Download PDF
CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(05): 409-415
DOI: 10.1590/0004-282X20160053
ARTICLE

Predictors of quality of life after moderate to severe traumatic brain injury

Preditores de qualidade de vida após trauma crânio-encefálico moderado a grave
Karina Tavares Weber
1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brasil;
,
Viviane Assunção Guimarães
1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brasil;
,
Octávio M Pontes Neto
1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brasil;
2   Harvard Medical School, Massachusetts General Hospital, Department of Neurology, Boston MA, United States.
,
João P. Leite
1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brasil;
,
Osvaldo Massaiti Takayanagui
1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brasil;
,
Taiza E. G. Santos-Pontelli
1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brasil;
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

ABSTRACT

Objective To verify correlations between age, injury severity, length of stay (LOS), cognition, functional capacity and quality of life (QOL) six months after hospital discharge (HD) of victims of traumatic brain injury (TBI).

Method 50 patients consecutively treated in a Brazilian emergency hospital were assessed at admission, HD and six months after HD. The assessment protocol consisted in Abbreviated Injury Scale, Injury Severity Score, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Mini Mental Test, Barthel Index and World Health Organization QOL - Brief.

Results Strong negative correlation was observed between LOS and GCS and LOS and RTS. An almost maximal correlation was found between RTS and GCS and functional capacity and GCS at HD. Age and LOS were considered independent predictors of QOL.

Conclusion Age and LOS are independent predictors of QOL after moderate to severe TBI.

RESUMO

Objetivo Verificar correlações entre idade, gravidade do trauma, tempo de hospitalização (TH), cognição, capacidade funcional e qualidade de vida (QV) seis meses após alta hospitalar (AH) de vítimas de trauma crânio-encefálico (TCE).

Método 50 pacientes tratados em um hospital de emergência brasileiro foram avaliados na admissão, AH e seis meses após AH. O protocolo de avaliação consistia em Escala Abreviada de Lesões, Índice de Gravidade de Lesão, Escala de Coma de Glasgow (ECG), Escore de Trauma Revisado (RTS), teste Mini-Mental, Índice de Barthel e Questionário Breve de QV da Organização Mundial de Saúde.

Resultados Forte correlação negativa foi observada entre TH e ECG e TH e RTS. Correlação quase máxima foi observada entre RTS e ECG e capacidade funcional e ECG na AH. Idade e TH foram considerados preditores independentes de QV.

Conclusão Idade e TH são preditores independentes de QV após TCE moderado e grave.

brain injuries - epidemiology - quality of life
traumatismos encefálicos - epidemiologia - qualidade de vida

Support:

Support: This work was supported by funds from the Coordenaçao de Aperfeiçoamento de Pessoal de Nível Superior - Brazil.




