scholarly journals Predictors of quality of life after moderate to severe traumatic brain injury

2016 ◽  
Vol 74 (5) ◽  
pp. 409-415 ◽  
Author(s):  
Karina Tavares Weber ◽  
Viviane Assunção Guimarães ◽  
Octávio M Pontes Neto ◽  
João P. Leite ◽  
Osvaldo Massaiti Takayanagui ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Functional Capacity ◽  
Injury Severity ◽  
World Health ◽  
Strong Negative Correlation ◽  
Assessment Protocol ◽  
Health Organization

ABSTRACT Objective To verify correlations between age, injury severity, length of stay (LOS), cognition, functional capacity and quality of life (QOL) six months after hospital discharge (HD) of victims of traumatic brain injury (TBI). Method 50 patients consecutively treated in a Brazilian emergency hospital were assessed at admission, HD and six months after HD. The assessment protocol consisted in Abbreviated Injury Scale, Injury Severity Score, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Mini Mental Test, Barthel Index and World Health Organization QOL - Brief. Results Strong negative correlation was observed between LOS and GCS and LOS and RTS. An almost maximal correlation was found between RTS and GCS and functional capacity and GCS at HD. Age and LOS were considered independent predictors of QOL. Conclusion Age and LOS are independent predictors of QOL after moderate to severe TBI.

scholarly journals Quality of life of victims of traumatic brain injury six months after the trauma

2013 ◽  
Vol 21 (4) ◽  
pp. 868-875 ◽  
Author(s):  
Rita de Cássia Almeida Vieira ◽  
Edilene Curvelo Hora ◽  
Daniel Vieira de Oliveira ◽  
Maria do Carmo de Oliveira Ribeiro ◽  
Regina Márcia Cardoso de Sousa
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mean Value ◽  
World Health ◽  
Structured Interviews ◽  
World Health Organization Quality ◽  
Productivity Data ◽  
Health Organization

OBJECTIVE: to describe the quality of life of victims of traumatic brain injury six months after the event and to show the relationship between the results observed and the clinical, sociodemographic and return to productivity data. METHOD: data were analyzed from 47 victims assisted in a trauma reference hospital in the municipality of Aracaju and monitored in an outpatient neurosurgery clinic. The data were obtained through analysis of the patient records and structured interviews, with the application of the World Health Organization Quality of Life, brief version, questionnaire. RESULTS: the victims presented positive perceptions of their quality of life, and the physical domain presented the highest mean value (68.4±22.9). Among the sociodemographic characteristics, a statistically significant correlation was found between marital status and the psychological domain. However, the return to productivity was related to all the domains. CONCLUSION: the return to productivity was an important factor for the quality of life of the victims of traumatic brain injury and should direct the public policies in promoting the health of these victims.

Self-awareness four years after severe traumatic brain injury: discordance between the patient’s and relative’s complaints. Results from the PariS-TBI study

2017 ◽  
Vol 32 (5) ◽  
pp. 692-704 ◽  
Author(s):  
Camille Chesnel ◽  
Claire Jourdan ◽  
Eleonore Bayen ◽  
Idir Ghout ◽  
Emmanuelle Darnoux ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Significant Relationship ◽  
Injury Severity ◽  
Chronic Phase ◽  
Functional Independence ◽  
Severe Tbi

Objective: To evaluate the patient’s awareness of his or her difficulties in the chronic phase of severe traumatic brain injury (TBI) and to determine the factors related to poor awareness. Design/Setting/Subjects: This study was part of a larger prospective inception cohort study of patients with severe TBI in the Parisian region (PariS-TBI study). Intervention/Main measures: Evaluation was carried out at four years and included the Brain Injury Complaint Questionnaire (BICoQ) completed by the patient and his or her relative as well as the evaluation of impairments, disability and quality of life. Results: A total of 90 patient-relative pairs were included. Lack of awareness was measured using the unawareness index that corresponded to the number of discordant results between the patient and relative in the direction of under evaluation of difficulties by the patient. The only significant relationship found with lack of awareness was the subjective burden perceived by the relative (Zarit Burden Inventory) ( r = 0.5; P < 0.00001). There was no significant relationship between lack of awareness and injury severity, pre-injury socio-demographic data, cognitive impairments, mood disorders, functional independence (Barthel index), global disability (Glasgow Outcome Scale), return to work at four years or quality of life (Quality Of Life after Brain Injury scale (QOLIBRI)). Conclusion: Lack of awareness four years post severe TBI was not related to the severity of the initial trauma, sociodemographic data, the severity of impairments, limitations of activity and participation, or the patient’s quality of life. However, poor awareness did significantly influence the weight of the burden perceived by the relative.

