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• W2048918538 abstract "The purpose of this monocentric study was to assess the long-term outcome of a group of severe traumatic brain-injured patients and explore the prognostic values of some clinical and paraclinical parameters available at the initial stage. The patients included were victims of severe traumatic brain injuries in 2007 or 2008. A standardized assessment was performed for each patient including clinical, radiological, and electrophysiological data collected at the initial stage, The outcomes were assessed at least 2 years after injury. Depending on the patients’ availability and ability to communicate, the assessments included measures of dependency for activities of daily living (ADL), cognitive functions, behaviour, mood, and quality of life. Eighteen patients were included, of whom ten were autonomous for ADL at the time of assessment. Memory complaints, attentional deficits, anxiety, and irritability were the main long-term impairments observed. A correlation analysis showed significant correlations between the dependency level (as rated by the Functional Independence Measure) and each of length of coma, length of the post-traumatic amnesia, and the N100 auditory evoked potentials. These results confirm the uniqueness of each patient regarding the long-term consequences of a traumatic brain injury and the multi-determined nature of each prognosis. L’objectif de cette étude monocentrique était d’explorer le devenir à long terme de patients victimes d’un traumatisme crânien grave et de rechercher des marqueurs pronostiques. Le devenir des patients victimes d’un TC sévère a été évalué au moins 2 ans après le traumatisme. Ces patients ont tous bénéficié d’une évaluation standardisée, comprenant des paramètres cliniques, radiologiques et électrophysiologiques recueillis à la phase aiguë, au cours des années 2007 et 2008. Selon la disponibilité et le niveau de communication de chaque patient, l’évaluation à distance comportait des échelles mesurant la dépendance, les fonctions cognitives, le comportement, l’humeur et la qualité de vie. Parmi les dix-huit patients inclus, dix étaient autonomes pour les gestes de la vie quotidienne lors de l’évaluation tardive. La plainte mnésique, les troubles attentionnels, l’anxiété et l’irritabilité étaient au premier plan des séquelles à distance du TC. L’analyse de corrélation a montré que la durée du coma, la durée de l’amnésie post-traumatique, l’onde N100 des PEA étaient corrélées au niveau de la dépendance à la MIF. Les résultats confirment la singularité de chaque cas quant aux conséquences du TC à long terme et le caractère multi-déterminé du pronostic." @default.
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• W2048918538 date "2014-08-01" @default.
• W2048918538 modified "2023-10-17" @default.
• W2048918538 title "Prognostic factors of long-term outcome in cases of severe traumatic brain injury" @default.
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• W2048918538 doi "https://doi.org/10.1016/j.rehab.2014.06.001" @default.
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