@article{ref1,
title="Head injury in polytrauma-Is there an effect on outcome more than 10 years after the injury?",
journal="Brain injury",
year="2011",
author="Zeckey, Christian and Hildebrand, Frank and Pape, Hans-Christoph and Mommsen, Philipp and Panzica, Martin and Zelle, Boris A. and Alexander Sittaro, Nicola and Lohse, Ralf and Krettek, Christian and Probst, Christian",
volume="25",
number="6",
pages="551-559",
abstract="Introduction: Head injuries are of great relevance for the prognosis of polytrauma patients during acute care. However, knowledge about the impact on the long-term outcome is sparse. Therefore, this study analysed the role of head injuries on the outcome of polytrauma patients more than 10 years after injury in a matched-pair analysis. Patients and methods: Out of 620 polytrauma patients with and without head injury, a matched-pair analysis with comparable age, injury severity and gender distribution and a minimum of 10 years follow-up was performed. The outcome and quality-of-life were measured using the Hannover Score for Polytrauma Outcome (HASPOC), Short Form 12 (SF-12), Glasgow Outcome Scale (GOS) and other parameters. Results: The matched-pair analysis consisted of 125 pairs (age 27.9 ± 1.2 years, ISS 20.0 ± 0.8 [head injury] vs ISS 19.8 ± 0.8 [no head injury]). A significant difference was shown for the GOS Score only (GOS head injury 4.3 ± 0.3 vs no head injury 4.9 ± 0.2, p = 0.01). The psychological outcome was similar in both groups. Both groups reported comparable subjective rehabilitation satisfaction. Conclusions: Matching pairs of equally injured polytrauma patients of same gender with and without head injury 10 years following trauma indicated significantly worse results in the GOS due to head injury.<p /><p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.3109/02699052.2011.568036",
url="http://dx.doi.org/10.3109/02699052.2011.568036"
}