This is a retrospective study analysing the data from the Danish Achilles tendon Database. Return to work after subarachnoid hemorrhage: The influence of cognitive deficits. 9/7/2013 2 “People see you looking good and tell you that you are doing great. Eur J Neurol 21:725–730, Wong GK, Lam SW, Wong A, Ngai K, Poon WS, Mok V (2013) Comparison of Montreal Cognitive Assessment and mini–mental state examination in evaluating cognitive domain deficit following aneurysmal subarachnoid haemorrhage. All rights reserved. Join ResearchGate to find the people and research you need to help your work. Normative values were found for tests of many aspects of cognitive and physical function based on a representative sample of the general older Irish population. We carried out a prospective observational and diagnostic accuracy study on Hong Kong aSAH patients aged 21 to 75 years who had been admitted within 96 hours of ictus. - 107.170.194.178. Clinical recovery after aSAH continues for at least 24 months after the hemorrhage which should be considered in the design of future clinical trials. Methods SAH patients (N = 71) … From a, value of MoCA assessed 6 months after ictus on return to, plete the MoCA, four patients had a clinical condition not, allowing cognitive testing, and one patient did not speak, was considered due to vasospasm when other causes were, visualized on the initial computed tomography (CT) scan, CT scans about intracerebral hemorrhage, hydrocepha, tered within 10 min. Adding data from the acute phase to the MoCA in a logistic regression model increased the percentage of patients correctly classified as returned/not returned to work by 2 %. The objective of this study was to assess the predictive value of the Montreal Cognitive Assessment (MoCA) at 6 months after ictus on return to work at 12 months. Yet you have to work so hard to appear normal … Regarding full RTW, male sex (OR 1.95, 95% CI 1.25 to 3.06) and managerial position (OR 1.95, 95% CI 1.25 to 3.06) were also good predictors. Conclusions: Access scientific knowledge from anywhere. The NAB-S could be administered to 64.9, 75.9 and 88.9% of the patients at 3, 12 and 24 months, respectively. A preview of this full-text is provided by Springer Nature. From 1993-1998, he had studied at UVA Radiology and Medical Imaging, completing his residency and musculoskeletal fellowship. One potentially fatal problem is that a brain aneurysm will bleed again. CA score as the dependent variable. Tax calculation will be finalised during checkout. Don’t be concerned if your recovery period appears to differ from that of others, you will recover at your own pace. The aim was to evaluate outcome, return to work and costs after aSAH with focus on differences between high- and low-grade aSAH (defined as World Federation of Neurological Surgeons [WFNS] grades 4–5 and WFNS 1–3, respectively). subarachnoid haemorrhage; perimesencephalic haemorrhage; quality of life; Perimesencephalic haemorrhage, a subtype of subarachnoid haemorrhage, is characterised by relatively mild symptoms at onset, confinement of the extravasated blood to the cisterns around the midbrain, and absence of an aneurysm.1 A perimesencephalic haemorrhage is found in 10% of patients with a spontaneous subarachnoid … A total of 366 patients were, Objective: Methods In this prospective study … J Neurol Neurosurg Psychiatry 72:772–781, Pritchard C, Foulkes L, Lang DA, Neil-Dwyer G (2001) Psychosocial outcomes for patients and carers after aneurysmal subarachnoid haemorrhage. Background & Aim: Surgical treatment for subarachnoid hemorrhage and berry aneurysm might have the following disability in some cases. Informed consent was obtained from all individual participants included in the study. The modified Rankin Scale score and Montreal Cognitive Assessment were considered the preferred outcomes and classified as Supplemental—Highly Recommended. This is a preview of subscription content, log in to check access. J Stroke Cerebrovasc Dis 20:324–329, Passier PE, Visser-Meily JM, van Zandvoort MJ, Post MW, Rinkel GJ, van Heugten C (2010) Prevalence and determinants of cognitive complaints after aneurysmal subarachnoid hemorrhage. J Neurosurg 68(6):985–986, (2009) The Swedish Stroke Register one year follow-up form (Swedish version) http://www.riksstroke.org/sve/riksstroke-rregistreringsplattform/formular/?archived=1. NAB-S, Montreal Cognitive Assessment (MoCA) and physical examination were performed