| Titre : | Health-Related Quality of Life 3 Years After Moderate to Severe Traumatic Brain Injury: A Prospective Cohort Study (2014) |
| Auteurs : | Erik Grauwmeijer ; Majanka H. Heijenbrok-Kal ; Gerard M. Ribbers |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2014/7, 2014) |
| Article en page(s) : | p. 1268-1276 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Etudes prospectives ; Qualité de vie ; Rééducation et réadaptation |
| Mots-clés: | Brain Injuries ; Traumatic ; Lésions traumatiques de l'encéphale ; Prospective studies ; Quality of life |
| Résumé : |
Objectives To evaluate the time course of health-related quality of life (HRQoL) after moderate to severe traumatic brain injury (TBI) and to identify its predictors. Design Prospective cohort study with follow-up measurements at 3, 6, 12, 18, 24, and 36 months after TBI. Setting Patients with moderate to severe TBI discharged from 3 level-1 trauma centers. Participants Patients (N=97, 72% men) with a mean age + SD of 32.8+13.0 years (range, 18–65y), hospitalized with moderate (23%) or severe (77%) TBI. Interventions Not applicable. Main Outcome Measures HRQoL was measured with the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), functional outcomes with the Glasgow Outcome Scale (GOS), Barthel Index, FIM, and Functional Assessment Measure, and mood with the Wimbledon Self-Report Scale. Results The SF-36 domains showed significant improvement over time for Physical Functioning (P<.001 role physical bodily pain social functioning and emotional but not for general health vitality mental over time there was significant improvement in the component summary score whereas remained stable. at follow-up hrqol of patients with tbi same as that dutch normative population. after hospital length stay fim gos were independent predictors pcs los mood mcs.> Conclusions After TBI, the physical component of HRQoL showed significant improvement over time, whereas the mental component remained stable. Problems of disease awareness seem to play a role in self-reported mental HRQoL. After TBI, mood status is a better predictor of the mental component of HRQoL than functional outcome, implying that mood should be closely monitored during and after rehabilitation. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314001245 |
Bibliothèques HE Vinci