Publication History

Received: 02 September 2015

Accepted: 15 March 2016

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 Costa CDS, Scarpelini S. Avaliação da qualidade do atendimento ao traumatizado através do estudo das mortes em um hospital terciário. Rev Col Bras Cir. 2012;39(4):249-54. doi:10.1590/S0100-69912012000400002
  • 2 Carvalho AO, Bez Júnior A. Caracterização das vítimas de trauma assistidas por um serviço de atendimento pré-hospitalar. Einstein. 2004;2(3):199-205.
  • 3 Shivaji T, Lee A, Dougall N, McMillan T, Stark C. The epidemiology of hospital treated traumatic brain injury in Scotland. BMC Neurology. 2014;14(1):2. doi:10.1186/1471-2377-14-2
  • 4 McIntyre A, Mehta S, Aubut J, Dijkers M, Teasell RW. Mortality among older adults after a traumatic brain injury: a meta-analysis. Brain Inj. 2013;27(1):31-40. doi:10.3109/02699052.2012.700086
  • 5 Rocha GS, Schor N. Acidentes de motocicleta no município de Rio Branco: caracterização e tendências. Ciênc Saúde Coletiva. 2013;18(3):721-31. doi:10.1590/S1413-81232013000300018
  • 6 Melo JR, Silva RA, Moreira Júnior ED. Características dos pacientes com trauma cranioencefálico na cidade de Salvador, Bahia, Brasil. Arq Neuropsiquiatr. 2004;62(3A):711-4. doi:10.1590/S0004-282X2004000400027
  • 7 Alves ALA, Salim FM, Martinez EZ, Passos ADC, De Carlo MMRP, Scarpelini S. Qualidade de vida de vítimas de trauma seis meses após a alta hospitalar. Rev Saúde Publ. 2009;43(1):154-60. doi:10.1590/S0034-89102009000100020
  • 8 Silva SCF, Settervall CHC, Sousa RMC. Amnésia pós-traumática e qualidade de vida pós-trauma. Rev Esc Enferm USP. 2012;46(Esp):30-7. doi:10.1590/S0080-62342012000700005
  • 9 Gabriel SE, Normand SLT. Getting the methods right: the foundation of patient-centered outcomes research. New Engl J Med. 2012;367(9):787-90. doi:10.1056/NEJMp1207437
  • 10 Kondo Y, Abe T, Kohshi K, Tokuda Y, Cook EF, Kukita I. Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, age, and systolic blood pressure score. Crit Care. 2011;15(4):R191. doi:10.1186/cc10348
  • 11 Fleck MPA, Louzada S, Xavier M et al. Aplicação da versão em português do instrumento WHOQOL-bref. Rev Saúde Pública. 2000;34(2):178-83. doi:10.1590/S0034-8910220160053200012
  • 12 Fukuda CC, Pasquali L. Professor eficaz: um instrumento de aferição. Aval Psicol. 2002;1(1):1-16.
  • 13 Vieira RCA, Hora EC, Oliveira DV, Ribeiro MCO, Sousa RMC. Quality of life of victims of traumatic brain injury six months after the trauma. Rev Lat Am Enferm. 2013;21(4):868-75. doi:10.1590/S0104-11692013000400006
  • 14 Utomo WK, Gabbe BJ, Simpson PM, Cameron, PA. Predictors of in-hospital mortality and 6-month functional outcomes in older adults after moderate to severe traumatic brain injury. Injury. 2009;40(9):973-7. doi:10.1016/j.injury.2009.05.034
  • 15 Cartaxo CKA, Nunes MS, Raposo OFF, Fakhouri R, Hora EC. Fall-related traumas in urgent care centers. Clinics. 2012;67(10):1133-8. doi:10.6061/clinics/2012(10)03
  • 16 Batista SEA, Baccani JG, Silva RAP, Gualda KPF, Vianna RJA. Análise entre os mecanismos de trauma, as lesões e o perfil de gravidade das vítimas em Catanduva-SP. Rev Col Bras Cir. 2006;33(1):6-10. doi:10.1590/S0100-69912006000100003
  • 17 Shah S, Muncer S. A comparison of rehabilitation outcome measures for traumatic brain injury. OTJR (Thorofare N J). 2003;23(1):2-9. doi:10.1177/153944920302300101
  • 18 McNett M. A review of the predictive ability of Glasgow Coma Scale scores in head-injured patients. J Neurosci Nurs. 2007;39(2):68-75. doi:10.1097/01376517-200704000-00002
  • 19 Duncan R, Thakore S. Decreased Glasgow coma scale score does not mandate endotracheal intubation in the emergency department. J Emerg Med. 2009;37(4):451-5. doi:10.1016/j.jemermed.2008.11.026
  • 20 Hoffmann M, Lefering R, Rueger JM, Kolb JP, Izbicki JR, Ruecker AH et al. Trauma Registry of the German Society for Trauma Surgery: pupil evaluation in addition to Glasgow coma scale components in prediction of traumatic brain injury and mortality. Braz J Surg. 2012;99(S1):122-30. doi:10.1002/bjs.7707
  • 21 Sloan EP, Koenigsberg M, Clark JM, Desai A. The use of the Revised Trauma Score as an entry criterion in traumatic hemorrhagic shock studies: Data from the DCLHb Clinical Trials. Prehospital Disaster Med. 2012;27(4):330-44. doi:10.1017/S1049023X12000970
  • 22 Diaz AP, Schwarzbold ML, Thais ME, Hohl A, Bertotti MM, Schmoeller R et al. Psychiatric disorders and health-related quality of life after severe traumatic brain injury: a prospective study. J Neurotrauma. 2012;29(6):1029-37. doi:10.1089/neu.2011.2089
  • 23 Ardolino A, Sleat G, Willett K. Outcome measurements in major trauma – Results of a consensus meeting. Injury. 2012;43(10):1662-6. doi:10.1016/j.injury.2012.05.008
  • 24 Polinder S, Haagsma JA, Klaveren D, Steyerberg EW, Beeck EF. Health-related quality of life after TBI: a systematic review of study design, instruments, measurement properties, and outcome. Popul Health Metr. 2015;13(1):4. doi:10.1186/s12963-015-0037-1
  • 25 Breed ST, Flanagan SR, Watson KR. The relationship between age and the self-report of health symptoms in persons with traumatic brain injury. Arch Phys Med Rehabil. 2004;85 Suppl 2:S61-7. doi:10.1016/j.apmr.2003.08.115
  • 26 Cuthbert JP, Corrigan JD, Harrison-Felix C, Coronado V, Dijkers MP, Heinemann AW. Factors that predict acute hospitalization discharge disposition for adults with moderate to severe traumatic brain injury. Arch Phys Med Rehabil. 2011;92(5):721-30. doi:10.1016/j.apmr.2010.12.023
  • 27 Scholten AC, Haagsma JA, Andriessen TM, Vos PE, Steyerberg EW, Beeck EF, Polinder S. Health-related quality of life after mild, moderate and severe traumatic brain injury: patterns and predictors of suboptimal functioning during the first year after injury. Injury. 2015;46(4):616-24. doi:10.1016/j.injury.2014.10.064
  • 28 Pretz CR, Dams-O’Connor K. Longitudinal description of the GOS-E for individuals in the traumatic brain injury model systems national database: a national institute on disability and rehabilitation research traumatic brain injury model systems study. Arch Phys Med Rehabil. 2013;94(12):2486-93. doi:10.1016/j.apmr.2013.06.02
  • 29 Pretz CR, Malec JF, Hammond FM. Longitudinal description of the Disability Rating Scale for individuals in the national institute on disability and rehabilitation research traumatic brain injury model systems national database. Arch Phys Med Rehabil. 2013;94(12):2478-85. doi:10.1016/j.apmr.2013.06.019
  • 30 Shukla D, Devi BI, Agrawal A. Outcome measures for traumatic brain injury. Clin Neurol Neurosur. 2011;113(6):435-41. doi:10.1016/j.clineuro.2011.02.013