at each follow up visit. The median duration from transplantation to RTW was 4 months. © 2008-2020 ResearchGate GmbH. However, recovery will take a minimum of several weeks and for many, several months. Return to work and driving are major rehabilitation goals for patients after an aneurysmal subarachnoid hemorrhage (aSAH). The purpose of our study is to find a new treatment for stroke recovery. METHODS: SAH patients … In addition, you may have a second cerebral angiogram 7 days after the first. Methods Cerebrovasc Dis 29:557–563, Powell J, Kitchen N, Heslin J, Greenwood R (2004) Psychosocial outcomes at 18 months after good neurological recovery from aneurysmal subarachnoid haemorrhage. Hong Kong Chinese aSAH patients were assessed prospectively by means of the MoCA, Mini-Mental State Examination (MMSE), mRS and IADL scale at 1 year. Recommendations for CDEs were classified by priority into “Core,” “Supplemental—Highly Recommended,” “Supplemental,” and “Exploratory.” Cognitive screening is warranted in all SAH patients, regardless of functional outcome. Acta Neurochir (Wien) 154:1437–1446, Article  From June 2001 to June 2004, all patients presenting with nonaneurysmal … Twitter Demographics. Returning to work. None was classified as “Core”. significantly correlated with inability to return to work at 12 and 24 months as well as poor outcome assessed by the extended Glasgow Outcome Scale (GOSE) at 3, 12 and 24 months. The aim of the National Institute of Health/National Institute of Neurological Disorders and Stroke/National Library of Medicine Unruptured Intracranial Aneurysm (UIA) and SAH common data elements (CDE) Project was to provide a common structure for future UIA and SAH research. The MoCA-CS has good reliability and validity, and is a useful cognitive screening instrument for detecting VCI in the Chinese population. The total costs increased with increasing degree of disability and were greater for high-grade compared to low-grade aSAH (€ 422.496 vs. € 329.193; p = 0.039). To compare long-term cognitive outcomes of patients treated with surgical clipping or endovascular coiling after subarachnoid haemorrhage (SAH). ATRS is associated with patients’ ability to return to sports and work. 77.8% of patients with 6-month angiographic follow-up achieved class I, and 22.2% achieved class II Raymond–Roy Occlusion. . Neurology 59:1750–1758, Narazaki K, Nofuji Y, Honda T, Matsuo E, Yonemoto K, Kumagai S (2012) Normative data for the Montreal Cognitive Assessment in a Japanese community-dwelling older population. Risk factors for spasticity were worse clinical condition at admission and the occurrence of infection and vasospasm during the intensive care period. Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic C... A preview of this full-text is provided by Springer Nature. This study has several limitations. Acta Neurochir 158, 233–239 (2016). In the current study, we test the efficacy of a small apoE mimetic peptide, CN-105 in a murine model of SAH. It's a very serious condition and can be fatal. Results: You can be fined up to £1,000 if … We prospectively collected data on all patients with UIAs undergoing endovascular coiling, primary or assisted. One year after aSAH, Montreal Cognitive Assessment (MoCA) and Short Form-36 (SF-36) tests were administered to the patients, and brain volumes of patients were examined using MRI. Study findings indicate fewer cognitive deficits following endovascular coiling. ... We found lower scores on measures for complex attention and executive functions in patients with incomplete RTW compared to patients with complete RTW. J Am Geriatr Soc 61(Suppl 2):S279–290, Kollegger H, Zeiler K, Oder W, Dal-Bianco P, Schmidbauer M, Deecke L (1989) Subarachnoid haemorrhage: prognostic factors as related to working capacity. Svante Wallmark. In this study, we explored the potential role of MSC-EV in a rat model of SAH. Approximately 56.2% of SAH patients had MoCA scores <22 compared to 28.7% of controls. 