Navigation Links
Predicting the future for patients with severe traumatic brain injury
Date:11/17/2008

This release is available in French.

Montreal, November 17th, 2008 "How will our loved one come out of this?" After an accident that results in severe traumatic brain injury (sTBI), the answer to this simple question can change everything for a family.

The latest study carried out by Dr. Elaine deGuise, Joanne Leblanc, Mitra Feyz and all the clinicians of the Traumatic Brain Injury Program for Adults at the McGill University Health Centre (MUHC) describes the tools that are most effective at providing an objective answer to this question almost as soon as patients leave intensive care. The study was published recently in the Journal of Head Trauma Rehabilitation.

Better advice and more structured follow-up

"This study is unique as it involved a multidisciplinary team. We could therefore assess the patient from many angles and establish an overall picture," stated Dr. deGuise. "Our findings are important because, in addition to the advice that we can give to families, we can now implement a comprehensive program in the continuum of care that is based on more objective and scientific principles."

Powerful predictive tools

When patients with a sTBI leave acute care hospitals (generally between 20 to 29 days after the accident), they undergo standard tests to assess their overall level of functioning and to orientate them to appropriate resources to optimize their recovery.

This study proves that their results can also be used to predict the future development of the patient's general condition. The tests used in this study include the GOS-E (Extended Glasgow Outcome Scale), the NRS-R (Neurobehavioral Rating Scale-Revised), and the FIM (Functional Independence Measure).

"The tests that are regularly performed on all our patients with a sTBI are very effective tools as, based on their results, we can give families an idea of the patient's incapacities and progress after the trauma," J. Leblanc explained. "There are many factors that influence post-traumatic recovery, but the measurement scales are complex enough that we can make realistic predictions about patients' future physical, cognitive or emotional states."

Persistent cognitive and emotional deficiencies

The study was based on the follow-up of 46 patients from 2 to 5 years after an accident that led to a sTBI. The patients took the GOS-E, NRS-R and FIM tests again for the study. The researchers then compared their results with those from the same tests performed when the patients were discharged from acute care hospital.

The researchers found that these patients' physical function and ability to perform daily tasks had improved over time. However, their cognitive and emotional faculties, meaning their ability to perform more complex tasks and to cope in society, did not develop to the same extent.

"These cognitive and emotional deficiencies can have major consequences: most of our patients could not keep the same job after their accidents," said Feyz. "This leads to other psycho-social problems that often result in psychological vulnerability. Out of all the patients observed in this study, 52% presented depressive or anxiety disorders two to five years after the trauma."

The effects of a serious accident that leads to a sTBI are not limited to patients alone: their friends and family members, as well as the entire health care system, are also affected, which has emotional and financial consequences. Prevention is still the best way to manage these kinds of events.


'/>"/>

Contact: Isabelle Kling
isabelle.kling@muhc.mcgill.ca
514-843-1560
McGill University Health Centre
Source:Eurekalert

Related medicine news :

1. Novel imaging approach may assist in predicting success of treatment for atrial fibrillation
2. Prototype test for predicting clinical outcome for melanoma patients
3. Research highlights problems of predicting birthweights in obese mothers
4. Predicting post-traumatic stress disorders in deployed veterans
5. Predicting the future in ovarian cancer
6. Predicting survival after liver transplantation
7. Blood test takes step toward predicting Alzheimers risk, Stanford researchers find
8. Use of certain lipid measures not more effective in predicting coronary heart disease
9. Future Looks Bright For Non-Invasive Diagnosis Of Skin Cancer; Study Shows Novel Light Device Detects Cancerous Lesions From Normal Tissue
10. FutureScripts(R) Wins Business of UFCW Local 1776 for Pharmacy Benefits
11. Experts discuss future of public health research on Down syndrome
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... ... fertility once they have been diagnosed with endometriosis. These women need a treatment ... also require a comprehensive approach that can help for preservation of fertility and ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room ... Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. ... of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of ...
(Date:6/24/2016)... ... , ... A recent article published June 14 on E Online ... on to state that individuals are now more comfortable seeking to undergo not only ... calf and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians (BHP) ...
(Date:6/24/2016)... ... ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys are ... for this recognition are considered among the top 2 percent of lawyers practicing within ... of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. Bloom, ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB Medicine presented ... in Emergency Medicine conference in Ponte Vedra Beach, FL. The awards honor the ... Emergency Medicine Practice and Pediatric Emergency Medicine Practice. , “With this award, ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Research ... Devices Global Market - Forecast to 2022" report to ... the treatment method for the patients with kidney failure, it ... excess fluid from the patient,s blood and thus the treatment ... potassium and chloride in balance. Increasing number ...
(Date:6/23/2016)... June 23, 2016 Roche (SIX: RO, ROG; ... for its Elecsys BRAHMS PCT (procalcitonin) assay as a ... septic shock. With this clearance, Roche is the first ... integrated solution for sepsis risk assessment and management. ... infection and PCT levels in blood can aid clinicians ...
(Date:6/23/2016)... -- Bracket , a leading clinical trial technology and ... platform, Bracket eCOA (SM) 6.0, at the 52 nd ... 2016 in Philadelphia , Pennsylvania.  A demonstration ... of its kind to fully integrate with RTSM, will be ... is a flexible platform for electronic clinical outcomes assessments that ...
Breaking Medicine Technology: