[Pattern of recovery of victims of cranio-encephalic injuries at 6 months and 1 year].
A prospective and longitudinal study of head injury victims was conducted to identify the pattern of recovery 6 months and 1 year post-trauma. Patients with variety levels of injury and age between 12 and 60 years were observed. Functional limitation was analyzed using the eight-point Glasgow Outcome Scale (GOS). The majority of these victims had the following characteristics: age were < or = 35 years (68.6%); ISS > or = (51.9%) and Glasgow Coma Scale > or = 13 (72.2%) when they were examined by team of neurosurgeons at first time. Complete recovery or GOS 0 was achieved in 21.3% of the victims about 6 months after onset of injury and 38.6%, at the 1 year mark, Overall, the majority of victims made good recovery after 6 months post-injury, that is, GOS 0 or 1, and had returned to productivity in that period. The majority (65.0%) of victims reached their highest GOS outcome category by 6 months, although significant improvement was shown between 6 months and 1 year post-trauma. Similarly, return to productivity was higher 1 year after injury later than at 6 months. Findings indicated that GOS-GCS correlation was negative, and in some conditions GOS was correlated or associated with ISS and age. Return to work was not related to education level or job type.
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D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D003289:Convalescence; D006259:Craniocerebral Trauma / Q000150:complications / Q000503:physiopathology*; D015600:Glasgow Coma Scale; D006801:Humans; D015601:Injury Severity Score; D008137:Longitudinal Studies; D008875:Middle Aged; D013997:Time Factors
Padrão de recuperação das vítimas de trauma crânio-encefálico aos 6 meses e 1 ano.