Article

Objective: To determine to what extent injury severity and post-concussion
symptoms after 3 months predict ability in activities 12 months after traumatic
brain injury (TBI) and assess the frequency of problems in daily activities.
Methods: A one-year cohort of 63 persons with mild to severe TBI was assessed on
admission, after three and 12 months. Injury severity was assessed using the
Glasgow Coma Scale, Abbreviated Injury Scale for the head and Injury Severity
Score. Post-concussion symptoms were reported using the Rivermead Post Concussion
Symptoms Questionnaire after three months. The Patient Competency Rating Scale
(PCRS), a self-rating scale of ability in activities, was applied 12 months
post-injury. The PCRS consists of the domains interpersonal/emotional and
cognitive competency, and instrumental ADL. Multiple backward regression models
were performed with the three subscales of PCRS as dependent variables. Results:
Activity problems at 12 months were related to perceived cognitive and
interpersonal/emotional competency. Post-concussion symptoms reported at
three-month follow-up were main predictors of cognitive and
interpersonal/emotional competency at 12 months. Injury severity predicted only
cognitive competency. Conclusion: Symptoms evolving after the trauma seem to be
the strongest predictor of perceived ability in activities in this population.
This underlines the need for follow-up after TBI to identify persons at risk of
developing long-term activity limitations.

Langue : ANGLAIS