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Long-term outcome of serious traumatic brain injury

Published online by Cambridge University Press:  01 February 2008

R. Ll. Wood*
Affiliation:
University of Wales Swansea & Welsh Institute of Cognitive Neuroscience, School of Human Sciences, Swansea, Wales, UK
*
Correspondence to: Roger Ll. Wood, Department of Psychology, Singleton Park Campus, Swansea, Wales SA2 8PP, UK. E-mail: [email protected]; Tel: +44 1792 295778; Fax: +44 1792 295009
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Summary

Follow-up studies on individuals who suffer severe head injury give a picture of poor cognitive and psychosocial outcome. However, recent evidence suggests that with the passage of time, many individuals make adjustments that compensate for early disability, leading to a reduction in social handicap with a corresponding improvement in life quality and personal satisfaction. This article will attempt to briefly review the main sources of evidence contributing to long-term outcome following serious head trauma.

Type
Original Article
Copyright
Copyright © European Society of Anaesthesiology 2008

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References

1.Thornhill, S, Teasdale, GM, Murray, GD et al. . Disability in young people and adults one year after head injury: prospective cohort study. BMJ 2000; 320: 16311635.CrossRefGoogle ScholarPubMed
2. Teasdale GM, Murray GD, McMillan TM, et al. Report to the Chief Scientist Office. CZH, 2004/4/48.Google Scholar
3.Jacobs, HE. Adult community integration. In: Bach-y-Rita, P, ed. Traumatic Brain Injury. New York: Demos Publications, 1989.Google Scholar
4.Brooks, DN, Campsie, L, Symington, C et al. . The five-year outcome of severe blunt head injury: a relative’s view. J Neurol Neurosurg Psychiatry 1986; 49: 764770.CrossRefGoogle ScholarPubMed
5.Wood, RL, Yurdakul, LK. Change in relationship status following traumatic brain injury. Brain Inj 1997; 11: 491502.CrossRefGoogle ScholarPubMed
6.Oddy, M, Coughlan, T, Tyerman, A et al. . Social adjustment after closed head injury: a further follow-up seven years after injury. J Neurol Neurosurg Psychiatry 1985; 48: 564568.CrossRefGoogle ScholarPubMed
7.Willer, BS, Allen, KM, Liss, M et al. . Problems and coping strategies of individuals with traumatic brain injury and their spouses. Arch Phys Med Rehabil 1991; 72: 460464.Google ScholarPubMed
8.Sbordone, RJ, Liter, JC, Petter-Jennings, P. Recovery of function following severe traumatic brain injury: a retrospective 10-year follow-up. Brain Inj 1995; 9: 285299.CrossRefGoogle ScholarPubMed
9.Hoofien, D, Gilboa, A, Vakil, E et al. . Traumatic brain injury (tbi) 10–20 years later: a comprehensive outcome study of psychiatric symptomology, cognitive abilities and psychosocial functioning. Brain Inj 2001; 15: 189209.Google Scholar
10.Thomsen, IV. The patient with severe head injury and his family. Scand J Rehabil Med 1974; 6: 180183.Google ScholarPubMed
11.Thomsen, IV. Late outcome of very severe blunt head trauma: a 10–15 year second follow-up. J Neurol Neurosurg Psychiatry 1984; 47: 260268.CrossRefGoogle ScholarPubMed
12.Thomsen, IV. Late psychosocial outcome in severe traumatic brain injury. Scand J Rehabil Med 1992; 26: 142152.Google ScholarPubMed
13.Wood, RLl, Rutterford, NA. Psychosocial adjustment 17 years after severe brain injury. J Neurology Neurosurg Psychiatry 2006; 77: 7173.CrossRefGoogle ScholarPubMed
