Self-assessment of quality of life in patients after suffering from aneurysmal subarachnoid hemorrhage, principal component analysis

Abstract

Abstract Quality of life (QoL) is one of the parameters that characterize the treatment success after aneurysmal subarachnoid hemorrhage, along with overall survival and independent living without the need for care. Thus, the main aim of this research was to evaluate the quality of life of patients after endovascular or microsurgical treatment of ruptured cerebral aneurysms. This study was performed at the Jena University Hospital in Germany. A total of 32 patients completed the German version of the WHO QoL Questionnaire during routine follow-up visits at our neurovascular outpatient clinic between January and September 2024. Analyses were stratified by the type of treatment. Patients who underwent endovascular treatment have better subjective reports of QoL in the psychological and environment domains, whereas those who underwent microsurgical clipping showed better outcomes in physical and social domains. Aneurysm location did not significantly impact QoL. To conclude, these findings suggest that different treatment modalities influence distinct aspects of QoL. Implementing treatment-tailored strategies, alongside comprehensive management of subarachnoid hemorrhage-related risks, may further enhance recovery and optimize functional outcomes.