Journal of Korean Neurosurgical Society

  • 제52권3호
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  • Pages.179-186
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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The Quality of Life of Patients with Good Outcomes after Anterior Circulation Aneurysm Surgery Assessed by the World Health Organization Quality of Life Instrument-Korean Version

  • Jang, Kyung-Sool (Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Han, Young-Min (Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Jang, Dong-Kyu (Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Sang-Kyu (Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Young Sup (Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 투고 : 2012.04.28
  • 심사 : 2012.09.17
  • 발행 : 2012.09.28
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초록

Objective : Even in the patients with neurologically good outcome after intracranial aneurysm surgery, their perception of health is an important outcome issue. This study aimed to investigate the quality of life (QOL) and its predictors of patients who had a good outcome following anterior circulation aneurysm surgery as using the World Health Organization Quality of Life instrument-Korean version. Methods : We treated 280 patients with 290 intracranial aneurysms for 2 years. This questionnaire was taken and validated by 99 patients whose Glasgow Outcome Scale score was 4 and more and Global deterioration scale 3 and less at 6 months after the operation, and 85 normal persons. Each domain and facet was compared between the two groups, and a subgroup analysis was performed on the QOL values and hospital expenses of the aneurysm patients according to the type of craniotomy, approach, bleeding of the aneurysm and brain injury. Results : Aneurysm patients showed a lower quality of life compared with control patients in level of independence, psychological, environmental, and spiritual domains. In the environmental domain, there were significant intergroup differences according to the type of craniotomy and the surgical approach used on the patients (p<0.05). The hospital charges were also significantly different according to the type of craniotomy (p<0.05). Conclusion : Despite good neurological status, patients surgically treated for anterior circulation aneurysm have a low quality of life. The craniotomy size may affect the QOL of patients who underwent an anterior circulation aneurysm surgery and exhibited a good outcome.

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참고문헌

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피인용 문헌

  1. Factors Affecting Quality of Life in Patients with Unruptured Intracranial Aneurysm: A Systematic Review vol.27, pp.1, 2012, https://doi.org/10.7739/jkafn.2020.27.1.81
  2. MISIAN (Minimally Invasive Surgery for Treatment of Unruptured Intracranial Aneurysms): A Prospective Randomized Single-Center Clinical Trial With Long-Term Follow-Up Comparing Different Minimally Inv vol.151, pp.None, 2012, https://doi.org/10.1016/j.wneu.2021.04.079