Outcomes in the first 5 years after traumatic brain injury.
To examine the extent to which outcomes from traumatic brain injury differ as a function of time and can be predicted at discharge from inpatient rehabilitation.
Survey method employing cross-sectional analyses.
An inpatient brain injury rehabilitation unit in a large midwestern academic medical center.
Ninety-five adults with traumatic brain injuries, 6 months to 5 years after inpatient rehabilitation, stratified by time postdischarge.
Main Outcome Measures
Functional Independence Measure (FIMSM), Sickness Impact Profile (SIP), Medical Outcomes Survey SF-36, Community Integration Questionnaire (CIQ), Craig Handicap Assessment and Reporting Technique (CHART), Brief Symptom Inventory (BSI), Satisfaction With Life Scale (SWLS), and indices of current psychosocial functioning.
Substance abuse, need for supervision, life satisfaction, and selected subscales of the CIQ and CHART differed over the period 6 months to 5 years after discharge.
Approximately 75% of the variance in current FIM scores, and 40% to 50% of CHART, CIQ, and SIP total scores, could be predicted at time of discharge.
Outcomes over the first 5 years after discharge were dynamic, with most change being improvement, at least after the first 2 years.
Important aspects of outcome could not be predicted based on premorbid characteristics, injury severity, and initial functional abilities.
Mots-clés Pascal : Traumatisme, Crânioencéphalique, Lésion, Encéphale, Evolution, Handicap physique, Besoin social, Assistance utilisateur, Bien être physiologique, Long terme, Etude statistique, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie, Réadaptation physique
Mots-clés Pascal anglais : Trauma, Craniocerebral, Lesion, Brain (vertebrata), Evolution, Physical handicap, Social need, User assistance, Physiological wellbeing, Long term, Statistical study, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Diseases of the osteoarticular system, Skull disease, Physical rehabilitation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0207219
Code Inist : 002B16B. Création : 11/09/1998.