Hidden Impairments During Subarachnoid Haemorrhage Recovery, Description and Evolution of a Newly Described Syndrom

NCT ID: NCT06276517

Last Updated: 2024-02-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-03-31

Study Completion Date

2028-03-31

Brief Summary

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Descriptive observational study in patients with spontaneous subarachnoid hemorrhage or following aneurysmal rupture to assess the presence of a post-HSA syndrome at 3 months, 6 months and 1 year, and its impact on functional outcome using the Rivermead questionnaire

Detailed Description

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Every year, subarachnoid hemorrhage affects 9.1 people per 100,000 worldwide, with a peak between the ages of 50 and 60. Its frequency and relatively young age of onset make it a major source of decline in healthy life years.

Progress over the past thirty years has led to a 57% reduction in mortality, but these figures do not always reflect the day-to-day reality of these patients, for whom recovery remains incomplete in almost half of cases. For example, a third of patients have not returned to work at one year, and of those who have, only half have returned to work full-time. In 2020, a Norwegian team showed that, at one year, a third of patients suffer from a "post-HSA syndrome", as yet little described, but which seems very similar to the post-concussion syndrome experienced by patients after head trauma. In their study, only 3% of patients with this syndrome returned to work at one year. A better understanding of the incidence of this syndrome, as well as its evolution and determinants, is therefore essential.

With this in mind, the investigators chose to assess the presence of post-SAH syndrome at 3 months and its repercussions on return to work, using the Rivermead questionnaire.

Secondly, in view of the prevalence of post-traumatic stress syndrome at 3 years (a quarter of patients), the investigators wished to study the factors determining the presence of post-HSA syndrome and an inability to return to work at 3 months, 6 months, 1 year.

Conditions

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Intracranial Hemorrhages

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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patients with subarachnoid hemorrhage

Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage

questionnaire

Intervention Type OTHER

self-questionnaire with 16 questions, rated from 0 to 4, giving a total of 0 to 52 points.

SS-QoL

Intervention Type OTHER

49-question self-administered questionnaire covering 12 domains (including work/productivity, mood, social roles, family roles, personality, etc.).

SF-36

Intervention Type OTHER

multidimensional, generic scale, i.e. one that assesses health status independently of causal pathology, sex, age and treatment

CIQ-R

Intervention Type OTHER

16-question questionnaire with answers rated from 0 to 2 to assess Social reintegration

BREFF

Intervention Type DIAGNOSTIC_TEST

rapid frontal efficiency battery, 6 tests from 0 to 3 on each side

MoCA

Intervention Type DIAGNOSTIC_TEST

MoCA is a screening test for neurocognitive impairment. It comprises 11 categories scored from 0 to 6 for a total of 0 to 30 points.

IADL

Intervention Type OTHER

8 questions rated from 0 to 1 to assess functional outcome

mMRS

Intervention Type OTHER

mMRS score from 0 to 4 to assess functional outcome

PCL-5

Intervention Type OTHER

To assess the prevalence of post-traumatic stress using the PCL-5 self-questionnaire. PCL-5 is a 20-item self-administered questionnaire.

Brief-Cope

Intervention Type OTHER

28-question self-questionnaires to study patients' coping strategies

Interventions

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questionnaire

self-questionnaire with 16 questions, rated from 0 to 4, giving a total of 0 to 52 points.

Intervention Type OTHER

SS-QoL

49-question self-administered questionnaire covering 12 domains (including work/productivity, mood, social roles, family roles, personality, etc.).

Intervention Type OTHER

SF-36

multidimensional, generic scale, i.e. one that assesses health status independently of causal pathology, sex, age and treatment

Intervention Type OTHER

CIQ-R

16-question questionnaire with answers rated from 0 to 2 to assess Social reintegration

Intervention Type OTHER

BREFF

rapid frontal efficiency battery, 6 tests from 0 to 3 on each side

Intervention Type DIAGNOSTIC_TEST

MoCA

MoCA is a screening test for neurocognitive impairment. It comprises 11 categories scored from 0 to 6 for a total of 0 to 30 points.

Intervention Type DIAGNOSTIC_TEST

IADL

8 questions rated from 0 to 1 to assess functional outcome

Intervention Type OTHER

mMRS

mMRS score from 0 to 4 to assess functional outcome

Intervention Type OTHER

PCL-5

To assess the prevalence of post-traumatic stress using the PCL-5 self-questionnaire. PCL-5 is a 20-item self-administered questionnaire.

Intervention Type OTHER

Brief-Cope

28-question self-questionnaires to study patients' coping strategies

Intervention Type OTHER

Other Intervention Names

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Rivermead Post-Concussion symptoms questionnaire (RPQ) qustionnaire questionnaire questionnaire questionnaire questionnaire questionnaire questionnaire

Eligibility Criteria

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Inclusion Criteria

Patient aged 18 to 65

* Patient hospitalized in intensive care unit at Hôpital Lariboisière between September 2022 and September 2023 for subarachnoid hemorrhage due to aneurysmal rupture.
* Patient affiliated to the French social security system
* Patient expressing no objection

Exclusion Criteria

* Motor deficits persisting 1 month after SAH
* Hospitalization \> 1 month
* Patient does not speak French
* Patient with diagnosis of neurodegenerative disease.
* Traumatic meningeal hemorrhage
* Patients on AME
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Labeyrie Marc-Antoine

Role: CONTACT

01 49 95 83 52

Other Identifiers

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2022-A01739-34

Identifier Type: OTHER

Identifier Source: secondary_id

APHP220918

Identifier Type: -

Identifier Source: org_study_id

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