Results, quality of life and return to work after microsurgical clipping of cerebral aneurysms in the acute stage of rupture in Hunt – Hess patients 3–5

M. I. Derkach; R. S. Dzhindzhikhadze; A. V. Polyakov; A. D. Zaitsev; Mirza-Akhmat U. Kasymov; V. A. Lazarev; A. I. Gvelesiani; V. S. Gadzhiagaev; G. Yu. Strakhov

doi:10.56618/2071-2693_2025_17_2_18

Results, quality of life and return to work after microsurgical clipping of cerebral aneurysms in the acute stage of rupture in Hunt – Hess patients 3–5

M. I. Derkach, R. S. Dzhindzhikhadze, A. V. Polyakov, A. D. Zaitsev, Mirza-Akhmat U. Kasymov, V. A. Lazarev, A. I. Gvelesiani, V. S. Gadzhiagaev, G. Yu. Strakhov

https://doi.org/10.56618/2071-2693_2025_17_2_18

EDN: YNIWPD

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Abstract

AIM. Assessment of immediate and long-term results, quality of life and return to work after microsurgical treatment of ruptured cerebral aneurysms in patients using the Hunt – Hess 3–5 scale. MATERIALS AND METHODS. The study included 455 patients with aneurysmal hemorrhage (AH) in the acute period after microsurgical clipping, who were treated at the Vladimirsky Moscow Regional Research Clinical Institute from 2019 to 2022. The condition was assessed using the Hunt – Hess scale; the study included patients with a severity of the Hunt – Hess condition of 3–5. An assessment was made of the prevalence of hemorrhage and the prognosis of the development of angiospasm according to the Fisher scale. RESULTS. Assessment of the clinical condition of patients and functional outcomes was carried out immediately after surgery and after 1, 3, 6 and 12 months. We used the Modified Glasgow Outcome Scale, the Modified Rankin Scale, the EQ-5D-3L Quality of Life Inventory, the MMSE Mini-Mental Status Scale, and the Hamilton Anxiety Scale. CONCLUSION. The patient’s age, the severity of the condition according to the Hunt – Hess grade, and functional impairments in the delayed period are the most significant factors in the return of patients to their previous working capacity. According to the results of our work, 50.3 % of patients returned to their previous working conditions on a full working day. In our opinion, the analysis of functional outcomes should be the basis for creating a functional scale for assessing functional outcomes and return to work, which determines the relevance of further research on this problem.

Keywords

subarachnoid hemorrhage, aneurysm rupture, microsurgical clipping, working capacity

About the Authors

M. I. Derkach

Vladimirsky Moscow Regional Research Clinical Institute; Russian Medical Academy for Continuous Professional Education; Pirogov Russian National Research Medical University
Russian Federation

Mariia I. Derkach – Postgraduate Student at the Department of Neurosurgery; Neurosurgeon; Senior Lecturer

R. S. Dzhindzhikhadze

Vladimirsky Moscow Regional Research Clinical Institute; Russian Medical Academy for Continuous Professional Education
Russian Federation

Revaz S. Dzhindzhikhadze – Dr. of Sci. (Med.), Head at the Department of Neurosurgery, Head at the Neurosurgery Course, Professor at the Department of Neurosurgery

A. V. Polyakov