[Outcome in traumatic brain injury : Considered from a neurological viewpoint].
BACKGROUND
There are many studies on the prognosis and mortality for the acute care of traumatic brain injury (TBI) during the first year. Prediction of the long-term outcome after TBI is more difficult, and can be ascribed to indistinct methods and the necessity of taking into account multiple influencing factors.


OBJECTIVE
The main factors that determine the long-term outcome of TBI are described.
A summary of the relevant literature and experience of the reintegration of TBI patients are presented.


RESULTS
The major factors predicting the long-term outcome of TBI are well-known. They can be measured by International Classification of Functioning, Disability and Health (ICF) of the World Health Organization and self-reported quality of life, which are important for the prognosis. Returning to work has a particularly positive effect on the quality of life.


CONCLUSIONS
Environmental factors are most predictive of long-term TBI outcome. The awareness of the interaction of all these factors requires a individualized long-term rehabilitation.
ReIntra GmbH, medizinisch-berufskundlicher Beratungs- und Reintegrationsdienst, Bahnhofstr. 16, 85774, Unterföhring, Deutschland. Bettina_Beck@reintra.com.
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D000070642:Brain Injuries, Traumatic / Q000401:mortality* / Q000523:psychology*; D004185:Disability Evaluation; D019317:Evidence-Based Medicine; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008017:Life Expectancy; D008137:Longitudinal Studies; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology*; D062707:Return to Work / Q000523:psychology / Q000706:statistics & numerical data*; D012307:Risk Factors; D015996:Survival Rate; D015599:Trauma Severity Indices
Brain injury; Disability evaluation; Environmental impact; Quality of life; Return to work