scholarly journals Kualitas Hidup Pasien Trauma Kapitis Berdasarkan QOLIBRI dan WHOQOL di RS Bhayangkara Makassa

2021 ◽  
Vol 6 (3) ◽  
pp. 167
Author(s):  
Nur Wahyuni Munir ◽  
Siti Marwah Indah ◽  
Maryunis Maryunis
Keyword(s):  
Quality Of Life ◽  
Brain Injury ◽  
World Health Organization ◽  
World Health ◽  
World Health Organization Quality ◽  
Organization Quality ◽  
Health Organization

Latar Belakang: Trauma kapitis atau cedera kepala dapat menyebabkan deformitas, penurunan kualitas hidup, dan bahkan kematian. Hal ini berdampak pada emosional, sosial dan kemampuan dalam pemenuhan kegiatan sehari-hari.Tujuan: Mengetahui gambaran kualitas hidup berdasarkan Quality of Life after Brain Injury (QOLIBRI) dan World Health Organization Quality of Life (WHOQOL) pada pasien trauma kapitis di RS Bhayangkara Makassar.Metode: Desain penelitian deskriptif dengan teknik accidental sampling pada 44 pasien yang datang di poliklinik RS Bhayangkara Makassar pada Agustus hingga September 2019.Hasil: Berdasarkan QOLIBRI, kualitas hidup tertinggi berada pada aspek hubungan sosial, yaitu sebesar 43 responden (97,7%) dan kualitas hidup terendah berada pada aspek perasaan, yaitu sebesar 28 responden (63,6%), sedangkan berdasarkan WHOQOL, kualitas hidup tertinggi berada pada aspek hubungan sosial, yaitu sebesar 42 responden (95,5%) dan kualitas hidup terendah berada pada aspek psikologis, yaitu 12 responden (27,3%).Kesimpulan: Kualitas hidup berdasarkan QOLIBRI tinggi dari segi aspek hubungan sosial dan rendah dari segi aspek perasaan, sedangkan kualitas hidup berdasarkan WHOQOL tinggi dari segi aspek hubungan sosial dan rendah dari segi aspek psikologis. Diharapkan pasien memperbaiki komunikasi dengan keluarga dan lingkungan sekitar serta memperbaiki pola hidup sehat agar responden tidak mengalami kesepian atau depresi.

scholarly journals Qualidade de vida de vítimas de trauma seis meses após a alta hospitalar

2009 ◽  
Vol 43 (1) ◽  
pp. 154-160 ◽  
Author(s):  
Ana Laura A Alves ◽  
Francine M Salim ◽  
Edson Zangiacomi Martinez ◽  
Afonso Dinis Costa Passos ◽  
Marysia Mara Rodrigues Prado De Carlo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Injury Severity Score ◽  
World Health Organization ◽  
Severity Score ◽  
Injury Severity ◽  
World Health ◽  
World Health Organization Quality ◽  
Organization Quality ◽  
Health Organization

OBJETIVO: O trauma ocupa o terceiro lugar dentre as causas de morte no Brasil. Contudo, seu impacto na qualidade de vida dos sobreviventes tem sido pouco estudado no País. O objetivo do estudo foi avaliar a qualidade de vida de vítimas de trauma atendidas em unidade hospitalar de emergências, seis meses após a alta hospitalar. MÉTODOS: Foram incluídos 35 pacientes de unidade de emergência de hospital universitário de Ribeirão Preto (SP), entre 2005 e 2006. Os pacientes foram entrevistados em seus domicílios, seis meses após terem tido alta hospitalar. Foi aplicado o instrumento World Health Organization Quality of Life, versão breve, para avaliação dos domínios físico, psicológico, relações sociais e meio ambiente. As associações entre os escores dos domínios e as variáveis permanência hospitalar, idade, sexo e Injury Severity Score foram exploradas por modelos de regressão linear. RESULTADOS: Observou-se diminuição significativa na qualidade de vida do grupo estudado, quando comparado a amostras de pessoas normais em estudos nacionais e internacionais, em particular nos domínios físico, psicológico e de meio ambiente. O domínio relações sociais apresentou a maior média de escores, com 69,7 pontos, enquanto o domínio meio ambiente recebeu a menor pontuação (52,4), ambos na escala percentual. As variáveis associadas a domínio físico foram permanência hospitalar (p=0,02), idade (p<0,01) e sexo (p=0,03). Para os demais domínios, a análise não mostrou associação com as variáveis estudadas. CONCLUSÕES: As vítimas de trauma apresentaram diminuição nos escores de qualidade de vida. Embora o aspecto físico tenha sido o mais atingido, há evidências de que os domínios psicológico e de meio ambiente permaneceram distantes das condições ideais esperadas para a população em geral.

