Outcome one year post severe traumatic brain injury: About a Tunisian population
Dr Soumaya BOUDOKHANEa, Dr Houda MIGAOUa, Dr Sana SALAHa, Dr Anis JELLADa, Dr Zohra BEN SALAH FRIHa
a CHU Fattouma Bourguiba de Monastir-Université de Monastir
Aim: The main objective of this study was to investigate the epidemiological characteristics, functional and socio-professional outcome of a population of individuals one year after a severe traumatic brain injury (TBI).
Methods: The following parameters were analyzed: profession, mechanism of trauma, period of care in rehabilitation, initial GCS, imaging results, nature of neuro-orthopedic sequelae, cognitive disorders, and functional level assessed by the FIM (Functional Independence Measure). The handicap was evaluated by the Glasgow outcome scale (GOS).
The socio-professional status after TBI (lifestyle, occupation and education) was also investigated.
Results: The average age of the 50 patients included in the study was 28.1±15.3 years, mostly male (76%). Length of stay in functional rehabilitation averaged 8.7±14.7 months. All patients included in this study were socially active before the accident and lived with their family. Only 7 patients had returned to work and only 8 patients had resumed their schooling. Problems with memory, executive functions and thinking were reported in 42% of cases. The behavioral troubles (frontal syndrome and emotional problem health) were noted in 40% of cases. The average value of the FIM was 84.1±29. According to the GOS, 30% of patients had a good recovery, and 2 patients remained in persistent vegetative state.
Discussion: Our study population is relatively young and predominantly male. Rehabilitation management takes place very late and the rate of socio-professional reintegration is very low. These findings highlight the importance of providing coordinated medical rehabilitation and intensive care unit to promote social outcomes after severe TBI.