@article{ref1,
title="Late functional changes post-severe traumatic brain injury are related to community reentry support: results from the PariS-TBI Cohort",
journal="Journal of head trauma rehabilitation",
year="2017",
author="Jourdan, Claire and Bayen, E. and Vallat-Azouvi, C. and Ghout, I. and Darnoux, E. and Azerad, S. and Charanton, J. and Aegerter, P. and Pradat-Diehl, P. and Ruet, A. and Azouvi, P.",
volume="32",
number="5",
pages="E26-E34",
abstract="OBJECTIVES: To explore late functional changes after a traumatic brain injury and their relation to patients' characteristics and reentry support. <br><br>DESIGN: Prospective follow-up of an inception cohort of adults with severe traumatic brain injury recruited in 2005-2007 in the Parisian area, France. One and 4-year assessments were performed by trained neuropsychologists. One-to-4-year change in the Glasgow Outcome Scale-Extended defined 3 groups: &quot;improvement,&quot; &quot;stability,&quot; and &quot;worsening.&quot; Relationships between these groups and patients' characteristics were analyzed. <br><br>RESULTS: Among 504 recruited patients and 245 four-year survivors, 93 participated in both evaluations. Overall Glasgow Outcome Scale-Extended improved by 0.4. Forty percent of the sample improved, 44% were stable, and 16% worsened. Being in a more unfavorable group was related to preinjury alcohol abuse and to higher anxiety and depression at 4 years. Attendance to a specialized community reentry unit was related to higher chances of being in the &quot;improvement&quot; group in univariate analyses and after adjustment for age, time to follow command, preinjury alcohol and occupation, and mood disorders (adjusted odds ratio [OR] = 4.6 [1.1-20]). <br><br>CONCLUSION: Late functional changes were related to psychosocial variables and to reentry support. The effect of reentry support on late recovery needs to be confirmed by further investigations.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000276",
url="http://dx.doi.org/10.1097/HTR.0000000000000276"
}