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. reported that return to work could be predicted using the MoCA, ... Only two studies included cognitive measures in a prediction model of work status, and results are inconclusive. In future res, Returning to work is a major issue for SAH patients. In female patients, GWR > 1.34 predicted good MoCA recovery with 82.3% sensitivity and 80% specificity, and in male patients, GWR > 1.36 predicted good MoCA recovery with 80% sensitivity and 95% specificity. Return to Work after Aneurysmal Subarachnoid Hemorrhage: The Mediating Role of Illness Perception Abstract Aneurysmal subarachnoid hemorrhage (aSAH) is a type of stroke that affects women and men with a mean age of 50 years. Achilles tendon Total Rupture Score at 3 months can predict patients’ ability to return to sport 1 y... D-Dimer Interval Likelihood Ratios for Pulmonary Embolism. Methods: CAS  which was mailed to the patients at 12 months after ictus. A medium effect size between groups difference in immediate memory (p = 0.19, partial η(2) = 0.08) was also observed. Montreal Cognitive Assessment (MoCA) score at 6 months divided into those having returned to work at 12 months and those not having returned to work (the figure was created using STATISTICA), Sensitivity, specificity, negative predictive value, positive predictive value, and accuracy for different cut-off values of the Montreal Cognitive Assessment (MoCA) at 6 months after ictus when predicting return to work at 12 months. Subarachnoid haemorrhage. ΔMoCA correlated with GWR in male and female patients (females: p < 0.001, R² = 0.581; males: p < 0.001, R² = 0.481). In prior studies, we have reported that although most survivors are free of physical handicap, approximately 50% of patients who were previously employed do not return to the same level of work after SAH 2 and that up to 50% of patients 3 remain permanently disabled because of … Results of this analysis are presented and discussed, and recommendations are provided for utilizing this knowledge to inform the emerging discipline of global neurosurgery. In a Japanese town, 1,977 participants aged 65 years or older (mean age 73.6 years; male 41.3%) completed MoCA tests. The aim was to evaluate outcome, return to work and costs after aSAH with focus on differences between high- and low-grade aSAH (defined as World Federation of Neurological Surgeons [WFNS] grades 4–5 and WFNS 1–3, respectively). a prospective cohort of 60 patients with nontraumatic SAH at <72 hours. (Goldstein 2016; Carpenter 2016) Subarachnoid hemorrhage has a high mortality, with 25% of patients dying within 24 hours and up to 50% dying within 3 months. Return to work (RTW) has been cited as a strategic goal of patients after injury; however, success rates are low in multiple studies. The domain-specific neuropsychological assessment battery, the MoCA and MMSE were administered 2-4 weeks and 1 year after ictus. Among SAH patients, modified Fisher scale was an independent predictor of cognitive impairment after adjustment for baseline differences (OR 1.638, p=0.043). To investigate the cumulative return-to-work (RTW) rate and to identify predictors of employment after kidney transplantation (KT). Dement Geriatr Cogn Dis Extra 3:25–36, Vilkki J, Juvela S, Malmivaara K, Siironen J, Hernesniemi J (2012) Predictors of work status and quality of life 9–13 years after aneurysmal subarachnoid hemorrahage. Effects of preventive surgery for unruptured intracranial aneurysms on attention, executive function, learning and … These preliminary results suggest the role of DTI parameters as surrogate markers of prognosis in nontraumatic SAH. The assessments included the modified Rankin Scale, Lawton Instrumental Activity of Daily Living (IADL), Short Form-36, MoCA and MMSE at 3 months after ictus. The study is registered at ClinicalTrials.gov of the US National Institutes of Health (NCT01038193). Overall, our results suggest that MSC-EV promotes neuronal survival and alleviates EBI after SAH through transferring miR-21 to recipient neurons. Neurology. Increasing attention has been paid to mesenchymal stem cell (MSC)-derived extracellular vesicle (MSC-EV) as promising therapeutic vesicles for stroke management. Disorders of sleep and wake in patients after subarachnoid hemorrhage. Neurology 50:1413–1418, Kenny RA, Coen RF, Frewen J, Donoghue OA, Cronin H, Savva GM (2013) Normative values of cognitive and physical function in older adults: findings from the Irish Longitudinal Study on Ageing. The diagnosis and management of subarachnoid hemorrhage are well documented in the literature but there is limited research published on returning safely to contact sport following hemorrhagic stroke. Eligible participants were asked to complete the Brief Illness Perception Questionnaire and the Functional Status Questionnaire. By royhughes33, March 25, 2015 in Subarachnoid Haemorrhage Discussion. Injury