Background: 
Impaired cognition, fatigue, depression and anxiety are consequences described after a subarachnoid hemorrhage (SAH), but long-term follow-ups are lacking. 
Aim: 
To investigate the long-term consequences among survivors seven years post SAH.
Methods: 
In this explorative study, home-visits was carried out in a cohort of survivors with non-traumatic SAH in Gothenburg, Sweden. The forms and questionnaires used were Barthel Index (BI), modified Rankin Scale (mRS), Hospital Anxiety and Depression Scale (HADS), Montreal Cognitive Assessment (MoCA) and Multidimensional Fatigue Inventory (MFI).
Results: 
Out of the 33 patients that fulfilled the inclusion criteria, 18 (55%) participated with a mean age of 65.5. Cognitive impairment was present in 11 participants, assessed with the MoCA, where the item of delayed recall was most difficult. The participants had high independency in ADL (BI). However, the number of participants free from disability according to the mRS was low (n=3). Nearly half of the participants had symptoms of anxiety (n=8) and experienced fatigue assessed with the MFI. 
Conclusion: 
Seven years post SAH, the majority of participants reported disability, such as cognitive impairment and anxiety. The hidden long-term consequences of SAH should be considered when planning the healthcare including follow-up as well as the rehabilitation.
  
Keywords: Subarachnoid hemorrhage, follow-up studies, cognition

SEVEN YEARS FOLLOW-UP POST SUBARACHNOID HEMORRHAGE