Effect of Electroencephalogram Neurofeedback Training on Quality of Life in Patients with Traumatic Brain Injury: In Context of Spontaneous Recovery

2017 ◽  
Vol 14 (02/03) ◽  
pp. 129-134
Author(s):  
Cathlyn Bennett ◽  
Somanna Sampath ◽  
Rita Christopher ◽  
K. Thennarasu ◽  
Jamuna Rajeswaran
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Spontaneous Recovery ◽  
World Health ◽  
Life Questionnaire ◽  
Neurofeedback Training ◽  
World Health Organization Quality ◽  
Study Results

Abstract Introduction Quality of life (QOL) is strongly affected following traumatic brain injury (TBI). There is a strong need to explore the use of new developments in neuropsychological rehabilitation such as electroencephalogram (EEG) neurofeedback training (NFT) on QOL in TBI patients. Objective The objective was to study the effect of EEG NFT on QOL in TBI patients in the context of spontaneous recovery. Methodology A sample of 60 TBI patients was assigned to an NFT group (n = 30) and a treatment as usual (TAU) group (n = 30). Twenty sessions of α/θ NFT at the occipital 1 and 2 scalp locations were given to the NFT group. The NFT protocol used was dependent on (4–7 Hz) θ and (8–12 Hz) α activity with the aim of decreasing the θ/α ratio. Pre- and postassessments of QOL were recorded on the World Health Organization quality of life questionnaire (WHOQOL)–BREF. Results This study results indicate significant enhancement of QOL in the NFT group as compared with the TAU group. The improvement scores indicate that the 12- to 18-month postinjury NFT group had significantly less improvement on QOL as compared with the < 6-month NFT group. Conclusion EEG NFT helps improve QOL in TBI patients. Early intervention is more effective in improving QOL than later intervention.

THE IMPACT OF TRAUMATIC BRAIN INJURY ON PATIENT-REPORTED PHYSICAL AND MENTAL HEALTH

2015 ◽  
Vol 86 (11) ◽  
pp. e4.114-e4
Author(s):  
Nikos Gorgoraptis ◽  
Joanna Zaw-Linn ◽  
Claire Feeney ◽  
Carmen Tenorio Jimenez ◽  
Mari Niemi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Injury Severity ◽  
Nottingham Health Profile ◽  
Well Being ◽  
Sf 36 ◽  
Patient Reported ◽  
The Impact

Traumatic Brain Injury (TBI) is a major cause of disability, with staggering social consequences, but little is known on what determines the impact of TBI from the patient's perspective.In an audit of 240 patients (172 males, median age: 42 years, range: 20–89 years) who attended our multidisciplinary TBI clinic, we examined the impact of cognitive function, depression, sleep, history of substance abuse, age, injury severity (172 moderate-severe, 68 possible-mild TBI) and time since injury (median: 4 months, range: 20 days–28 years) on two patient-reported measures of quality of life: SF–36 Health Survey and Nottingham Health Profile (NHP).Worse outcomes in NHP and both Mental and Physical sub-scores of SF–36 were associated with poorer cognitive performance, as measured by ACE–R. Depression, examined using BDI–II, showed a strong negative correlation with both quality of life measures. Sleep-related symptoms were also strongly associated with worse patient-reported outcomes. Patients reported poorer outcomes in both SF-36 and NHP when examined at a later time since their injury, and this effect could not be attributed to older age.Impairments in cognition, mood and sleep following TBI may have a significant impact on patients' perception of their physical and mental well-being.