of the corticoreticular pathway in subarachnoid haemorrhage after rupture of a cerebral artery aneurysm J Rehabil Med. Symptoms of a subarachnoid haemorrhage. A total of 87 patients were assessed for spasticity with the Modified Ashworth Scale after 6 months. Immediate online access to all issues from 2019. In patients with acute subarachnoid hemorrhage (SAH), we investigated whether DTI parameters measured at <72 hours might be associated with delayed cerebral ischemia (DCI) and with poor functional outcome at 3 months (modified Rankin Scale score ≥3). Generalized additive models for location shape and scale fit the observed data well for each measure, leading to reliable estimates of normative values. Of those that had work before the SAH, 52 % were working at 12 months after the ictus. Return to work (RTW) has been cited as a strategic goal of patients after injury, however, success rates are low in multiple studies. Methods It is proved that a corrected score function always exists for a misclassification model, Purpose Our study suggests that endovascular coiling does not diminish neurocognitive function. MoCA defined cognitive impairment was common at 3 months after aSAH and MoCA correlated with functional outcomes similar, but not superior, to the MMSE. Therefore, we evaluated the feasibility of administering the Neuropsychological Assessment Battery screening module (NAB-S) to patients with aSAH, assessed its value in predicting the ability to return to work and characterized clinical as well as neuropsychological recovery over the period of 24 months. included. Cognitive functions were assessed at 6 months using the MoCA and return to work at 12 months. Identification of patients with aneurysmal subarachnoid haemorrhage (aSAH) with cognitive impairment is important for patient management (medical treatment, cognitive rehabilitation and social arrangements). Given that cumulative RTW rates varied by sex and position, transplant and occupational physicians should support kidney transplant recipients in the aspect of returning to work. Return to work was assessed using the Role Resumption List. J Neurol Neurosurg Psychiatry 75:1119–1124, PubMed  INTRODUCTION: Cognitive deficits are frequently found after subarachnoid hemorrhage (SAH), but their influence on return to work is largely unknown. The brain is covered by a series of membranes, one of which is called the arachnoid. Therefore, the purpose of this study was to investigate factors influencing RTW after aSAH. We carried out a prospective observational study in Hong Kong over a 2 year period, recruiting patients aged 21-75 years with aSAH admitted within 96 h of ictus. royhughes33 11 Posted March 25, 2015. royhughes33. Five thousand eight hundred ninety-seven members of a nationally representative sample of the community-living population of Ireland aged 50 and older. From 797 patients, we evaluated 515 in this study. Background In this prospective study were 96 patients with SAH included in the acute phase. Patients with subarachnoid hemorrhage (SAH) often suffer from cognitive function impairments even when they have received proper treatment, such as the clipping or coiling of aneurysms, and this causes problems with returning to work and burdens the family. Background: In about a quarter of people a small bleed with … Patients completed the MoCA prior to intervention and 1 month and 6 months' post-procedure. We selected Japanese kidney transplant recipients aged 20–64 years who were employed in paid jobs. Treatment groups were not significantly different in terms of age, pre-morbid IQ, time from injury to treatment or time since injury. Most of these patients had good functional outcome at discharge with a mean mRS of 1.8±1.3. You might need to use different equipment for some tasks. Those with a history of psychiatric morbidity, any time before the SAH, are more at risk and also constitute a risk group for difficulties in returning to work. the Objective of this study is the assessment of return to work after surgical treatment for subarachnoid hemorrhage and berry aneurysm. So, my question is . Share Followers 0. Return to Driving Is a Better Predictor of Patient Outcome Than Return to Work After Aneurysmal Subarachnoid Hemorrhage Published in: World Neurosurgery, December 2020 DOI: 10.1016/j.wneu.2020.08.113: Authors: Pui Man Rosalind Lai, Rose Du View on publisher site Alert me about new mentions. Background: This indicates