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

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

Abstract:

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.

Source: Scopus

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

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

Abstract:

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.

Source: PubMed

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

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

Source: Web of Science (Lite)

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

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

Journal: Surgical Neurology

Volume: 62

Pages: 7-16

ISSN: 0090-3019

DOI: 10.1016/j.surneu.2004.01.018

Abstract:

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.

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Source: Manual

Preferred by: Colin Pritchard

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

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

DOI: 10.1016/j.surneu.2004.01.018

Abstract:

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.

Source: Europe PubMed Central