1. Relationship between quality-of-life after 1-year follow-up and severity of traumatic brain injury assessed by computerized tomography.
- Author
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Prieto-Palomino, Miguel Angel, Curiel-Balsera, Emilio, Arias-Verdú, Maria Dolores, Der Kroft, Monica Delange-Van, Muñoz-López, Alfonso, Fernández-Ortega, Juan Francisco, Quesada-García, Guillermo, Sanchez-Cantalejo, Emilio, and Rivera-Fernández, Ricardo
- Subjects
ANALYSIS of variance ,APACHE (Disease classification system) ,ARTIFICIAL respiration ,BRAIN injuries ,CHI-squared test ,COMPUTED tomography ,CONVALESCENCE ,STATISTICAL correlation ,CRITICALLY ill ,FISHER exact test ,HEALTH status indicators ,LENGTH of stay in hospitals ,HOSPITALS ,INTENSIVE care units ,LIFE skills ,LONGITUDINAL method ,EVALUATION of medical care ,PATIENTS ,PROBABILITY theory ,QUALITY of life ,QUESTIONNAIRES ,RESEARCH evaluation ,RESEARCH funding ,STATISTICS ,SURVEYS ,T-test (Statistics) ,LOGISTIC regression analysis ,DATA analysis ,ACTIVITIES of daily living ,MULTIPLE regression analysis ,PSYCHOSOCIAL factors ,SOCIOECONOMIC factors ,INTER-observer reliability ,SEVERITY of illness index ,DATA analysis software ,TRAUMA severity indices ,ODDS ratio ,PROGNOSIS - Abstract
Purpose: This paper studies the relationship between computed tomography (CT) scan on admission, according to Marshall’s tomographic classification, and quality-of-life (QoL) after 1 year in patients admitted to the Intensive Care Unit (ICU) with traumatic brain injury (TBI). Methods: This study used validated scales including the Glasgow Outcome Scale and the PAECC (Project for the Epidemiologic Analysis of Critical Care Patients) QoL questionnaire. Results: We enrolled 531 patients. After 1 year, 171 patients (32.2%) had died (missing data = 6.6%). Good recovery was seen in 22.7% of the patients, while 20% presented moderate disability. The PAECC score after 1 year was 9.43 ± 8.72 points (high deterioration). Patients with diffuse injury I had a mean of 5.08 points vs 7.82 in those with diffuse injury II, 11.76 in those with diffuse injury III and 19.29 in those with diffuse injury IV (p< 0.001). Multivariate analysis found that QoL after 1 year was associated with CT Marshall classification, depth of coma, age, length of stay, spinal injury and tracheostomy. Conclusions: Patients with TBI had a high mortality rate 1 year after admission, deterioration in QoL and significant impairment of functional status, although more than 40% were normal or self-sufficient. QoL after 1 year was strongly related to cranial CT findings on admission. [ABSTRACT FROM PUBLISHER]
- Published
- 2016
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