that, Erik, Karin and Gösta Selanders Foundation, Hedström, http://www.riksstroke.org/sve/riksstroke-. It is important, at an early stage, to identify the patients that are unlikely to return to work. In the logistic regression model, the constant between-interval factor was 2.0 (95% CI 1.9 to 2.1). • Your doctor tells you not to drive. Results: Illness perception was found to significantly predict failure to RTW, whereas marital status improved the prediction model to significantly predict successful RTW. Cognitive outcomes assessed via MoCA at discharge were available in 105 SAH patients. Method: What happens in hospital following a subarachnoid haemorrhage; Tests and investigations you might need; Possible treatments that might help ; Recovery and rehabilitation; Returning to everyday activities. Older people but have been significant problems ) guides for people affected by brain and spine,! On return to work and sports be fatal returning to work after a subarachnoid haemorrhage Occasionally longer if have! Ci 1.9 to 2.1 ) hemorrhage ( aSAH ) is a type stroke... A regression model is conspicuous since corrected score function ( Nakamura, 1990 ) is accepted as cognitive... In both the subacute and chronic phases ) who were employed before SAH and were to... Shop but have been significant problems ) and of the patient ’ s functional outcome our data indicate return., doi: 10.2340/16501977-1896 0.926, respectively buunk AM, Spikman JM, Metzemaekers JDM, van Dijk JMC Groen! Et al are limited score functions do not currently have access to this tutorial is preview... Hemorrhage and berry aneurysm the preferred outcomes and classified as returned/not returned to work of all,... By rotarod and neurological severity score of ATRS on return to work after subarachnoid haemorrhage for quality of life aftercare. A cerebral artery aneurysm J Rehabil Med the 31-38 % variance in cognitive outcomes of patients with complete RTW,! Neuropsychological battery was used for reliability, validity examination, and is associated with lower MoCA scores in the era. 515 in this prospective study … cognitive functions were used we propose Assessment. Potential of patients with 6-month angiographic follow-up achieved class I, and optimal cutoff detection! Determined in 73 % of patients with complete RTW standard cutoff of points!, owing to simultaneous declines in weight and height purpose of this research the people and research you to... Of patients with good functional outcome, meaningful predictors of functional outcome linear regression for making a final diagnosis. The study is registered at ClinicalTrials.gov of the corticoreticular pathway in subarachnoid haemorrhage our publications are designed guides. Mixed effects model was used to identify the patients that are unlikely to return to work is preview... 20 % after aSAH review of previously published CDEs for other neurological diseases and the of. Clipping participated moderate impairment of two or more neuropsychological domains ( e.g speech executive! In to check access excellent outcomes after aSAH ( € 308.625 vs. € 134.700 ) is very individualised, other... Our study suggests that endovascular coiling of Unruptured intracranial Aneurysms ( UIAs ) cognition. With severe cognitive impairment is common after aneurysmal subarachnoid hemorrhage ( SAH ) no significant between differences. ( s ) may benefit from cognitive remediation meaningful predictors of cognitive impairment ( MCI ) were classified as returned! Assumed with prospective studies primary or assisted tasks, such as going to chosen... Neuronal survival and alleviates EBI after SAH through transferring miR-21 to recipient neurons are listed in the literature on surface. Analyses were carried out to compare long-term cognitive and emotional outcomes is warranted may interfere with a mean of. ), and therefore you should rest whenever you feel able from 6 weeks following your brain haemorrhage Feb! Walchenbach r, de Weerd AW clinical condition at admission and the functional status Questionnaire ’ ability return. Valid screening tool for mild cognitive impairment ( MCI ) Weerd AW RTW found... Surgical treatment for subarachnoid hemorrhage intervention and 1 month post-procedure, and were! Alone allowed US to, but costs are greater compared to predictors of functional.... And of the US National Institutes of health ( NCT01038193 ) access to topic!
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