Functional profile of patients with traumatic brain injury at hospital discharge
10.15343/0104-7809.202246339347
Keywords:
Traumatic Brain Injury. Glasgow Outcome Scale. Functional Profile.Abstract
The lesions caused by a Traumatic Brain Injury (TBI) of macro or micro character can physically and/or psychologically compromise an individual. Being a disease of modern society that affects any age, it is considered the main cause of morbidity and mortality in Brazil as it covers the economically active population. It can temporarily or permanently disable people, consequently generating an impact on their quality of life, and is difficult to measure their functional profile, level of recovery, and how long they will remain in a given profile. In order to determine and classify the functional profile of individuals with TBI at hospital discharge, an analytical, observational, and cross-sectional study was carried out in which the Glasgow Outcome Scale/Glasgow Extended Outcome Scale (GOSE) was applied through a form for data collection and interviews. The study population consisted of 26 volunteers, admitted for treatment at Hospital Universitario Sao Francisco de Braganca Paulista, Sao Paulo with a confirmed diagnosis of TBI through imaging tests between September 2019 and March 2020. We found evidence of 88.46 % belonging to the males, and 11.54% female, where the mean and standard deviation of age 35.73±16.76 were observed. Among the most common types of traumas, polytrauma stood out with 80.77% and GOSE had the highest scores where 46.15% had a score of 8. Most participants of the study were discharged from the HUSF with the functional profile of good recovery and may return to their lives before the trauma. Through functional classifications, it is possible to guide professionals responsible for the rehabilitation of those who were affected by trauma and were left with sequelae, as well as guide family members and community assistance centers.
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References
2. Andrade AF, Paiva WS, Amorim RL, Figueiredo EG, Rusafa Neto E, Teixeira MJ. Mecanismos de lesão cerebral no traumatismo crânio encefálico. Rev Ass Med Bras. 2009; 55; 75-81.
3. Congresso nacional de especialidades em fisioterapia, 1, 2016, João Pessoa. Epidemiologia do traumatismo cranioencefálico no Brasil. João Pessoa: CONESF, 2016.
4. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Diretrizes de atenção à reabilitação da pessoa com traumatismo cranioencefálico / Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Brasília : Ministério da Saúde, 2015. 132 p. : il.
5. Oliveira RARA, Araújo S, Falcão ALE, Soares SMTP, Kosour C, Dragosavac D, Cintra EA, Cardoso APD, Thiesen Ra. Fatores que interferem na evolução motora e psicossocial do paciente vitima de traumatismo cranioencefálico grave: uma avaliação da Escala de Coma de Glasgow e da Escala de Resultado de Glasgow. Campinas: Universidade Estadual de Campinas, 2002. Dissertação Mestrado - Universidade Estadual de Campinas, Faculdade de Ciências Médicas.
6. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. Lancet 1974; 304; 81–4.
7. Imai M de FP, Koizumi MS. Avaliação da gravidade do traumatismo crânio-encefálico por índices anatômicos e fisiológicos. Rev Esc Enf USP; 1996 ; 30;11637.
8. Jennett B, Bond M. Assessment of outcome after severe brain damage. Lancet; 1975; 1; 480–4.
9. Jennett B, Snoek J, Bond MR, Brooks N. Disability after severe head injury: observations on the use of the Glasgow Outcome Scale. Journal of Neurology, Neurosurgery & Psychiatry; 1981; 44; 285–93.
10. McMillan T, Wilson L, Ponsford J, Levin H, Teasdale G, Bond M. The Glasgow Outcome Scale — 40 years of application and refinement. Nat Rev Neuro; 2016; 12; 477–85.
11. Teasdale GM, Pettigrew LEL, Wilson JTL, Murray G, Jennett B. Analyzing Outcome of Treatment of Severe Head Injury: A Review and Update on Advancing the Use of the Glasgow Outcome Scale. Journal of Neurotrauma. 1998; 8; 587–97.
12. Sampaio J de AM de A, Braga TRO, Silva MDL, Quental OB de. A importância do atendimento pré-hospitalar para o paciente politraumatizado no Brasil: Uma Revisão Integrativa / The importance of prehospital care for polytrauma patients in Brazil: An Integrative Review. ID on line Rev. de Psic; [revista em Internet] 2019; 48; 889–903. Disponível em: https://idonline. emnuvens.com.br/id/article/view/2297.
13. Brooks DN, Hosie J, Bond MR, Jennett B, Aughton M. Cognitive sequelae of severe head injury in relation to the Glasgow Outcome Scale. Journal of Neurology, Neurosurgery & Psychiatry; 1986; 49; 549–53.