Trajectory of disability and quality-of-life in non-geriatric and geriatric survivors after severe traumatic brain injury

Haller, Chiara S.; Delhumeau, Cecile; De Pretto, Michael; Schumacher, Rahel; Pielmaier, Laura; Rebetez, Marie My Lien; Haller, Guy; Walder, Bernhard (2017). Trajectory of disability and quality-of-life in non-geriatric and geriatric survivors after severe traumatic brain injury. Brain injury, 31(3), pp. 319-328. Taylor & Francis 10.1080/02699052.2016.1255777

Full text not available from this repository. (Request a copy)

Objective: The objective was to investigate disability and health-related quality-of-life (HRQoL) 3, 6 and 12 months after traumatic brain injury (TBI) in non-geriatric (≤ 65 years) and geriatric patients (> 65 years). Methods: Patients ≥ 16 years who sustained a severe TBI (Abbreviated Injury Scale of the head region > 3) were included in this prospective, multi-centre study. Outcome measures were Glasgow Outcome Scale Extended (GOSE; disability), SF-12 (HRQoL). Mixed linear model analyses were performed. Results: Three hundred and fifty-one patients (median age = 50 years; interquartile range (IQR) = 27–67) were included; 73.2% were male and 27.6% were geriatric patients. Median GOSE at 3, 6 and 12 months was 5 (IQR = 3–7), 6 (IQR = 4–8) and 7 (IQR = 5–8); this increase (slopetime = 0.22, p < 0.0001) was age dependent (slopeage*time = –0.06, p = 0.003). Median SF-12 physical component scale score at 3, 6 and 12 months was 42.1 (IQR = 33.6–50.7), 46.6 (IQR = 37.4–53.9) and 50.4 (IQR = 39.2–55.1); this increase (slopetime = 1.52, p < 0.0001) was not age dependent (slopeage*time = –0.30, p = 0.083). SF-12 mental component scale scores were unchanged. Conclusions: Disability decreased and HRQoL improved after TBI between 3–12 months. In geriatric patients this improvement was relevant for HRQoL only.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Schumacher, Rahel

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0269-9052

Publisher:

Taylor & Francis

Language:

English

Submitter:

Rahel Schumacher

Date Deposited:

18 Nov 2019 14:57

Last Modified:

18 Nov 2019 14:57

Publisher DOI:

10.1080/02699052.2016.1255777

PubMed ID:

28112980

URI:

https://boris.unibe.ch/id/eprint/135140

Actions (login required)

Edit item Edit item
Provide Feedback