Psychosocial outcome following traumatic brain injury in adults: a long-term population-based follow-up
Psychosocial outcome following traumatic brain injury in adults: a long-term population-based follow-up
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DOI：
10.1080/02699050310001645829
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发表时间：
2004-06-01
期刊：
影响因子：
1.9
通讯作者：
Teasdale, TW
中科院分区：
文献类型：
--
作者：
Engberg, AW;Teasdale, TW
主要目标：在全国范围内对创伤性脑损伤（TBI）后幸存者的代表性样本进行5年、10年和15年的随访研究，并确定1982年、1987年或1992年发生的TBI后长期生存和生活满意度的重要因素。研究设计：流行病学、基于登记的问卷调查。主要结果、结果和结论：在从全国完整医院登记册中随机选择的389名幸存者中，有173人患有颅骨骨折，186人患有脑损伤（脑挫伤或创伤性出血），30人患有慢性硬膜下血肿。在337名幸存者中，有76%的人回答了问卷。在根据上述领域登记的数据中，主要发现是23-31%的脑损伤应答者无法维持受伤前水平的早期工作/教育，而颅骨骨折患者高达14%。与颅骨骨折患者相比，脑损伤患者发现情绪控制更困难，记忆力和注意力，维持休闲时间兴趣和一般生活满意度的困难增加。从长远来看，影响脑损伤患者生存的一个重要因素似乎是与家人和朋友的关系能否维持在损伤前的水平。
Primary objective: On a national basis to conduct a 5, 10 and 15 year follow-up study of representative samples of survivors after traumatic brain injury (TBI) and to identify factors of importance for long-term survival and life satisfaction after TBI occurring in 1982, 1987 or 1992.Research design: Epidemiological, register-based questionnaire survey.Main outcomes, result and conclusions: Out of 389 survivors randomly chosen from a national complete hospital register, 173 had suffered a cranial fracture, 186 a cerebral lesion (brain contusion or traumatic haemorrhage) and 30 patients a chronic subdural haematoma. Out of 337 survivors found eligible for a questionnaire, 76% responded. Among the data registered according to the above mentioned areas, the main findings were that 23-31% of the cerebral lesion responders were unable to maintain earlier work/education at pre-injury level, against up to 14% of cranial fracture patients. Significantly more cerebral lesion patients than cranial fracture patients found emotional control more difficult, as well as increased difficulties with memory and concentration, maintenance of leisure time interests and general life satisfaction. In the long run, an important factor influencing survival among cerebral lesion patients seemed to be whether relations with family and friends could be maintained at the pre-injury level.