14.Shallice, T, Burgess, PW. Deficits in strategy application after frontal lobe damage in man. Brain 1991; 114: 727741.CrossRefGoogle ScholarPubMed
15.Walsh, K. Understanding Brain Damage: a Primer of Neuropsychological Examination. London: Churchill Livingstone, 1985.Google Scholar
16.Wood, RLl, Rutterford, N. Relationships between measured cognitive ability and reported psychosocial activity after bilateral frontal lobe injury: an 18 year follow-up. Neuropsychol Rehabil 2004; 14: 329350.CrossRefGoogle Scholar
17.Phillips, LH, Della Salla, S. Aging, intelligence, and anatomical segregation in the frontal lobes. Learn Individ Differ 1998; 10: 217243.CrossRefGoogle Scholar
18.West, RL. An application of prefrontal cortex function theory to cognitive aging. Psychol Bull 1996; 120: 272292.CrossRefGoogle ScholarPubMed
19.Raz, N, Gunning, FM, Head, D et al. . Selective aging of the human cerebral cortex observed in vivo: differential vulnerability of the prefrontal gray matter. Cereb Cortex 1997; 7: 268282.CrossRefGoogle ScholarPubMed
20.Craik, FIM, Morris, RG, Gick, M. Adult age differences in working memory. In: Vallar, G, Shallice, T, eds. Neuropsychological Impairments of Short-term Memory. Cambridge, England: Cambridge University Press, 1990: 247267.CrossRefGoogle Scholar
21.Fleminger, S, Oliver, DL, Lovestone, S, Rabe-Hesketh, S, Giora, A. Head injury as a risk factor for Alzheimer’s disease: the evidence 10 years on; a partial replication. J Neurol Neurosurg Psychiatry 2003; 74: 857862.CrossRefGoogle ScholarPubMed
22.Mortimer, JA, Van Duijn, CM, Chandra, V et al. . Head trauma as a risk factor for Alzheimer’s disease: a collaborative re-analysis of case–control studies. Int J Epidemiol 1991; 20: S28S35.CrossRefGoogle ScholarPubMed
23.Corkin, S, Rosen, TJ, Sullivan, EV et al. . Penetrating head injury in young adulthood exacerbates cognitive decline in later years. J Neurosci 1989; 9: 38763883.CrossRefGoogle ScholarPubMed
24.Walker, AE, Blumer, D. The fate and World War II veterans with posttraumatic seizures. Arch Neurol 1989; 46: 2326.CrossRefGoogle ScholarPubMed
25.Plassman, BL, Havlik, RJ, Steffens, DC et al. . Documented head injury in early adulthood and risk of Alzheimer’s disease and other dementias. Neurology 2000; 55: 11581166.CrossRefGoogle ScholarPubMed
26.Newcombe, F. Very late outcome after local wartime brain wounds. J Clin Exp Neuropsyc 1996; 18: 123.CrossRefGoogle ScholarPubMed
27.Millar, K, Nicoll, JAR, Thornhill, S et al. . Long term neuropsychological outcome after head injury: relation to APOE genotype. J Neurol, Neurosurg Psychiatry 2003; 74: 10471052.CrossRefGoogle ScholarPubMed
28.Wood, RLl, Rutterford, N. The long term impact of head trauma on intellectual abilities: a 16 year outcome study. J Neurol Neurosurg Psychiatry 2006; 77: 11801184.CrossRefGoogle Scholar
29.Lewin, W, Marshall, TF, Roberts, AH. Long-term outcome after severe head injury. BMJ 1979; 2: 15331538.CrossRefGoogle ScholarPubMed
30.Himanen, L, Portin, R, Isoniemi, H et al. . Longitudinal cognitive changes in traumatic brain injury: a 30-year follow-up study. Neurology 2006; 66: 187192.CrossRefGoogle ScholarPubMed
31.Verhaeghen, P, Salthouse, TA. Meta-analysis of age-cognition relations in adulthood: estimates of linear and non-linear age effects and structural models. Psychol Bull 1997; 22: 231249.CrossRefGoogle Scholar
32.Jennett, B, Snoek, J, Bond, MR, Brooks, N. Disability after severe head injury: observations on the use of the Glasgow Outcome Scale. J Neurol Neurosurg Psychiatry 1981; 44: 285293.CrossRefGoogle ScholarPubMed
