Limits to Classification and Prognosis of Severe Head Injury

Frowein, R. A.; Steinmann, H. W.; Haar, Karin; Terhaag, D.; Karimi-Nejad, A.

doi:10.1007/978-3-642-67028-2_4

Cited by 13 publications

(5 citation statements)

References 6 publications

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“…Many studies have focused on long-term quality of life and productivity issues for the growing population of TBI survivors (1)(2)(3)(4). Individual factors pertaining to the recovery from TBI have been identi ed, as are patients' age, coma duration, initial Glasgow Coma Scale (GCS) score, duration of post-traumatic amnesia and the pre-traumatic state of health (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Functional and Psychosocial Outcome One Year After Severe Traumatic Brain Injury and Early-Onset Rehabilitation Therapy

Lippert-Grüner¹,

Wedekind²,

Klug³

2002

Journal of Rehabilitation Medicine

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This study evaluates the impact of early-onset continuous rehabilitation treatment on the 1-year outcome of patients after severe traumatic brain injury. Immediately after recovery from mechanical ventilation, a total of 48 patients underwent a complex early rehabilitation treatment until they were discharged from hospital and local ambulant care was deemed sufficient. The follow-up examination took place 12 months after trauma. Data reveal that at 1 year 91.6% of the patients were completely or restrictedly independent of care and capable of carrying out activities of daily living, although they frequently were still suffering from marked behavioural and also from certain sensorimotor deficits. Only 45.8% of the patients were obviously able to work without restrictions or had returned to work. In those subjects who were not or only very restrictedly able to work, behavioural and speech deficits were significantly more frequent. Behavioural and speech deficits seem to represent the major cause that hinders professional reintegration. Rehabilitation therapy therefore should be specifically directed to improve these deficits.

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Section: Introductionmentioning

confidence: 99%

Functional and Psychosocial Outcome One Year After Severe Traumatic Brain Injury and Early-Onset Rehabilitation Therapy

Lippert-Grüner¹,

Wedekind²,

Klug³

2002

Journal of Rehabilitation Medicine

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“…neurochirurgische Therapie mit intensivmedizinischer Behandlung durchgeführt werden. Individuelle Faktoren, die die Erholung nach einer Hirnverletzung beeinflussen, liegen gesichert für das Lebensalter [4,5,13] und den prätraumatischen Gesundheitszustand vor. Untersuchungen von Schönle [18] und Kirchberger [11] weisen darauf hin, dass das Erholungsergebnis günstiger ist, wenn die Rehabilitation frühzeitig beginnt und durchgehend durchgeführt wird.…”

Section: Introductionunclassified

Ergebnisse der frührehabilitativen Behandlung nach schwerem Schädel-Hirn-Trauma auf der neurochirurgischen Intensivstation

Lippert-Grüner¹,

Terhaag²

2001

Phys Rehab Kur Med

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“…mit diesen Fragen beschä ftigt (2,3 ). Für die klinische Beurteilun g eines Schä delhirnve rletzten ist die Bewußtseinsstö rung das Leitsymp tom (5) . Eine Bewu ßtseinsstörung bis hin zum Kom a ist im EEG durch Allgemeinver änderungen nachweisb ar.…”

Section: Introductionunclassified

Einfluß von Methylprednisolon und Dexamethason auf die Prognose und das EEG bei schweren Schädelhirnverletzungen

Wi¹,

Grau²

1984

Minim Invasive Neurosurg

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Limits to Classification and Prognosis of Severe Head Injury

Cited by 13 publications

References 6 publications

Functional and Psychosocial Outcome One Year After Severe Traumatic Brain Injury and Early-Onset Rehabilitation Therapy

Functional and Psychosocial Outcome One Year After Severe Traumatic Brain Injury and Early-Onset Rehabilitation Therapy

Ergebnisse der frührehabilitativen Behandlung nach schwerem Schädel-Hirn-Trauma auf der neurochirurgischen Intensivstation

Einfluß von Methylprednisolon und Dexamethason auf die Prognose und das EEG bei schweren Schädelhirnverletzungen

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