Health-related quality-of-life and life satisfaction 6–15 years after traumatic brain injuries in northern Sweden

Jacobsson, Lars; Westerberg, Mats; Lexell, Jan

doi:10.3109/02699052.2010.494590

Cited by 84 publications

(88 citation statements)

References 48 publications

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“…A previous report has shown that it is most important to have a nation-specific reference group, as cultural differences may have an impact on life satisfaction scores. 22 The reference groups comprised Swedish populations between the ages of 18-64 years 10 and 27-71 years, 13 respectively. Hence, these control groups were younger but equal in gender distribution.…”

Section: Discussionmentioning

confidence: 99%

“…To compare the results (seven-point scale) with the reference sample (five-point scale), scores were recoded as 1 = 1; 2 and 3 = 2; 4 = 3; 5 and 6 = 4; and 7 = 5 as seen in a previous study. 12,13 Neurological deficits Neurological deficits, T1-S5, were graded according to the American Spinal Injury Association (ASIA) impairment scale (AIS) in patients discharged with permanent SCI from hospital: AIS A, complete, no motor or sensory function is preserved in the sacral segments S4-S5; AIS B, incomplete, sensory but not motor function is preserved below the neurological level and includes the sacral segments S4-S5; AIS C, incomplete, motor function is preserved below the neurological level, and more than half of key muscles below the neurological level have a muscle grade o3; AIS D, incomplete, motor function is preserved below the neurological level, and at least half of key muscles below the neurological level have a muscle grade of 3 or more. The neurological deficits in each patient were re-scrutinized and re-assessed after evaluation of the respective patient records by a specialist in neurology.…”

Section: Life Satisfactionmentioning

confidence: 99%

“…Student's t-test was used when comparison of means and s.d. was made between the studied and reference sample, 12,13 where alpha level was set at 0.01 and variance at equal, at the website: in-silico.net/tools/statistics/test; the 17 December 2013. Po0.05 was considered as significant.…”

Section: Statisticsmentioning

confidence: 99%

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Mid-term follow-up of patients with permanent sequel due to spinal cord ischemia after advanced endovascular therapy for extensive aortic disease

2014

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Study design: Observational study. Objectives: Thoraco-abdominal endovascular aortic aneurysm repair (TAEVAR) can be used to treat patients with extensive and complex aortic disease, however, at the risk of spinal cord ischemia (SCI). The aim of this follow-up study was to evaluate the life satisfaction in patients with SCI after TAEVAR. Setting: Among 83 patients undergoing TAEVAR between 2009 and 2012 at the Vascular Centre, Malmö, Sweden, 29 developed SCI in-hospital and at follow-up (median 26 months), eight had died and three had no complaints. Methods: Patients diagnosed with permanent (n = 10) and transient (n = 8) SCI were interviewed at home. The Life Satisfaction Questionnaire (LiSat-11) and the Satisfaction With Life Scale (SWLS) were compared with reference samples. Results: Mid-term mortality in patients with permanent SCI (7/17) was higher than those with transient SCI (1/12) (P = 0.035). Ten patients had permanent T1-S5 SCI, two were classified as ASIA Impairment Scale (AIS) A, one as AIS B and seven as AIS D at hospital discharge. Patients diagnosed with transient SCI had residual neurological deficits in the legs (n = 8), urge incontinence (n = 3) and fecal leakage (n = 2) at follow-up. Patients with SCI had lower self-rated life satisfaction in terms of 'life as a whole', 'sexual life', 'somatic health' and 'psychological health' but better in the 'economy' domain. Conclusion: Assessment of life satisfaction at mid-term follow-up suggests that all patients with SCI in-hospital, whether permanent or transient, should have a multi-disciplinary follow-up regime. Most patients diagnosed with transient neurological deficits had an overlooked permanent, less severe, SCI.

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Section: Discussionmentioning

confidence: 99%

Section: Life Satisfactionmentioning

confidence: 99%

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Mid-term follow-up of patients with permanent sequel due to spinal cord ischemia after advanced endovascular therapy for extensive aortic disease

2014

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“…Vários estudos têm revelado que as pessoas com LCA reportam níveis de QdV mais baixos do que a população em geral (Gordon et al, 2006;Jacobsson, Westerberg, & Lexell, 2010;Man et al, 2004;Nestvold & Stavem, 2009;Teasdale & Engberg, 2005), sendo evidente a necessidade de a reabilitação neuropsicológica promover a reintegração social e vocacional, de forma a aumentar a QdV dos indivíduos (Tomberg, Toomela, Pulver, & Tikk, 2005). O bem-estar após LCA parece ser determinado por uma grande variedade de fatores como o grau de autonomia , o estado emocional (Corrigan, Smith, & Granger, 1998;Koskinen, 1998), a capacidade física (Chandrashekar & Benshoff, 2007;Mailhan et al, 2005), o nível de participação social na comunidade (Pierce & Hanks, 2006) e o regresso ao emprego (Tomberg, Toomela, Ennok, & Tikk, 2007).…”

