Article

The purpose of this monocentric study was to assess the long-term
outcome of a group of severe traumatic brain-injured patients and explore the
prognostic values of some clinical and paraclinical parameters available at the
initial stage. METHODOLOGY: The patients included were victims of severe
traumatic brain injuries in 2007 or 2008. A standardized assessment was performed
for each patient including clinical, radiological, and electrophysiological data
collected at the initial stage, The outcomes were assessed at least 2 years after
injury. Depending on the patients' availability and ability to communicate, the
assessments included measures of dependency for activities of daily living (ADL),
cognitive functions, behaviour, mood, and quality of life. RESULTS: Eighteen
patients were included, of whom ten were autonomous for ADL at the time of
assessment. Memory complaints, attentional deficits, anxiety, and irritability
were the main long-term impairments observed. A correlation analysis showed
significant correlations between the dependency level (as rated by the Functional
Independence Measure) and each of length of coma, length of the post-traumatic
amnesia, and the N100 auditory evoked potentials. DISCUSSION: These results
confirm the uniqueness of each patient regarding the long-term consequences of a
traumatic brain injury and the multi-determined nature of each prognosis.
CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS