Abstract
Dysfunctional psychosocial stress often follows standard treatment for aneurysmal subarachnoid hemorrhage (ASAH). An enhanced Specialist Liaison Nurse (SLN) service sought to reduce this stress in a 2-year comparative prospective study, and was designed to determine if such a service would be cost-effective? Clinical data based on consultant notes, included Glasgow Coma Scale (GCS) and high-risk bleed score. Psychosocial outcomes used a standardized patient/carer designed questionnaire to compare outcomes of the SLN cohort (n = 184) with retrospective 18/12 control ASAH cohort (n = 142). Costs-benefits analysis identified savings in reduced need for subsequent medical care, time-off-work, and contributions to the economy. The cohorts were socio-clinically well matched; 54% aged less than 55 years, 83% were middle-class and 32% had children still in school; 65% of SLN patients had high risk bleeds, and 81% were Grade 1 and 2 on the G.C.S. The SLN patients and carers had statistically significantly reduced psychosocial trauma compared to controls, with early and easy accessibility being the key to success of SLN. Net savings of $280,000 per annum at 2003 prices, from reduced time-off work, re-admissions and saved medical time. Pr...Continue Reading
References
Mar 1, 1989·Neurosurgery·P McKennaG Neil-Dwyer
Jan 1, 1993·Acta neurochirurgica·C J GerberP W Smith
Nov 1, 1996·Science·C J Murray, A D Lopez
May 3, 1997·Lancet·C J Murray, A D Lopez
Apr 29, 1998·Stroke; a Journal of Cerebral Circulation·J W HopJ van Gijn
Oct 24, 1998·The British Journal of Clinical Psychology·E Berry
Dec 18, 1998·Acta neurochirurgica·G Neil-DwyerF Iannotti
Mar 14, 2000·Archives of Neurology·M MenkenJ F Toole
May 19, 2000·Clinical Neurology and Neurosurgery·O AlbertiH Bertalanffy
Aug 10, 2000·Acta neurochirurgica·E FertlE Auff
May 17, 2001·Disability and Rehabilitation·D J Hellawell, B Pentland
Jun 27, 2001·Neurology·M HadjivassiliouH J Sagar
Jan 30, 2002·British Journal of Neurosurgery·C PritchardG Neil-Dwyer
Feb 28, 2002·Journal of Neurology, Neurosurgery, and Psychiatry·B M Saciri, N Kos
May 23, 2002·Journal of Neurology, Neurosurgery, and Psychiatry·J PowellR Greenwood
Jun 18, 2002·Acta Neurologica Scandinavica·M RödholmC von Essen
Jul 18, 2002·Brain Injury : [BI]·E C Yap, K S G Chua
Nov 5, 2002·Lancet·Andrew MolyneuxUNKNOWN International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group
Nov 21, 2002·Journal of Rehabilitation Medicine·Elisabeth Svensson, Jan-Erik Starmark
Jul 1, 2004·Surgical Neurology·Colin PritchardGlenn Neil-Dwyer
Oct 31, 2009·Stroke; a Journal of Cerebral Circulation·Mervyn D I VergouwenYvo B W E M Roos
Citations
Nov 28, 2008·Journal of Neurosurgery·Adam J Noble, Thomas Schenk
Jul 24, 2013·Journal of Neurosurgery·Judith CoveyThomas Schenk
Apr 21, 2010·Neurosurgery·Edward W SwansonPeter D Le Roux
Jan 1, 2010·Neurosurgery·Joshua LevinePeter Le Roux
Jan 11, 2019·Neurology·Victoria SaigleShane W English
May 14, 2010·The Cochrane Database of Systematic Reviews·Graham EllisSimon Winner
Aug 3, 2021·PloS One·Keng Siang LeeBenjamin Davies