Research Reports - Functional recovery and life satisfaction in the first year after severe traumatic brain injury

J Head Trauma Rehabil. 2014 Jul 16

Anke A(1), Andelic N, Skandsen T, Knoph R, Ader T, Manskow U, Sigurdardottir S, Røe C

OBJECTIVES:: (1) To examine the impact of demographic and acute injury-related
variables on functional recovery and life satisfaction after severe traumatic
brain injury (sTBI) and (2) to test whether postinjury functioning,
postconcussive symptoms, emotional state, and functional improvement are related
to life satisfaction.
DESIGN:: Prospective national multicenter study.
SETTING:: Level 1 trauma centers in Norway.
PARTICIPANTS:: 163 adults with sTBI.
MAIN MEASURES:: Functional recovery between 3 and 12 months postinjury measured
with Glasgow Outcome Scale Extended, Rivermead Postconcussion Symptoms
Questionnaire, Hospital Anxiety and Depression Scale, and satisfaction with life
RESULTS:: 60% of cases experienced functional improvement from 3 to 12 months
postinjury. Multivariate logistic regression analysis revealed that discharge to
a rehabilitation department from acute care (odds ratio [OR] = 2.14; P < .05) and
fewer days with artificial ventilation (OR = 1.04; P < .05) were significantly
related to improvement. At 12 months postinjury, 85% were independent in daily
activities. Most participants (63%) were satisfied with their life situation.
Regression analysis revealed that older age (>65 years), low education, better
functional outcome, and the absence of depressive and postconcussion symptoms
were significant (P < .05) predictors of life satisfaction. Functional
improvement was significantly associated with emotional state but not to life
CONCLUSION:: Following sTBI, approximately two-thirds of survivors improve
between 3 and 12 months postinjury and are satisfied with their life. Direct
discharge from acute care to specialized rehabilitation appears to increase
functional recovery.

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