van Baalen B, Odding E, Maas A I R, Ribbers G M, Bergen M P, Stam H J
Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, the Netherlands.
Disabil Rehabil. 2003 Jan 7;25(1):9-18. doi: 10.1080/dre.25.1.9.18.
The aim of the present manuscript is to review current methods for classifying initial severity and final outcome in traumatic brain injury (TBI) and to suggest a direction and form of further research.
The literature on valid and reliable measurements used in TBI-research for classifying initial severity and final outcome was reviewed.
Classifying initial severity in patients with head injury according to clinical condition or CT-parameters is valid. Classifying outcome according to measurement tools of disability showed adequate validity and reliability.
Future research in TBI outcome, particularly in rehabilitation medicine, should focus on determinants of outcome, identifying those patients who will have the greatest chance of benefiting from intensive rehabilitation programmes. More research is needed to determine the long-term functional outcome in TBI, the long-term socio-economic costs, and the influence of behavioural problems on family cohesion. Finally, validation of outcome measures is required in the TBI-population; the relative value of various outcome measures needs to be determined, and the usefulness and applicability of measures for health related quality of life in TBI should be established.
本论文的目的是回顾目前用于对创伤性脑损伤（TBI）初始严重程度和最终结局进行分类的方法，并提出进一步研究的方向和形式。
回顾了TBI研究中用于对初始严重程度和最终结局进行分类的有效且可靠的测量方法的相关文献。
根据临床状况或CT参数对头部受伤患者的初始严重程度进行分类是有效的。根据残疾测量工具对结局进行分类显示出足够的有效性和可靠性。
未来关于TBI结局的研究，尤其是在康复医学方面，应关注结局的决定因素，识别那些最有可能从强化康复计划中受益的患者。需要更多研究来确定TBI的长期功能结局、长期社会经济成本以及行为问题对家庭凝聚力的影响。最后，需要在TBI人群中对结局测量方法进行验证；需要确定各种结局测量方法的相对价值，并确定TBI中与健康相关生活质量测量方法的有用性和适用性。
