Muñoz-Céspedes J M, Paúl Laprediza N M, Pelegrín-Valero C, Tirapu-Ustarroz J
Servicio de Psiquiatría; Hospital Miguel Servet, Zaragoza, 50009, España.
Rev Neurol. 2001;32(4):351-64.
Establishment of the prognosis after traumatic brain damage is an important question for doctors, patients and their families, as well as for health organizations and insurers. The precision of the prognosis varies markedly according to the final objective of the prediction (mortality, severity and type of residual defects, return to work), apart from consideration of the many factors which may affect the clinical course after this type of lesion. Our study considers the current state of this question.
We consider the main methodological difficulties in carrying out such studies and review the main variables affecting the prognosis in head injuries, divided into three general groups (severity and type of lesion, characteristics of the individual and variables depending on the context). Finally, we make general comments on the effect of multidisciplinary rehabilitation in relation to the functional prognosis and level of social and employment integration attained by the injured persons.
对于医生、患者及其家属，以及卫生组织和保险公司而言，确定创伤性脑损伤后的预后是一个重要问题。除了考虑许多可能影响此类损伤后临床病程的因素外，预后的精确性会根据预测的最终目标（死亡率、残留缺陷的严重程度和类型、重返工作岗位情况）而显著不同。我们的研究探讨了这一问题的现状。
我们考虑了开展此类研究的主要方法学困难，并回顾了影响头部损伤预后的主要变量，这些变量分为三大类（损伤的严重程度和类型、个体特征以及取决于具体情况的变量）。最后，我们对多学科康复对伤者功能预后以及所达到的社会和就业融入水平的影响进行了总体评论。