Section: Impactos Da Reabilitação Neuropsicológica Na Qdvunclassified

Impacto de um programa holístico de reabilitação neuropsicológica na qualidade de vida de pessoas com lesão cerebral adquirida

et al. 2016

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A navegação consulta e descarregamento dos títulos inseridos nas Bibliotecas Digitais UC Digitalis, UC Pombalina e UC Impactum, pressupõem a aceitação plena e sem reservas dos Termos e Condições de Uso destas Bibliotecas Digitais, disponíveis em https://digitalis.uc.pt/pt-pt/termos.Conforme exposto nos referidos Termos e Condições de Uso, o descarregamento de títulos de acesso restrito requer uma licença válida de autorização devendo o utilizador aceder ao(s) documento(s) a partir de um endereço de IP da instituição detentora da supramencionada licença.Ao utilizador é apenas permitido o descarregamento para uso pessoal, pelo que o emprego do(s) título(s) descarregado(s) para outro fim, designadamente comercial, carece de autorização do respetivo autor ou editor da obra.Na medida em que todas as obras da UC Digitalis se encontram protegidas pelo Código do Direito de Autor e Direitos Conexos e demais legislação aplicável, toda a cópia, parcial ou total, deste documento, nos casos em que é legalmente admitida, deverá conter ou fazer-se acompanhar por este aviso. The impact of a holistic neuropsychological rehabilitation program on quality of life of patients with acquired brain injury AbstractAfter acquired brain injury (ABI) rehabilitation aims to increase the individual's functionality promoting their Quality of Life (QoL). The main goal of this study was to evaluate the impact of a holistic neuropsychological rehabilitation program (HNRP) on quality of life dimensions. Twenty subjects with ABI participated, mean age 30 years (SD=7.62). Participants were assessed pre and post intervention, with a six months interval, using

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“…Similar to adult TBI, prediction of outcome in survivors is described to be complex, with several factors like the injury severity [27,28], rehabilitation and social support interacting to determine the extent of residual impairments [28]. Anatomic variances to adults like a disproportional large and heavy head with weak neck muscles as well as greater flexibility of cranial bones minimize focal brain injuries but increase the risk of diffuse brain injuries [20,[29][30][31][32][33][34][35][36].…”

Section: Paediatric Tbimentioning

confidence: 99%

Current Opinions on Epidemiology, Treatment and Outcome After Traumatic Brain Injury

Florian¹

2012

J Trauma Treat

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Traumatic Brain InjuryTraumatic Brain Injury (TBI) continues to be the major cause of disability and death throughout the world despite improvements of research and medical treatment [1]. Consequently, an overview on the current incidence of TBI as well as current treatment options and outcome seems considerably relevant.With 332 Traumatic Brain Injuries per 100,000 inhabitants in Germany every year [2], TBI is still the leading cause of mortality and morbidity worldwide [3] resulting in prolonged rehabilitation and long-term care [4]. In multiple traumatized patients, head injuries are evaluated as the most frequent injury, followed by lower and upper extremity trauma [5]. Examining current data, two major gender-and age-related incidences of TBI can be found: one occurs in the late teens to twenties [6] commonly due to motor vehicle accidents [4] with males being three times as often affected compared to females [7]. The second major incidence occurs in the geriatric population caused by falls due to geriatric co-morbidities [6]. While mortality decreased during the last decades based on medical improvements, the World Health Organization (WHO) predicts that TBI will be the third greatest cause of disease and injury by 2020 [8].Typical symptoms of TBI represent headache, nausea and vomiting, dizziness, blurred vision, paresis, aphasia, seizures and impaired coordination on the physical side [9]. Cognitive impairments include attention, memory and concentration disorders or decreased processing speed whereas behavioural symptoms present as depression, anxiety, agitation or aggression [9]. While these symptoms are present in different injury severities to some extent, most are described to resolve quickly especially after mild TBI [9]. Nevertheless, symptoms can still persist for months or even years regardless of the injury severity of TBI [10,11]. AbstractObjective: The objective of this article is to provide an overview on current incidences of traumatic brain injury (TBI) with special focus on current surgical and non-surgical treatment options as well as outcome.Method: A Medline database search was performed using various combinations of the search terms "traumatic brain injury", "TBI", "treatment", "outcome" "pediatric", "intracranial hypertension", "epidemiology" and "incidence". Results:We found an incidence of TBI of 332/100,000 inhabitants in Germany per year and 219-345/100,000 TBI occurring in children. TBI is still the leading cause of mortality and morbidity worldwide. The overall mortality after TBI is described with 1%.Typical symptoms of TBI represent headache, nausea and vomiting, dizziness, blurred vision, paresis, aphasia, seizures and impaired coordination on the physical side. Cognitive impairments include attention, memory and concentration disorders or decreased processing speed whereas behavioural symptoms present as depression, anxiety, agitation or aggression. Persistence of these symptoms results in a vicious cycle of impaired skill acquisition and an adaptive deficit with increased ...

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Health-related quality-of-life and life satisfaction 6–15 years after traumatic brain injuries in northern Sweden

Abstract: These results confirm the importance of TBI as a cause of long-term disability and the impact of the injury on the individuals' self-perceived values of health, quality-of-life and life satisfaction.

Cited by 84 publications

References 48 publications

Mid-term follow-up of patients with permanent sequel due to spinal cord ischemia after advanced endovascular therapy for extensive aortic disease

Mid-term follow-up of patients with permanent sequel due to spinal cord ischemia after advanced endovascular therapy for extensive aortic disease

Impacto de um programa holístico de reabilitação neuropsicológica na qualidade de vida de pessoas com lesão cerebral adquirida

Current Opinions on Epidemiology, Treatment and Outcome After Traumatic Brain Injury

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