Long-term outcome after severe traumatic brain injury: the McGill interdisciplinary prospective study

J Head Trauma Rehabil. 2008 Sep-Oct;23(5):294-303. doi: 10.1097/01.HTR.0000336842.53338.f4.

Abstract

Objective: To obtain a comprehensive understanding of long-term outcome after severe traumatic brain injury (sTBI).

Participants: Forty-six patients with sTBI.

Design: Comparison of interdisciplinary evaluation results at discharge from acute care and at 2 to 5 year follow-up.

Main measures: Extended Glasgow Outcome Scale, the FIM instrument, and the Neurobehavioral Rating Scale-Revised.

Results: Significant improvement was observed on the FIM instrument, the Extended Glasgow Outcome Scale, and on 3 factors of the Neurobehavioral Rating Scale-Revised. These measures at discharge were significant predictors of outcome.

Conclusion: Patients with sTBI 2 to 5 years postinjury showed relatively good physical and functional outcome but poorer cognitive and emotional outcome.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Injuries / complications
  • Brain Injuries / rehabilitation*
  • Cognition Disorders / etiology
  • Female
  • Follow-Up Studies
  • Health Status Indicators
  • Humans
  • Linear Models
  • Male
  • Prognosis
  • Prospective Studies
  • Treatment Outcome