Research Reports - Quality of life after traumatic brain injury.

Ann Phys Rehabil Med. 2016 Sep;59S:e135. doi: 10.1016/j.rehab.2016.07.304.

Ghroubi S(1), Alila S(2), Feki I(2), Elleuch MH(2).

OBJECTIVE: The aim of this study was to assess the quality of life (QoL) of
traumatic brain injury (TBI) patients and to explore its predictive factors.
MATERIAL/PATIENTS AND METHODS: This is a descriptive and analytical
cross-sectional study, including 27 TBI patients followed in the physical
medicine and rehabilitation department (PMR). The collected data were: age,
educational level, marital status, initial Glosgow score and intensive care unit
length of stay. The assessment of the QoL was based on two scales, the first one
was specific: Quality of Life after Brain Injury (QOLIBRI), while the second was
generic: the SF-36. We had assessed memory disorders by the mini-mental state
(MMS) and functional capacity by The Functional Independence Measure (FIM). The
handicap was assessed by Go Outcome Scale (GOS). Possible correlations between
QoL and the different variables were explored.
RESULTS: The mean age of patients was 32.19 years. For QOLIBRI scale, the overall
average score was 48.03%, the most affected dimensions were the feelings and
social relations. Regarding the SF-36 scale, impaired QoL was found in 74% of
these patients, the overall average score was 43.02. A significant correlation
was found between QOLIBRI and mental composite score of the SF-36 (P=0.012).
Memory disorder was significantly correlated with QoL (P=0.037). There were no
statistically significant correlations between QoL and the other variables.
DISCUSSION-CONCLUSION: Memory disorder was the main predictive factor of impaired
quality of life of traumatic brain injury patients; however, there was no
correlation between handicap and QoL. This alteration of QOL has clinical
implications and highlights the necessity of more efforts to optimize the
rehabilitation interventions. 

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