Neurocognitive Sequelae and Rehabilitation after Subarachnoid Hemorrhage: Optimizing Outcomes
, Brandon D. Kirby 1,2,†, Jacob D. Ralston 1,†, Mark A. Colantonio 1, Elochukwu Ibekwe 3 and Brandon Lucke-Wold 4,*Round 1
Reviewer 1 Report
Patients with a subarachnoid hemorrhage of aneurysmal origin have statistically been reported to have a very high mortality rate. With the advancements made in the care of these patients and the immediate drop in early mortality, we find ourselves looking at more delayed complications, linked with the pathology. Turning our attention towards the ICU management and their rehabilitation, there is a need for statistical data proving the best course of action in the subacute and chronic phases of the subarachnoid hemorrhage.
With that being said, your paper gives a well-written overall description of the aforementioned problems with a solid literature review on the subject.
The language used is precise and translates your point across to the reader in an understandable manner.
The segmentation of the text makes it coherent and easily digestible.
Author Response
We thank the reviewer for the positive comments.
Reviewer 2 Report
The authors review the current rehabilitative strategies to improve the injury following SAH. The review is comprehensive and important.
1. The type of manuscript is review, not article.
2. The review mainly discuss the neuropsychiatric and cognitive sequelae and rehabilitation post-SAH, the title need to be revised to better reflect the content.
3. What about the rehabilitation on motor dysfunction of SAH patients?
4. Please add the review search strategy.
Author Response
1. The type of manuscript is review, not article.
Author: We submitted the article as a review; perhaps there must have been an error with the submission system. We will notify the editor. Thank you!
2. The review mainly discusses the neuropsychiatric and cognitive sequelae and rehabilitation post-SAH, the title need to be revised to better reflect the content.
Author: The title has been revised to “Neurocognitive Sequelae and Rehabilitation after Subarachnoid Hemorrhage: Optimizing Outcomes”.
3. What about the rehabilitation on motor dysfunction of SAH patients?
Author: The majority of the literature with regard to SAH discusses early mobilization as a strategy to mitigate neurocognitive – which is outlined in the manuscript. Given that our focus was primarily on neurocognitive and neuropsychiatric sequelae, we believe an expanded discussion on motor dysfunction would not fit well. Furthermore, we could not find any articles that discussed motor rehabilitation following SAH in the absence of stroke. We do outline in the manuscript the importance of having physical and occupational therapists via multidisciplinary care to address motor concerns.
4. Please add the review search strategy.
Author:Given that our article is a review paper (which typically does not include a method section) and not a systematic review or a meta-analysis, we do not feel that the addition of a review search strategy is appropriate for this article type. Furthermore, several review papers published in the submission journal do not cite or provide search strategies (
doi.org/10.3390/jvd2010006; doi.org/10.3390/jvd1010003).For the reviewer’s discretion, we used: Pubmed, Google Scholar, and web of science to identify articles used in this manuscript.
Round 2
Reviewer 2 Report
The authors have addressed my concern.
