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

Patient Safety in Surgery

Christian Zeckey²  Frank Hildebrand²  Michael Frink¹  Ralf Lohse⁴  Orna Grün⁴  Christian Probst³  Ezin Deniz²  Julia Urner²  Hagen Andruszkow² 

[1] Department for Trauma, Hand and Reconstructive Surgery, University Medical Center Marburg, Baldingerstr, Marburg 35043, Germany;Trauma Department, Hannover Medical School, Carl Neuberg-Str. 1, Hannover 30625, Germany;Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Center, Faculty of Health-School of Medicine, Witten/Herdecke University, Ostmerheimer Straße 200, Cologne 51109, Germany;Hannover Re Insurance, Karl-Wiechert-Allee 50, Hannover 30625, Germany

关键词: GOS;    SF-12;    Outcome;    TBI;    Traumatic brain injury;   

Others  :  790288
DOI  :  10.1186/1754-9493-7-32

 received in 2013-08-09, accepted in 2013-10-07,  发布年份 2013

【 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.

【 授权许可】

   
2013 Andruszkow et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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