#Phonar pitch

 

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The majority of subarachnoid haemorrhages are caused when a brain aneurysm bursts open. A brain aneurysm is a bulge in a blood
vessel  caused by a weakness in the blood vessel wall. It can happen to anyone at any age. Approximately 9,000 people per year have a Subarachnoid Haemorrhage in Britain. Up to 30% of people who have a SAH dont make it to hospital and of those who do make it to hospital 30-40% Die. Hospitalised patients then have a mortality rate of 40% in the first month without taking into account the risk of a rebleed. My Father had a Subarachnoid Haemorrhage on Saturday 27th July 1996 when he was 37 years old. I have been working on the project ‘does not suggest that death within 6 months is likely to occur’ with him, which was a main reaction to the recent Welfare Reform Bill 2010-2012. This saw my Father having to prove his disabilities in an attempt to carry on receiving support from the Department of Work and Pensions in the newly revised Incapacity Benefit. It soon became apparent that this was also a question of life after a Brain Haemorrhage, 16 years on.

The support for survivors is very good but it is hard to find, and the awareness of this form of stroke in the general population is low. A lot of SAH survivors have said that they didnt know what it was until they had one. I want to now reach out to the SAH survivors community and get them to share their stories in the same manner as i have in telling my Fathers Story. I want to create an Online Platform which will house links to Multimedia stories i have collaborated in producing with SAH survivors, a day in the life after a brain haemorrhage.

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Noted Statistics for a Subarachnoid Brain Haemorrhage

Improvement tends to occur between 4 and 18 months after the event but even those who have independent living often have some cognitive defect. Younger patients do better.
Up to 60% of patients die in the first 30 days. 10% die immediately without any warning symptoms and an additional 25% die or become disabled.
Hospitalised patients have an average mortality rate of 40% in the first month. Rebleeding, a major complication, carries a mortality rate of 51-80%.
Delayed cerebral ischaemia due to vasospasm, the most deadly of all complications, affects 20% of angiographically visualised cases of vasospasm.
In a survey of 610 patients who were interviewed a mean of 8.9 years after subarachnoid haemorrhage (SAH), there was marked morbidity.

  • Of the employed patients, 26% stopped working and 24% worked shorter hours or had a position with less responsibility.
  • On average, patients returned to work 9.4 months after discharge (range 0-96 months).
  • Related problems caused divorce in 7%.
  • There were changes in personality in 59%, with the most common being increased irritability (37%) or emotionality (29%).
  • Patients with SAH had a statistically significant higher mean depression score than the control population. Approximately 10% of the patients had a Hospital Anxiety and Depression Scale score in the range of a probable depressive or anxious state.
  • Only 25% reported a complete recovery without psychosocial or neurological problems.
    • 5% or more of patients develop epilepsy after discharge.
    • After occlusion of the anterior communicating artery in particular, around 30% develop anosmia.

    A sudden deterioration in level of consciousness within the first few hours suggests further bleeding. This carries a mortality rate of 51-80%.

    SAH is a form of stroke and comprises 1–7% of all strokes

    Up to half of all cases of SAH are fatal and 10–15% of casualties die before reaching a hospital, and those who survive often have neurological or cognitive impairment.

    higher than normal levels of cholesterol. Approximately 4% of aneurysmal bleeds occur after sexual intercourse and 10% of people with SAH are bending over or lifting heavy objects at the onset of their symptoms.