33.Levin, HS, Gary, HE, Eisenberg, HM et al. . Neurobehavioural outcome 1-year after severe head injury – experience of the traumatic coma data-bank. J Neurosurg 1990; 73: 699709.CrossRefGoogle ScholarPubMed
34.Ruff, RM, Marshall, LF, Crouch, J et al. . Predictors of outcome following severe head trauma – follow-up data from the traumatic coma data-bank. Brain Inj 1993; 7: 101111.CrossRefGoogle ScholarPubMed
35.Groswasser, Z, Melamed, S, Agranov, E, Keren, O. Return to work as an integrative outcome measure following traumatic brain injury. Neuropsychol Rehabil 1999; 9: 493504.CrossRefGoogle Scholar
36.Brooks, DN, Campsie, L, Symington, C, Beattie, A, McKinlay, W. The five-year outcome of severe blunt head injury: a relative’s view. J Neurol Neurosurg Psychiatry 1986; 49: 764770.CrossRefGoogle ScholarPubMed
37.Wood, RLl, Rutterford, NA. Demographic and cognitive predictors of long term psychosocial outcome following traumatic brain injury. Brain Inj 2006; 12: 350358.Google ScholarPubMed
38.Seibert, PS, Reedy, DP, Hash, J et al. . Brain injury: quality of life’s greatest challenge. Brain Inj 2002; 16: 837848.CrossRefGoogle ScholarPubMed
39.Dijkers, M. Measuring the long-term outcomes of traumatic brain injury: a review of the Community Integration Questionnaire. J Head Trauma Rehabil 1997; 12: 7491.CrossRefGoogle Scholar
40.Corrigan, JD, Smith-Knapp, K, Granger, CV. Outcomes in the first 5 years after traumatic brain injury. Arch Phys Med Rehabil 1998; 79: 298305.CrossRefGoogle ScholarPubMed
41.Deb, S, Lyons, I, Koutzoukis, C. Neurobehavioural symptoms one year after a head injury. Br J Psychiatry 1999; 174: 360365.CrossRefGoogle ScholarPubMed
42.Kirkness, CJ, Burr, RL, Mitchell, PH, Newell, DW. Is there a sex difference in the course following traumatic brain injury? Biol Res Nurs 2004; 5: 299310.CrossRefGoogle Scholar
43.Levin, HS, Mattis, S, Ruff, RM et al. . Neurobehavioral outcome following minor head injury: a three-center study. J Neurosurg 1987; 66: 234243.CrossRefGoogle ScholarPubMed
44.Farace, E, Alves, WM. Do women fare worse: a meta-analysis of gender differences in traumatic brain injury outcome. J Neurosurg 2000; 93: 539545.CrossRefGoogle ScholarPubMed
45.Boake, C, Millis, SR, High, WMJ et al. . Using early neuropsychological testing to predict long-term productivity outcome from traumatic brain injury. Arch Phys Med Rehabil 2001; 82: 761768.CrossRefGoogle ScholarPubMed
46.Sherer, M, Novack, TA, Sander, AM, Struchen, MA, Alderson, A, Thompson, RN. Neuropsychological assessment and employment outcome after traumatic brain injury: a review. Clin Neuropsychol 2002; 16: 157178.CrossRefGoogle ScholarPubMed
47.Klonoff, PS, Costa, LD, Snow, WG. Predictors and indicators of quality of life in patients with closed head injury. J Clin Exp Neuropsychol 1986; 8: 469485.CrossRefGoogle ScholarPubMed
48.Ross, SR, Millis, SR, Rosenthal, M. Neuropsychological prediction of psychosocial outcome after traumatic brain injury. Appl Neuropsychol 1997; 4: 165170.CrossRefGoogle ScholarPubMed
49.Wagner, AK, Hammond, FN, Sasser, HC, Wiercisiewski, D. Return to productive activity after traumatic brain njury: relationship with measures of disability, handicap and community integration. Arch Phys Med Rehabil 2002; 83: 107114.CrossRefGoogle Scholar
50.Sherer, M, Sander, AM, Nick, TG, JrHigh, WM, Malec, JF, Rosenthal, M. Early cognitive status and productivity outcome after traumatic brain injury: findings from the TBI model systems. Arch Phys Med Rehabil 2000; 83: 183192.CrossRefGoogle Scholar
