Disability as a result of craniocerebral trauma in Russia: actuality and forecasts

Objective: to substantiate the significance of quality of life indicators in the formation of modern content of personalized rehabilitation of patients with a consequences of traumatic brain injury. Material and methods. The study included 414 respondents of working age (93.6% men). 54% of the respondents had a traumatic brain injury within 1 to 5 years, in 62,0%, cases the traumatic brain injury was of severe degree. Longitudinal sociological study of the quality of life using the WHOQOL-100 questionnaire was carried out. The Dembo-Rubinstein test was used to diagnose the adequacy of self-assessment of the respondents with TBI. The dynamics of the respondents' neurological status and quality of life were assessed annually during 2020-2022. Results. In the annual study, 64.7% of respondents showed clinical deterioration in 96% of cases, which was manifested by increased severity of general cerebral symptoms, cognitive impairment, and asthenic syndrome. In 4.0% of cases new symptoms manifested (posttraumatic epilepsy). In the dynamic of respondents' quality of life, clinical deterioration in parameters "Physical sphere", "Psychological sphere", "Environment" and "General quality of life and health status" was revealed. Conclusion. In the absence of specific laboratory markers in clinical practice and not always sufficient informativeness of neuroimaging methods for the verification of the consequences of traumatic brain injury, the quality of life can be considered as an important criterion of prognosis, which determines the content of personalised rehabilitation of patients with the consequences of traumatic brain injury.

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Causes and nature of traumatic brain injury in a metropolis and the organization of assistance to victims in a multidisciplinary hospital

Dudanov,

Podgornyak,

Pavlov

et al. 2023

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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THE OBJECTIVE of the study was to study the causes and nature of traumatic brain injury in a metropolis and to form the principles of providing assistance to victims in a multidisciplinary hospital.METHODS AND MATERIALS. The analysis of a sequential sample of 2017 case histories of patients admitted to St. Petersburg State Medical Institution “Mariinsky City Hospital” for urgent indications with injuries of the skin of the head, skull bones, brain of varying severity was carried out. They accounted for 69 % of the total number of injured patients (2,932 people) admitted with injuries to various parts of the body, including the head, from August 2021 to February 2022. We analyzed 114 case histories of patients treated in the intensive care unit (ICU). The mortality rate in this group was 36 % (41 out of 114 people). The work is illustrated by clinical observations with typical urban injuries, which were caused by icicles falling on the head, blocks of snow from the roofs of houses, incidents with personal mobility equipment on the sidewalks of the city, falls on ice and other causes.RESULTS. Based on clinical examples, the causes and features of urban traumatic brain injury in a metropolis, criteria for sorting and routing patients admitted with signs of traumatic brain injury were considered.

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Disability as a result of craniocerebral trauma in Russia: actuality and forecasts

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On the Issue of Developing a Unified Quality Assessment System for Speech Therapy at Different Stages of Comprehensive Support for Education, Development, and Rehabilitation of Children with the Consequences of Local Brain Lesions

On the Issue of Developing a Unified Quality Assessment System for Speech Therapy at Different Stages of Comprehensive Support for Education, Development, and Rehabilitation of Children with the Consequences of Local Brain Lesions

Modern content for personalized rehabilitation of patients with a consequences of traumatic brain injury

Causes and nature of traumatic brain injury in a metropolis and the organization of assistance to victims in a multidisciplinary hospital

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