Citation

Bahlouli E, Rekik M, Krifa B, Achour K, Lebib S, Salah FE, Dziri C. Ann. Phys. Rehabil. Med. 2016; 59S: e136.

Affiliation

Institut Kassab d'orthopédie de Tunis, médecine physique et réadaptation fonctionnelle, Tunis, Tunisia.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.rehab.2016.07.306

PMID

27676787

Abstract

OBJECTIVE: The aim of this study was to investigate the quality of life of patients with severe traumatic brain injury and their relatives by a visual analogue scale (0-10) and a distress companion score (1-6) and to establish correlations between Glasgow Coma Scale (GCS), Glasgow out scale (GOS), the Functional Independence Measure (FIM) and QOL. MATERIAL/PATIENTS AND METHODS: Retrospective study conducted in the department of physical and rehabilitation medicine of Kassab Institute of Traumatology and Orthopaedics concerning patients followed for severe traumatic brain injury sequalea.

RESULTS: Thirty patients were included in the study. The mean initial GCS score was of 5.74/15. The GOS was of 5 in eleven patients, 4 in eight, and 3 in eleven. The mean FIM was 104/126 (74-126) but dependence in advanced activities was more severe than in elementary activities. The subjective QOL of patients was discretely lower (m=4.7/10) than that estimated by close relatives (m=5). The relatives QOL was similarly reduced (m=4.47). The mean distress accompanying score was 3.7/6. The factors most influencing the patients and relatives QOL were the dependence in the advanced activities and the GOS.

DISCUSSION-CONCLUSION: The reduction of patient and "relatives" QOL was mainly influenced by functional dependence however, new influencing factors have to be more studied, such as impairment, disability and handicap.

Copyright © 2016. Published by Elsevier Masson SAS.

Language: en