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

Not yet recruiting

Interventions: Other: questionnaire
Other: SS-QoL
Other: SF-36
Other: CIQ-R
Diagnostic Test: BREFF
Diagnostic Test: MoCA
Other: IADL
Other: mMRS
Other: PCL-5
Other: Brief-Cope

Brief Summary: 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: 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.

Recruitment & Eligibility

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

Arm && Interventions

Group	Intervention	Description
patients with subarachnoid hemorrhage	mMRS	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage
patients with subarachnoid hemorrhage	SS-QoL	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage
patients with subarachnoid hemorrhage	MoCA	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage
patients with subarachnoid hemorrhage	PCL-5	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage
patients with subarachnoid hemorrhage	questionnaire	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage
patients with subarachnoid hemorrhage	BREFF	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage
patients with subarachnoid hemorrhage	SF-36	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage
patients with subarachnoid hemorrhage	CIQ-R	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage
patients with subarachnoid hemorrhage	IADL	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage
patients with subarachnoid hemorrhage	Brief-Cope	Patients hospitalized in Lariboisière intensive care unit for subarachnoid hemorrhage

Primary Outcome Measures

Name	Time	Method
Evaluate the presence of post SAH syndrome at 3 months and its impact on return to work using the Rivermead Post-Concussion symptoms questionnaire (RPQ), and its impact on functional outcome.	3 months	The Rivermead questionnaire is a 16-item self-administered questionnaire, rated from 0 to 4, giving a total of 0 to 52 points. This scale was created to assess post-concussion syndrome, which in many ways is similar to what patients experience after a SAH. The higher the score, the greater the difficulties experienced by the patient. A score of 3 or 4 for any of the responses indicates that the patient is incapacitated.

Secondary Outcome Measures

Name	Time	Method
Study patients' coping strategies in relation to functional recovery using the Brief-Cope self-questionnaire	3 months, 6 months and 1 year,	Brief-Cope self-questionnaire (28-question self-questionnaires).
- study the factors determining the presence of a post-HSA syndrome and an inability to return to work at 3 months, 6 months and 1 year	3 months, 6 months and 1 year,	Quality of life assessed using the SS-QoL questionnaire, specific to stroke patients. Self-questionnaire with 49 questions covering 12 domains (including work/productivity, mood, social roles, family roles, personality).
To study the prevalence of post-traumatic stress in this population	3 months, 6 months and 1 year,	Assess the prevalence of post-traumatic stress in this population using the PCL-5 self-questionnaire. PCL-5 is a 20-question self-questionnaire.