Back to Search
Start Over
Relationship between quality-of-life after 1-year follow-up and severity of traumatic brain injury assessed by computerized tomography.
- Source :
- Brain Injury; 2016, Vol. 30 Issue 4, p441-451, 11p
- Publication Year :
- 2016
-
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]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 02699052
- Volume :
- 30
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Brain Injury
- Publication Type :
- Academic Journal
- Accession number :
- 114819599
- Full Text :
- https://doi.org/10.3109/02699052.2016.1141434