Bayen Eléonore, Ruet Alexis, Jourdan Claire, Ghout Idir, Meaude Layide, Pradat-Diehl Pascale, Nelson Gaëlle, Vallat-Azouvi Claire, Charanton James, Aegerter Philippe, Azouvi Philippe
Physical Medicine and Rehabilitation Department, Assistance Publique des Hôpitaux de Paris, Pitie-Salpetriere Hospital, Paris, France.
Physical and Rehabilitation Department, Sorbonne Université GRC18, Paris, France.
Front Neurol. 2019 Apr 12;10:320. doi: 10.3389/fneur.2019.00320. eCollection 2019.
People with traumatic brain injury are frequently involved in a litigation because another person was at fault for causing the accident. A compensation amount will often be settled to compensate the victim for the past, present, future damages and losses suffered. We report descriptive data about the full and final personal compensation amount and investigated its association with patient's outcomes. We used a longitudinal prospective study of severe TBI patients injured in 2005-2007 (PariS-TBI). Questions regarding involvement in a litigation were asked concurrently with 4 and 8-year outcomes. Among 160 participants assessed 4 and/or 8 years post-injury, a total of 67 persons declared being involved in a litigation, among which 38 people reported a compensation amount of a mean €292,653 (standard deviation = 436,334; interquartile 25-50-75 = 37,000-100,000-500,000; minimum = 1,500-maximum = 2,000,000). A higher compensation amount was associated with more severe disability and cognitive impairment in patients, and with more informal care time provided by caregivers. However, no significant association related to patient's gender, age, years of education, motor/balance impairment, return to work status, mood and related to caregiver's subjective burden was found. Financial compensation was related to victims' long-term severity of impairment, although some extreme cases with severe disability were granted very poor compensation.
创伤性脑损伤患者经常卷入诉讼,因为事故是由他人的过错造成的。通常会确定一笔赔偿金额,以补偿受害者过去、现在和未来遭受的损害和损失。我们报告了关于全额最终个人赔偿金额的描述性数据,并调查了其与患者预后的关联。我们对2005 - 2007年受伤的重度创伤性脑损伤患者进行了一项纵向前瞻性研究(巴黎创伤性脑损伤研究)。在评估受伤后4年和8年预后时,同时询问了有关诉讼参与情况的问题。在160名受伤后4年和/或8年接受评估的参与者中,共有67人宣称卷入了诉讼,其中38人报告的赔偿金额平均为292,653欧元(标准差 = 436,334;四分位数间距25 - 50 - 75 = 37,000 - 100,000 - 500,000;最小值 = 1,500 - 最大值 = 2,000,000)。较高的赔偿金额与患者更严重的残疾和认知障碍以及照顾者提供的更多非正式护理时间相关。然而,未发现与患者的性别、年龄、受教育年限、运动/平衡障碍、重返工作状态、情绪以及照顾者的主观负担有显著关联。经济赔偿与受害者的长期损伤严重程度相关,尽管一些严重残疾的极端案例获得的赔偿非常少。