학술논문
Relationship between quality-of-life after 1-year follow-up and severity of traumatic brain injury assessed by computerized tomography.
Document Type
Article
Author
Source
Subject
*ANALYSIS of variance
*APACHE (Disease classification system)
*ARTIFICIAL respiration
*BRAIN injuries
*CHI-squared test
*COMPUTED tomography
*CONVALESCENCE
*STATISTICAL correlation
*CRITICALLY ill
*FISHER exact test
*HEALTH status indicators
*LENGTH of stay in hospitals
*HOSPITALS
*INTENSIVE care units
*LIFE skills
*LONGITUDINAL method
*EVALUATION of medical care
*PATIENTS
*PROBABILITY theory
*QUALITY of life
*QUESTIONNAIRES
*RESEARCH funding
*STATISTICS
*SURVEYS
*T-test (Statistics)
*LOGISTIC regression analysis
*DATA analysis
*ACTIVITIES of daily living
*MULTIPLE regression analysis
*PSYCHOSOCIAL factors
*SOCIOECONOMIC factors
*INTER-observer reliability
*SEVERITY of illness index
*DATA analysis software
*TRAUMA severity indices
*ODDS ratio
*PROGNOSIS
RESEARCH evaluation
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Language
ISSN
0269-9052
Abstract
Purpose: This paper studies the relationship between computed tomography (CT) scan on admission, according to Marshall’s tomographic classification, and quality-of-life (QoL) after 1 year in patients admitted to the Intensive Care Unit (ICU) with traumatic brain injury (TBI). Methods: This study used validated scales including the Glasgow Outcome Scale and the PAECC (Project for the Epidemiologic Analysis of Critical Care Patients) QoL questionnaire. Results: We enrolled 531 patients. After 1 year, 171 patients (32.2%) had died (missing data = 6.6%). Good recovery was seen in 22.7% of the patients, while 20% presented moderate disability. The PAECC score after 1 year was 9.43 ± 8.72 points (high deterioration). Patients with diffuse injury I had a mean of 5.08 points vs 7.82 in those with diffuse injury II, 11.76 in those with diffuse injury III and 19.29 in those with diffuse injury IV (p< 0.001). Multivariate analysis found that QoL after 1 year was associated with CT Marshall classification, depth of coma, age, length of stay, spinal injury and tracheostomy. Conclusions: Patients with TBI had a high mortality rate 1 year after admission, deterioration in QoL and significant impairment of functional status, although more than 40% were normal or self-sufficient. QoL after 1 year was strongly related to cranial CT findings on admission. [ABSTRACT FROM PUBLISHER]