PREDICTORS OF OUTCOME FOLLOWING SEVERE HEAD TRAUMA - FOLLOW-UP DATA FROM THE TRAUMATIC-COMA-DATA-BANK

PREDICTORS OF OUTCOME FOLLOWING SEVERE HEAD TRAUMA - FOLLOW-UP DATA FROM THE TRAUMATIC-COMA-DATA-BANK
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DOI:
10.3109/02699059309008164
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发表时间:
1993-03-01
期刊:
影响因子:
1.9
通讯作者:
MARMAROU, A
MARMAROU, A
中科院分区:
医学4区
文献类型:
--
作者:
RUFF, RM;MARSHALL, LF;MARMAROU, A

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结果作为一个功能的就业状况或返回学校进行了评估,在严重的头部受伤的患者。先验,我们选择了最突出的人口统计学,生理学,神经心理学和社会心理学结果预测因子,目的是确定在基线或6个月时捕获的变量中哪些最能预测6个月或12个月时的就业能力。根据6个月时对患者的评估,18%的前工人已重返有酬工作,62%的前学生已重返学校。对于那些在6个月内没有返回工作或学校的人,31%的前工人和66%的前学生在12个月内返回。年龄、昏迷时间、注意力和运动的速度、空间整合和完整的词汇量都与重返工作或学校有显著相关。回归工作或学校的三个最有力的预测因素是患者的语言智力完整性,信息处理速度和年龄。
Outcome as a function of employment status or return to school was evaluated in severely head-injured patients. A priori we selected the most salient demographic, physiological, neuropsychological and psychosocial outcome predictors with the aim of identifying which of there variables captured at baseline or 6 months would best predict employability at 6 or 12 months. Based on the patients evaluated at 6 months, 18% of former workers had returned to gainful employment and 62% of former students had returned to school. For those not back to work or school at 6 months, 31% of the former workers and 66% of the former students had returned by 12 months. Age, length of coma, speed for both attending and motor movements, spatial integration, and intact vocabulary were all significantly related to returning to work or school. The three most potent predictors for returning to work or school were intactness of the patient's verbal intellectual power, speed of information processing and age.