A comprehensive picture of 4-year outcome of severe brain injuries. Results from the PariS-TBI study

Autor: Pascale Pradat-Diehl, Philippe Aegerter, P. Azouvi, Claire Jourdan, James Charanton, E. Bayen, I. Ghout, S. Azerad, Aurélie Ruet, E. Darnoux, C. Vallat-Azouvi
Rok vydání: 2016
Předmět:
Adult
Male
Quality of life
030506 rehabilitation
medicine.medical_specialty
Time Factors
Activities of daily living
Adolescent
Traumatic brain injury
Craniocerebral trauma
Poison control
Anxiety
Brain injuries
Hospital Anxiety and Depression Scale
Young Adult
03 medical and health sciences
International classification of functioning
disability and health
0302 clinical medicine
International Classification of Functioning
Disability and Health
Activities of Daily Living
Injury prevention
medicine
Humans
Disabled Persons
Orthopedics and Sports Medicine
Musculoskeletal Diseases
Psychiatry
Postural Balance
Fatigue
Depression (differential diagnoses)
Depression
business.industry
Rehabilitation
Headache
Middle Aged
Social Participation
medicine.disease
Physical therapy
Female
medicine.symptom
Cognition Disorders
0305 other medical science
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: Annals of Physical and Rehabilitation Medicine. 59:100-106
ISSN: 1877-0657
DOI: 10.1016/j.rehab.2015.10.009
Popis: Objectives Survivors of severe traumatic brain injury have a great variety of impairments and participation restrictions. Detailed descriptions of their long-term outcome are critical. We aimed to assess brain injury outcome for subjects with traumatic brain injury in terms of the International classification of functioning, disability and health. Materials and methods Four-year follow-up of an inception cohort of adults with severe traumatic brain injury by using face-to-face interviews with patients and proxies. Results Among 245 survivors at 4 years, 147 were evaluated (80% male, mean age: 32.5 ± 14.2 years at injury); 46 (32%) presented severe disability, 58 (40%) moderate disability, and 40 (28%) good recovery. Most frequent somatic problems were fatigue, headaches, other pain, and balance. One quarter of subjects had motor impairments. Rates of cognitive complaints ranged from 25 to 68%, the most frequent being memory, irritability, slowness and concentration. With the Hospital Anxiety and Depression Scale, 43% had anxiety and 25% depression. Overall, 79% were independent in daily living activities and 40 to 50% needed help for outdoor or organizational activities on the BICRO-39. Most had regular contacts with relatives or close friends but few contacts with colleagues or new acquaintances. Subjects spent little time in productive activities such as working, studying, looking after children or voluntary work. Quality of life on the QOLIBRI scale was associated with disability level (P Conclusion Management of late brain injury needs to focus on cognitive difficulties, particularly social skills, to enhance patient participation in life.
Databáze: OpenAIRE
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