期刊
BRAIN INJURY
卷 21, 期 5, 页码 451-455出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/02699050701343961
关键词
traumatic brain injury; polytrauma; quality of life; SF-36
Objective: The increasing number of patients surviving severe traumatic brain injury ( sTBI) but with significant sensorimotor and neuropsychological deficits is a challenge to rehabilitation medicine. So far, most research initiatives have focused on mortality rates, physiological or economic parameters to estimate therapeutic effects of rehabilitation strategies. Investigations on health-related quality of life ( HRQoL) after TBI with and without concomitant polytrauma are rare compared to other disorders. Design/patients: A prospective study was conducted to investigate HRQoL using the SF-36 questionnaire in 49 patients with sTBI ( Glasgow Coma Scale < 9 for more than 24 hours) with and without concomitant polytrauma 6 and 12 months after injury. Results: The SF-36 score profiles 6 and 12 months after trauma were similar. Scores 12 months after trauma, however, were higher in 7/8 dimensions indicating an improvement over time. Similar observations were made for physical and mental sum scores. There was no difference in the SF-36 scoring pattern between the patients with isolated TBI and the patients with concomitant polytrauma, except for physical functioning after 12 months. Conclusion: While there is significant overall improvement of HRQoL over time, sTBI appears to bear major influence on post-traumatic HRQoL and outcome.
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