51.Prigatano, GP, Schachter, DL. Awareness of Deficit After Brain Injury: Clinical and theoretical Issues. New York: Oxford University Press, 1991.Google Scholar
52.Doig, E, Fleming, J, Tooth, L. Patterns of community integration 2–5 years post discharge from brain injury rehabilitation. Brain Inj 2001; 15: 747762.CrossRefGoogle ScholarPubMed
53.Greenspan, AI, Wrigley, JM, Kresnow, M, Branche-Dorsey, CM, Fine, PR. Factors influencing failure to return to work due to traumatic brain injury. Brain Inj 1996; 10: 207218.CrossRefGoogle ScholarPubMed
54.Heinemann, AW, Whiteneck, GG. Relationships among impairment, disability, handicap, and life satisfaction in persons with traumatic brain injury. J Head Trauma Rehabil 1995; 10: 5463.CrossRefGoogle Scholar
55.Holosko, MJ, Huege, S. Perceived social adjustment and social support among a sample of head injured adults. Can J Rehabil 1989; 2: 145154.Google Scholar
56.Smith, JL, Magill-Evans, J, Britnell, S. Life satisfaction following traumatic brain injury. Can J Rehabil 1998; 11: 131140.Google Scholar
57.Fleminger, S, Oliver, DL, Williams, WH, Evans, J. The neuropsychiatry of depression after brain injury. Neuropsychol Rehabil 2003; 13: 6587.CrossRefGoogle ScholarPubMed
58.Kurtz, JE, Putnam, SH, Stone, C. Stability of normal personality traits after traumatic brain injury. J Head Trauma Rehabil 1998; 13: 114.CrossRefGoogle ScholarPubMed
59.Tate, RL. Impact of pre-injury factors on outcome after severe traumatic brain injury: does post-traumatic personality change represent an exacerbation of premorbid traits. Neuropsychol Rehabil 2003; 13: 4364.CrossRefGoogle ScholarPubMed
60.Malec, JF, Brown, AW, Moessner, AM. Personality factors and injury severity in the prediction of early and late traumatic brain injury outcomes. Rehabil Psychol 2004; 49: 5561.CrossRefGoogle Scholar
61.Tyerman, A, Humphrey, M. Changes in self-concept following severe head injury. Int J Rehabil Res 1984; 7: 1123.CrossRefGoogle ScholarPubMed
62.Schretlen, DJ. Do neurocognitive ability and personality traits account for different aspects of psychosocial outcome after traumatic brain injury? Rehabil Psychol 2000; 45: 260273.CrossRefGoogle Scholar
63.Moore, AD, Stambrook, M. Coping strategies and locus of control following traumatic brain injury: relationship to long-term outcome. Brain Inj 1992; 6: 8994.CrossRefGoogle ScholarPubMed
64.Williams, WH, Williams, JM, Ghadiali, EJ. Autobiographical memory in traumatic brain injury: neuropsychological and mood predictors of recall. Neuropsychol Rehabil 1998; 8: 4360.CrossRefGoogle Scholar
65.Finset, A, Andersson, S. Coping strategies in patients with acquired brain injury: relationships between coping, apathy, depression and lesion location. Brain Inj 2000; 14: 887905.Google ScholarPubMed
66.McMillan, TM, Williams, WH, Bryant, RA. Post-traumatic stress disorder and traumatic brain injury: a review of causal mechanisms, assessment, and treatment. Neuropsychol Rehabil 2003; 13: 149164.CrossRefGoogle ScholarPubMed
67.Wood, RLl, Rutterford, NA. Evaluating a theory of stress and adjustment when predicting long term psychosocial outcome after brain injury. Brain inj 2006; 12: 19.Google Scholar
68.Kendall, E, Terry, DJ. Psychosocial adjustment following closed head injury: a model for understanding individual differences and predicting outcome. Neuropsychol Rehabil 1996; 6: 101132.CrossRefGoogle Scholar