Head injury in polytrauma-Is there an effect on outcome more than 10 years after the injury?

Christian Zeckey, Frank Hildebrand, Hans Christoph Pape, Philipp Mommsen, Martin Panzica, Boris A. Zelle, Nicola Alexander Sittaro, Ralf Lohse, Christian Krettek, Christian Probst

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Introduction: Head injuries are of great relevance for the prognosis of polytrauma patients during acute care. However, knowledge about the impact on the long-term outcome is sparse. Therefore, this study analysed the role of head injuries on the outcome of polytrauma patients more than 10 years after injury in a matched-pair analysis. Patients and methods: Out of 620 polytrauma patients with and without head injury, a matched-pair analysis with comparable age, injury severity and gender distribution and a minimum of 10 years follow-up was performed. The outcome and quality-of-life were measured using the Hannover Score for Polytrauma Outcome (HASPOC), Short Form 12 (SF-12), Glasgow Outcome Scale (GOS) and other parameters. Results: The matched-pair analysis consisted of 125 pairs (age 27.9±1.2 years, ISS 20.0±0.8 [head injury] vs ISS 19.8±0.8 [no head injury]). A significant difference was shown for the GOS Score only (GOS head injury 4.3±0.3vs no head injury 4.9±0.2, p=0.01). The psychological outcome was similar in both groups. Both groups reported comparable subjective rehabilitation satisfaction. Conclusions: Matching pairs of equally injured polytrauma patients of same gender with and without head injury 10 years following trauma indicated significantly worse results in the GOS due to head injury.

Original languageEnglish (US)
Pages (from-to)551-559
Number of pages9
JournalBrain Injury
Volume25
Issue number6
DOIs
StatePublished - Jun 2011
Externally publishedYes

Keywords

  • Head injury
  • multiple trauma
  • polytrauma
  • rehabilitation

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Clinical Neurology

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