A comprehensive picture of 4-year outcome of severe XXXX . Results from the PariS-TBI study.

@entity1545 @entity1 @entity131 @entity308 @entity146 @entity73 @entity148 @entity158 @entity10
OBJECTIVES: Survivors of severe @entity131 have a great variety of impairments and participation restrictions. Detailed descriptions of their long-term outcome are critical. We aimed to assess @entity1545 outcome for subjects with @entity131 in terms of the International classification of functioning, disability and health. MATERIALS AND METHODS: Four-year follow-up of an inception cohort of adults with severe @entity131 by using face-to-face interviews with @entity1 and proxies. RESULTS: Among 245  survivors at 4  years, 147 were evaluated (80% male, mean age: 32.5  14.2  years at injury); 46 (32%) presented severe disability, 58 (40%) moderate disability, and 40 (28%) good recovery. Most frequent somatic problems were fatigue, @entity10 , other @entity158 , and balance. One quarter of subjects had @entity73 . Rates of cognitive complaints ranged from 25 to 68%, the most frequent being memory, @entity146 , @entity73 and concentration. With the Hospital Anxiety and @entity308 Scale, 43% had @entity148 and 25% @entity308 . Overall, 79% were independent in daily living activities and 40 to 50% needed help for outdoor or organizational activities on the BICRO-39. Most had regular contacts with relatives or close friends but few contacts with colleagues or new acquaintances. Subjects spent little time in productive activities such as working, studying, looking after @entity1 or voluntary work. Quality of life on the QOLIBRI scale was associated with disability level (P<0.0001). CONCLUSION: Management of late @entity1545 needs to focus on cognitive difficulties, particularly social skills, to enhance @entity1 participation in life.
