LeBlanc Joanne, de Guise Elaine, Gosselin Nadia, Feyz Mitra
Traumatic Brain Injury Program, McGill University Health Centre-Montreal General Hospital, Montreal, Québec, Canada.
Brain Inj. 2006 Jul;20(8):779-90. doi: 10.1080/02699050600831835.
To compare functional physical and cognitive outcome of patients in three age groups with mild, moderate and severe traumatic brain injury (TBI) at discharge from acute care.
Retrospective database review.
Scores on the Extended Glasgow Outcome Scale (GOSE) and on the FIM instrument,1 discharge destination and length-of-stay (LOS) were gathered and compared for 2327 patients with TBI admitted to a level 1 trauma hospital from 1997-2003 divided into three age groups; 971 patients between 18-39 years, 672 between 40-59 years and 684 aged 60-99 years.
Relative to younger adults with similar TBI severity, elderly patients showed worse outcome on the GOSE and FIM instrument (physical and cognitive ratings) and longer LOS. No difference was observed between the young and middle-aged groups except for cognitive FIM ratings and LOS for severe TBI. A higher percentage of elderly patients went to in-patient rehabilitation, to long-term care facilities or died compared to young and middle-aged patients. A higher number of young and middle-aged patients were discharged home.
Further development of services in early rehabilitation as well as post-rehabilitation geared to the specific needs of the elderly patient with TBI is required as the population ages.
比较三个年龄组轻度、中度和重度创伤性脑损伤（TBI）患者在急性护理出院时的功能身体和认知结果。
回顾性数据库审查。
收集并比较了1997年至2003年入住一级创伤医院的2327例TBI患者的扩展格拉斯哥结果量表（GOSE）和FIM工具评分、出院目的地和住院时间（LOS），这些患者分为三个年龄组；18至39岁的患者971例，40至59岁的患者672例，60至99岁的患者684例。
与TBI严重程度相似的年轻成年人相比，老年患者在GOSE和FIM工具（身体和认知评分）上的结果更差，住院时间更长。除了严重TBI的认知FIM评分和住院时间外，年轻组和中年组之间未观察到差异。与年轻和中年患者相比，老年患者中有更高比例的人进入住院康复、长期护理机构或死亡。更多的年轻和中年患者出院回家。
随着人口老龄化，需要进一步发展早期康复以及针对老年TBI患者特定需求的康复后服务。
