Cognitive, functional, and psychosocial outcome after severe traumatic brain injury: A cross-sectional study at a tertiary care trauma center

Abstract

In this study 61% patients with STBI had good recovery in functional outcome and 45.4% in psychosocial outcome at 1 year follow-up. However, improvement in cognitive outcome was not so optimistic with the ability to learn new things being most affected.

Guideline Adherence and Outcomes in Severe Adult Traumatic Brain Injury for the CHIRAG (Collaborative Head Injury and Guidelines) Study

“…25 Similarly, Agrawal and colleagues recently reported continued improvement to 6 months post TBI among an Indian cohort of 58 TBI patients who were followed to 12 months, and Sinha and colleagues reported 58–61% good cognitive, functional, and psychosocial outcomes after severe TBI in 77 severe TBI patients. 24, 26 The present study, which is the largest cohort of TBI patients followed to 12 months in India documents a greater increase in good outcomes between 6 and 12 months in the absence of rehabilitation care. Differences in time of peaking of best outcomes between the current work and other studies may be explained by differences in provision of early ICU Guideline adherence, discharge GOS status and/or continued post discharge TBI care.…”

Traumatic brain injury and its implications on cognition and quality of life

“…[14][15][16] Studies suggest that, although there may be an improvement in cognitive function two years after the moderate or severe trauma, these functions still remain impaired. 17 The QL deals with the subjective perceptions of different aspects, being of a personal and mutable nature varying according to the individual's context, interests, and values.…”

“…16 A limiting factor in this study was the small sample size that did not allow consistent conclusions in the comparison between the groups. Although the number of patients from within São Paulo was considerable, as determined by the inclusion criteria, and devised to facilitate their appearance, the sample size was small due to poor attendance.…”

“…Evidence currently shows that older children generally show better results than younger, in both motor and cognitive impairments. 16 Clinical indications demonstrate that TBI in children aged between 3 and 7 years cause greater cognitive sequelae than in those aged between 8 and 12, affirming that both neurological impairment and seriousness of the deficit vary according to the age at the time of the trauma.…”

Guideline adherence and outcomes in severe adult traumatic brain injury for the CHIRAG (Collaborative Head InjuRy and Guidelines) study

“…Gupta and Taly [6] reported improvements in disability rating sale among 44 Indian patients with severe TBI who initiated rehabilitation services 3 months post-TBI for 1 month. Furthermore, Agrawal and Joshi [7] recently reported continued improvement to 6 months post-TBI among 58 TBI patients who were followed to 12 months, and Sinha et al [8] reported 58-61% good cognitive, functional and psychosocial outcomes in 77 severe TBI patients. In this study, TBI patients followed to 12 months in India, and it was shown a greater increase in good outcomes observed between 6 and 12 months in the absence of rehabilitation care.…”