Current Possibilities for the Assessment of the Functioning and Quality of Life in Patients with Remote Consequences of Closed Traumatic Brain Injury
Background. Recent requirement for methods of patient’s condition assessment is a detailed analysis of both physical and social, professional component of the patient’s life that causes constant search for new methods and improvement of existing ones. The aim of the study is to describe the health status, related quality of life and functioning of patients with the disabling consequences of closed traumatic brain injury of varying severity, to evaluate the utility by SF‑36v2 questionnaire, and a basic set of international classification of functioning for traumatic brain injury in the daily practice in medical and social expertise. Materials and methods. We examined 100 patients with remote consequences of closed brain injury, which were divided into three groups depending on the trauma severity. Functional status of patients was assessed by a brief core set of international classification of functioning for traumatic brain injury. SF‑36v2 questionnaire was used to assess the quality of life. Results. The evaluation of the quality of life in all groups revealed lower values for subscales related to the mental component of health. None of the subscales showed significant differences between the groups. Consequently, while the evaluation of patients with the international classification of functioning brief core set for traumatic brain injury the following categories were associated with the highest amount of disturbances: memory function, emotional function, sensation of pain, attention, structure of the brain, complex interpersonal interactions, and family relationships. The vast majority of categories from brief core set significantly statistically differed between the groups. Conclusion. Brief core set of international classification of functioning for traumatic brain injury demonstrated better opportunities in distinguishing between different states in the population in the main group of patients, providing more accurate and adequate description of the functional state, taking into account professional and social component of patient’s life.
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