Alexithyme Patientenmerkmale und Lebensqualität – Eine Querschnittsstudie an 79 ambulanten Patienten mit Angststörungen

2013 ◽  
Vol 61 (1) ◽  
pp. 17-26 ◽  
Author(s):  
Katrin Leenen ◽  
Michael Rufer ◽  
Hanspeter Moergeli ◽  
Hans-Jörgen Grabe ◽  
Josef Jenewein ◽  
...  
Keyword(s):  
Quality Of Life ◽  
World Health ◽  
Life Questionnaire ◽  
World Health Organization Quality ◽  
Fand Sich ◽  
Quality Of Life Questionnaire ◽  
Organization Quality ◽  
Health Organization ◽  
Tas 20

Aus Untersuchungen in der Normalbevölkerung ist bekannt, dass Menschen mit erhöhten Alexithymiewerten eine verminderte Lebensqualität (LQ) aufweisen. Für Patienten mit psychischen Störungen wurde dieser Zusammenhang jedoch kaum untersucht. Ziel dieser Studie war es, den möglichen Zusammenhang zwischen alexithymen Patientenmerkmalen und der LQ bei Patienten mit Angststörungen zu überprüfen. Bei 79 ambulanten Patienten mit Angststörungen wurden alexithyme Charakteristika mit der Toronto Alexithymia Scale (TAS-20), die LQ mit der Kurzversion des World Health Organization Quality of Life Questionnaire 100 (WHOQOL-BREF) erfasst. Darüber hinaus fand eine Erhebung der psychischen Symptombelastung (SCL-90-R) und depressiven Symptomatik (MADRS) statt. Mittels hierarchischer Regressionsanalysen wurde der Zusammenhang zwischen der alexithymen Charakteristika und den unterschiedlichen LQ-Domänen berechnet. Die Patienten zeigten eine im Vergleich zur Normalbevölkerung deutlich verminderte LQ. Als Hauptergebnis fand sich, auch nach Kontrolle von Depression, Ängstlichkeit und Geschlecht, ein signifikanter Zusammenhang zwischen den beiden TAS-20 Subskalen Schwierigkeiten, Gefühle zu identifizieren und zu beschreiben und vor allem der psychischen LQ. Unsere Ergebnisse sprechen dafür, bei der Diagnostik und Therapieplanung von Patienten mit Angststörungen alexithyme Merkmale einzubeziehen. Im Falle von ausgeprägten alexithymen Merkmalen sollten psychotherapeutische Interventionen zur Verbesserung der Schwierigkeiten Gefühle wahrzunehmen und zu kommunizieren in Betracht gezogen werden.

Glittre ADL test in eutrophic, overweight and obese elderly

2020 ◽  
Vol 21 (1) ◽  
pp. 49
Author(s):  
Augusto Baumhardt Guidoti ◽  
Ângelo Pereira Cattani ◽  
Cintia Laura De Araujo ◽  
Fernanda Beatriz Costa Delacoste ◽  
Guilherme Scotta Hentschke ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Capacity ◽  
Elderly Women ◽  
Handgrip Strength ◽  
Exercise Intolerance ◽  
World Health ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
World Health Organization Quality

The Glittre ADL-test (TGlittre) has been designed and validated to measure functional capacity during daily living activities in patients with chronic obstructive pulmonary disease (COPD) but is now used in several other situations. The aim of this study was to evaluate the applicability of TGlittre in a sample of overweight and obese eutrophic elderly. This was an experimental and cross-sectional study, which included 21 elderly women, allocated by BMI, in eutrophic (n = 8), overweight (n = 6) and obese (n = 7) groups. They were assessed for functional capacity (TGlittre and 6MWT), quality of life (QOL) with the questionnaire World Health Organization Quality of Life for Older People (WHOQOL-OLD) and handgrip strength (HGS). TGlittre correlated with age (p = 0.0040) and with 6MWT (p = 0.0086), but no statistical difference was found in TGlittre's performance time and the distance covered in 6MWT between groups. TGlittre did not correlate with HGS (p = 0.1493) and WHOQOL-Old (p = 0.0905). The data obtained in the present study corroborate that TGlittre is used as a functional measurement variable in the elderly population.Keywords: aged, obesity, exercise intolerance.­­­

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