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A Retrospective Cohort Study to Assess Patient and Physician Reported Outcome Measures After Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Stroke.

Budhdeo, S; Kolias, AG; Clark, DJ; Chari, A; Hutchinson, PJ; Warburton, EA (2017) A Retrospective Cohort Study to Assess Patient and Physician Reported Outcome Measures After Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Stroke. Cureus, 9 (5). e1237. ISSN 2168-8184 https://doi.org/10.7759/cureus.1237
SGUL Authors: Chari, Aswin

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Abstract

INTRODUCTION: Decompressive hemicraniectomy for malignant middle cerebral artery (MCA) infarction is known to reduce mortality. However, there are on-going concerns in terms of the quality of life in survivors. We aimed to examine the correlation between patient and physician reported outcome measures in decompressive hemicraniectomy. PATIENTS AND METHODS: We analyzed outcomes in 21 patients who underwent decompressive hemicraniectomy for malignant MCA infarction between September 2003 and August 2013 within a regional health system. Patient and physician reported outcome measures were collected at follow-up. These were Stroke Impact Scale (SIS) Version 3, modified Rankin Scale (mRS), National Hospital Seizure Severity Scale, Headache Impact Test and Patient Health Questionnaire for depression. RESULTS: There was a good correlation between physician and patient reported outcome measures. The Spearman's rank correlation coefficient between mRS and structured SIS Version 3 was -0.887 (p < 0.001); with unstructured SIS results, the correlation coefficient was -0.663 (p = 0.001). There was no statistically significant correlation between life worth and modified Rankin Scale: r = -0.3383 (p = 0.087). DISCUSSION: Our findings of a statistically significant correlation between mRS and SIS have not previously been reported in patients with this condition. These findings provide further information to inform patient and next of kin discussions regarding outcomes from decompressive hemicraniectomy in malignant MCA infarction.

Item Type: Article
Additional Information: © Copyright 2017 Budhdeo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords: cerebral infarction, decompressive hemicraniectomy, patient reported outcomes, stroke rehabilitation
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: Cureus
ISSN: 2168-8184
Language: eng
Dates:
DateEvent
10 May 2017Published
5 May 2017Accepted
Publisher License: Creative Commons: Attribution 3.0
PubMed ID: 28620567
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/108997
Publisher's version: https://doi.org/10.7759/cureus.1237

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