Subjective impact of traumatic brain injury on long-term outcome at a minimum of 10 years after trauma- first results of a survey on 368 patients from a single academic trauma center in Germany

被引：7

作者：

Andruszkow H. ^{[1
,4
]}

Urner J. ^{[4
]}

Deniz E. ^{[4
]}

Probst C. ^{[2
]}

Grün O. ^{[3
]}

Lohse R. ^{[3
]}

Frink M. ^{[5
]}

Hildebrand F. ^{[1
,4
]}

Zeckey C. ^{[4
]}

机构：

[1] Department for Trauma and Reconstructive Surgery, University Hospital Aachen, Aachen 52074

[2] Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Center, Faculty of Health-School of Medicine, Witten/Herdecke University, Cologne 51109

[3] Hannover Re Insurance, Hannover 30625

[4] Trauma Department, Hannover Medical School, Hannover 30625

[5] Department for Trauma, Hand and Reconstructive Surgery, University Medical Center Marburg, Marburg 35043, Baldingerstr

来源：

Patient Safety in Surgery | / 7卷 / 1期

关键词：

GOS; Outcome; SF-12; TBI; Traumatic brain injury;

D O I：

10.1186/1754-9493-7-32

中图分类号：

学科分类号：

摘要：

Background: Traumatic Brain Injury (TBI) may lead to significant impairments in personal, social and professional life. However, knowledge of the influence on long-term outcome after TBI is sparse. We therefore aimed to investigate the subjective effects of TBI on long-term outcome at a minimum of 10 years after trauma in one of the largest study populations in Germany. Methods: The current investigation represents a retrospective cohort study at a level I trauma center including physical examination or standardized questionnaires of patients with mild, moderate or severe isolated TBI with a minimum follow-up of 10 years. We investigated the subjective physical, psychological and social outcome evaluating the Glasgow Outcome Scale, short-form 12, and social as well as vocational living circumstances. Results: 368 patients aged 0 to 88 years were included. Patients with severe TBI were younger compared to patients with moderate or mild TBI (p < 0.05). Patients with severe TBI lived more often as single after the trauma impact. A significantly worse outcome was associated with higher severity of TBI resulting in an increased incidence of mental disability. A professional decline was analyzed in case of severe TBI resulting in significant loss of salary. Conclusions: The severity of TBI significantly influenced the subjective social and living conditions. Subjective mental and physical outcome as well as professional life depended on the severity of TBI 10 years after the injury. © 2013 Andruszkow et al.; licensee BioMed Central Ltd.

引用

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