Comparison of cohorts of elective and emergency neurosurgical patients: Psychosocial outcomes of acoustic neuroma and aneurysmal sub arachnoid hemorrhage patients and carers

This source preferred by Colin Pritchard

Authors: Pritchard, C., Clapham, L., Foulkes, L.M., Lang, D.A. and Neil-Dwyer, G.

http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6TCB-4CR09VK-8-1&_cdi=5166&_user=1682380&_orig=search&_coverDate=07%2F31%2F2004&_sk=999379998&view=c&wchp=dGLzVlz-zSkzk&md5=34d0d0e6a5ceb036d0011b7ceb2f2257&ie=/sdarticle.pdf

Journal: Surgical Neurology

Volume: 62

Pages: 7-16

ISSN: 0090-3019

DOI: 10.1016/j.surneu.2004.01.018

OBJECTIVES To compare the psychosocial outcomes of cohorts of elective [Acoustic Neuroma (AN)] and emergency [Aneurysmal Sub Arachnoid Hemorrhage (ASAH)] Neurosurgical patients and carers.

METHODS The standardized Wessex Patient Carer Questionnaire was designed with patients and carers and provided psychosocial and economic outcome data following elective or emergency surgery. Clinical data on size of tumor and size of bleed, respectively, were extracted from Consultant notes.

RESULTS Both cohorts were generally satisfied with neurosurgical in-patient care but both suffered high-economic costs and were predominately very dissatisfied with community care. There were significant psychosocial differences between elective and emergency patients, and despite greater relative physical disability among elective patients, it was the emergency cohort who had worse psychosocial outcomes.

CONCLUSIONS Despite many common psychosocial features, the differences between the cohorts were mainly psychological rather than physiological, because of greater ‘posttraumatic- stress-reaction’ in the emergency cohort, indicating the need for appropriate psychosocial care immediately after neurosurgery to reduce unnecessary distress and costs to patients, carers, and community.

This data was imported from PubMed:

Authors: Pritchard, C., Clapham, L., Foulkes, L., Lang, D.A. and Neil-Dwyer, G.

Journal: Surg Neurol

Volume: 62

Issue: 1

Pages: 7-16

ISSN: 0090-3019

DOI: 10.1016/j.surneu.2004.01.018

OBJECTIVES: To compare the psychosocial outcomes of cohorts of elective [Acoustic Neuroma (AN)] and emergency [Aneu-rysmal Sub Arachnoid Hemorrhage (ASAH)] Neurosurgical patients and carers. METHODS: The standardized Wessex Patient Carer Questionnaire was designed with patients and carers and provided psychosocial and economic outcome data following elective or emergency surgery. Clinical data on size of tumor and size of bleed, respectively, were extracted from Consultant notes. RESULTS: Both cohorts were generally satisfied with neurosurgical in-patient care but both suffered high-economic costs and were predominately very dissatisfied with community care. There were significant psychosocial differences between elective and emergency patients, and despite greater relative physical disability among elective patients, it was the emergency cohort who had worse psychosocial outcomes. CONCLUSIONS: Despite many common psychosocial features, the differences between the cohorts were mainly psychological rather than physiological, because of greater 'post-traumatic-stress-reaction' in the emergency cohort, indicating the need for appropriate psychosocial care immediately after neurosurgery to reduce unnecessary distress and costs to patients, carers, and community.

This data was imported from Scopus:

Authors: Pritchard, C., Clapham, L., Foulkes, L., Lang, D.A. and Neil-Dwyer, G.

Journal: Surgical Neurology

Volume: 62

Issue: 1

Pages: 7-16

ISSN: 0090-3019

DOI: 10.1016/j.surneu.2004.01.018

Objectives To compare the psychosocial outcomes of cohorts of elective [Acoustic Neuroma (AN)] and emergency [Aneu-rysmal Sub Arachnoid Hemorrhage (ASAH)] Neurosurgical patients and carers. Methods The standardized Wessex Patient Carer Questionnaire was designed with patients and carers and provided psychosocial and economic outcome data following elective or emergency surgery. Clinical data on size of tumor and size of bleed, respectively, were extracted from Consultant notes. Results Both cohorts were generally satisfied with neurosurgical in-patient care but both suffered high-economic costs and were predominately very dissatisfied with community care. There were significant psychosocial differences between elective and emergency patients, and despite greater relative physical disability among elective patients, it was the emergency cohort who had worse psychosocial outcomes. Conclusions Despite many common psychosocial features, the differences between the cohorts were mainly psychological rather than physiological, because of greater 'post-traumatic- stress-reaction' in the emergency cohort, indicating the need for appropriate psychosocial care immediately after neurosurgery to reduce unnecessary distress and costs to patients, carers, and community. © 2004 Elsevier Inc. All rights reserved.

This data was imported from Web of Science (Lite):

Authors: Pritchard, C., Clapham, L., Foulkes, L., Lang, D.A. and Neil-Dwyer, G.

Journal: SURGICAL NEUROLOGY

Volume: 62

Issue: 1

Pages: 7-16

ISSN: 0090-3019

DOI: 10.1016/j.surneu.2004.01.018

This data was imported from Europe PubMed Central:

Authors: Pritchard, C., Clapham, L., Foulkes, L., Lang, D.A. and Neil-Dwyer, G.

Journal: Surgical neurology

Volume: 62

Issue: 1

Pages: 7-16

eISSN: 1879-3339

ISSN: 0090-3019

OBJECTIVES: To compare the psychosocial outcomes of cohorts of elective [Acoustic Neuroma (AN)] and emergency [Aneu-rysmal Sub Arachnoid Hemorrhage (ASAH)] Neurosurgical patients and carers. METHODS: The standardized Wessex Patient Carer Questionnaire was designed with patients and carers and provided psychosocial and economic outcome data following elective or emergency surgery. Clinical data on size of tumor and size of bleed, respectively, were extracted from Consultant notes. RESULTS: Both cohorts were generally satisfied with neurosurgical in-patient care but both suffered high-economic costs and were predominately very dissatisfied with community care. There were significant psychosocial differences between elective and emergency patients, and despite greater relative physical disability among elective patients, it was the emergency cohort who had worse psychosocial outcomes. CONCLUSIONS: Despite many common psychosocial features, the differences between the cohorts were mainly psychological rather than physiological, because of greater 'post-traumatic-stress-reaction' in the emergency cohort, indicating the need for appropriate psychosocial care immediately after neurosurgery to reduce unnecessary distress and costs to patients, carers, and community.

The data on this page was last updated at 04:54 on April 18, 2019.