Article

OBJECTIVE: To assess long-term unmet needs in relation to community integration
and employment status 4 years after subarachnoid haemorrhage. DESIGN: Four-year
follow-up of a prospective cohort. PATIENTS:
Sixty-seven patients with
subarachnoid haemorrhage. METHODS: Employment status was assessed and the
Community Integration Questionnaire-Revised and Southampton Needs Assessment
Questionnaire were used. RESULTS: The mean age of subarachnoid haemorrhage onset
was 52.5 years (standard deviation (SD) 10.7 years) and 39% of subjects were
male. Four years after subarachnoid haemorrhage, 23.9% of subjects had symptoms
of depression, 43.3% had mild cognitive impairment, 67.2% were unemployed and
67.2% had one or more unmet needs. Most subjects reported a need for information
(59.7%). Unemployed patients had more unmet needs than employed patients (p =
0.034), but no independent relationship was found. The community integration
score was moderate (mean 15.1; SD 4.4). A higher level of unmet needs was
independently related to a lower level of community integration (B = -0.25; p =
0.018), adjusted for age and comorbidity. CONCLUSION: A large proportion of
patients have unmet needs and are unemployed 4 years after subarachnoid
haemorrhage. There is an inverse relationship between unmet needs and community
integration. Future research should investigate whether dealing with information
needs during rehabilitation contributes to better community integration in these
patients.

Langue : ANGLAIS