Functional outcome and health-related quality of life 10 years after moderate-to-severe traumatic brain injury

Acta Neurol Scand. 2009 Jul;120(1):16-23. doi: 10.1111/j.1600-0404.2008.01116.x. Epub 2008 Oct 23.

Abstract

Objectives: To describe the functional outcome and health-related quality of life (HRQL) 10 years after moderate-to-severe traumatic brain injury (TBI).

Material and methods: A retrospective, population-based study of 62 survivors of working-age with moderate-to-severe TBI injured in 1995/1996, and hospitalized at the Trauma Referral Center in Eastern Norway. Functional status was measured by the Glasgow Outcome Scale-Extended (GOS-E). HRQL was assessed by the SF-36 questionnaire.

Results: The mean current-age was 40.8 years. The frequency of epilepsy was 19% and the depression rate 31%. A majority had good recovery (48%) or moderate disability (44%). Employment rate was 58%. Functional and employment status were associated with initial injury severity in contrast to HRQL. Study patients had significantly lower scores in all SF-36 dimensions when compared with the general Norwegian population.

Conclusion: At 10-years follow-up, our study population is still in their most productive years and affected domains should be considered in long-term follow-up and intervention programs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Brain Injuries / complications*
  • Brain Injuries / epidemiology
  • Brain Injuries / rehabilitation
  • Depression / epidemiology
  • Depression / etiology
  • Employment
  • Epilepsy, Post-Traumatic / epidemiology
  • Epilepsy, Post-Traumatic / etiology
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Norway / epidemiology
  • Quality of Life*