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A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Association of Posttraumatic Stress Symptom Severity With Health-Related Quality of Life and Self-Reported
Colin M Bosma1, Nashwa Mansoor2, Chiara S Haller3
1Department of Psychology, University of Maine, Orono, ME; Department of Psychology, Harvard University, Cambridge, MA.
Objective:
To investigate the relation between posttraumatic stress (PTS) symptom severity and health-related quality of life (HRQoL) after severe traumatic brain injury (TBI).
Design:
Longitudinal prospective multicenter, cohort study on severe TBI in Switzerland (2007-2011).
Setting:
Hospital, rehabilitation unit, and/or patient's living facility.
Participants:
Patients with severe TBI (N=109) were included in the analyses. Injury severity was determined using the Abbreviated Injury Score of the head region after clinical assessment and initial computed tomography scan.
Interventions:
Not applicable.
Main Outcome Measures:
HRQoL (Medical Outcomes Study 12-Item Short-Form Health Survey Physical and Mental Component Summaries) and self-reported emotional, cognitive, and interpersonal functioning (Patient Competency Rating Scale for Neurorehabilitation).
Results:
Multilevel models for patients >50 and ≤50 years of age revealed significant negative associations between PTS symptom severity and interpersonal functioning (P<.001 and P=.002), respectively. Among patients ≤50 years of age, PTS symptom severity was significantly associated with total functioning (P=.001) and emotional functioning (P<.001). Among all patients, PTS symptom severity was significantly associated with cognitive functioning (P<.001) and mental HRQoL (P=.01).
Conclusions:
Findings indicate that PTS symptoms after severe TBI are negatively associated with HRQoL and emotional, cognitive, and interpersonal functioning.
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