Outcome in polytraumatized patients with and without brain injury

• Published in: Acta anaesthesiologica Scandinavica 2012-10, Vol.56 (9), p.1163-1174
• Main Authors: GROSS, T., SCHÜEPP, M., ATTENBERGER, C., PARGGER, H., AMSLER, F.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Anesthesia; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Brain Injuries - complications; Brain Injuries - psychology; Brain Injuries - therapy; Cohort Studies; Data Interpretation, Statistical; Female; Follow-Up Studies; Glasgow Coma Scale; Glasgow Outcome Scale; Humans; Logistic Models; Long-Term Care; Male; Medical sciences; Middle Aged; Multiple Trauma - complications; Multiple Trauma - psychology; Multiple Trauma - therapy; Pain - epidemiology; Pain - etiology; Prospective Studies; Quality of Life; Recovery of Function; Rehabilitation, Vocational; Survival Analysis; Trauma Severity Indices; Treatment Outcome
• ISSN: 0001-5172; 1399-6576
• DOI: 10.1111/j.1399-6576.2012.02724.x

Background To investigate the long‐term outcome in polytrauma victims with traumatic brain injury (TBI) and without traumatic brain injury (NTBI). Methods Cohort study based on prospectively collected data. Evaluation of functional outcome and quality of life at least 2 years (median 2.5) following trauma in 111 survivors [39.5 ± 20.9 years; injury severity score (ISS) 27.9 ± 8.2; TBI: n = 45; NTBI: n = 66] out of a total of 211 consecutive multiply‐injured patients with an ISS > 16, all primarily admitted to the intensive care unit. Results Significantly fewer TBI patients lived independently compared with NTBI patients (71% vs. 95%; P