Disability and quality of life 20 years after traumatic brain injury

Autor: Nada Andelic, Emilie I. Howe, Torgeir Hellstrøm, Juan Lu, Marianne Løvstad, María Fernández Sánchez, Cecilie Røe
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
030506 rehabilitation
medicine.medical_treatment
Emotions
Glasgow Outcome Scale
Behavioral Neuroscience
Traumatic brain injury
0302 clinical medicine
Social integration
Quality of life
Musculoskeletal Pain
Surveys and Questionnaires
Activities of Daily Living
Brain Injuries
Traumatic
Depression (differential diagnoses)
Original Research
Rehabilitation
traumatic brain injury
Middle Aged
Female
Corrigendum
0305 other medical science
Adult
medicine.medical_specialty
traumatismos cerebrales
Community integration
3201.05 Psicología Clínica
Young Adult
03 medical and health sciences
medicine
Humans
Disabled Persons
Long-term follow-up
Depressive Disorder
business.industry
medicine.disease
Functional outcomes
Mental health
functional outcomes
quality of life
Brain Injuries
long‐term follow‐up
Physical therapy
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: Brain and Behavior
GREDOS: Repositorio Institucional de la Universidad de Salamanca
Universidad de Salamanca (USAL)
GREDOS. Repositorio Institucional de la Universidad de Salamanca
instname
ISSN: 2162-3279
Popis: Objectives The study describes functional outcomes and health‐related quality of life (HRQL) in patients with traumatic brain injury (TBI) 20 years postinjury. Materials and Methods Forty‐four survivors who acquired moderate and severe TBI during 1995–1996 were followed 10 and 20 years postinjury. Outcomes were Glasgow Outcome Scale Extended (GOSE), Community Integration Questionnaire (CIQ), and SF‐36 questionnaire (SF‐36). Multiple regressions were performed to examine the relationship between follow‐up measurements, controlling for baseline demographics and injury severity. Results There were no significant differences in baseline age and civil status between moderate and severe TBI, but patients with severe injury had significantly lower employment rates (p = 0.05). Mean age at 20‐years follow‐up was 50.8 (SD 11.4) years, and 73% were males. Most patients showed good recovery (52%) or moderate disability (43%). Disability levels remained stable between and within severity groups from 10 to 20 years. Community integration including social integration improved from 10 to 20 years (p = 0.01 and p = 0.005, respectively). HRQL remained stable, except for subscales Bodily Pain and Role Emotional (p = 0.02 and p = 0.06). Depression at 10 years and females were associated with poorer mental health, while productive activity at 10 years indicated better physical and mental health at 20 years postinjury, respectively. Conclusions Functional limitations persist even decades after moderate and severe TBI, with poorer prognosis for females and persons who were depressed at the 10‐year follow‐up. Development and evaluation of targeted long‐term follow‐up programs and access to rehabilitation services for these groups should be highlighted. Improved community integration despite stable functional limitations draws attention to long‐term adaptation to adversity and illness.
Databáze: OpenAIRE
Externí odkaz: