de Souza R M
Rev Esc Enferm USP. 1995 Aug;29(2):224-5.
A prospective and longitudinal study of head injury victims was conducted to identify the pattern of recovery 6 months and 1 year post-trauma. Patients with variety levels of injury and age between 12 and 60 years were observed. Functional limitation was analyzed using the eight-point Glasgow Outcome Scale (GOS). The majority of these victims had the following characteristics: age were < or = 35 years (68.6%); ISS > or = (51.9%) and Glasgow Coma Scale > or = 13 (72.2%) when they were examined by team of neurosurgeons at first time. Complete recovery or GOS 0 was achieved in 21.3% of the victims about 6 months after onset of injury and 38.6%, at the 1 year mark, Overall, the majority of victims made good recovery after 6 months post-injury, that is, GOS 0 or 1, and had returned to productivity in that period. The majority (65.0%) of victims reached their highest GOS outcome category by 6 months, although significant improvement was shown between 6 months and 1 year post-trauma. Similarly, return to productivity was higher 1 year after injury later than at 6 months. Findings indicated that GOS-GCS correlation was negative, and in some conditions GOS was correlated or associated with ISS and age. Return to work was not related to education level or job type.
对颅脑损伤患者进行了一项前瞻性纵向研究，以确定创伤后6个月和1年的恢复模式。观察了损伤程度不同且年龄在12至60岁之间的患者。使用八分格拉斯哥预后量表（GOS）分析功能受限情况。这些受害者大多具有以下特征：首次由神经外科医生团队检查时，年龄≤35岁（68.6%）；损伤严重度评分（ISS）≥（51.9%），格拉斯哥昏迷量表评分≥13（72.2%）。约21.3%的受害者在受伤后6个月左右实现了完全恢复或GOS评分为0，在1年时这一比例为38.6%。总体而言，大多数受害者在受伤后6个月恢复良好，即GOS评分为0或1，并在该时期恢复了工作能力。大多数（65.0%）受害者在6个月时达到了最高的GOS预后类别，尽管在创伤后6个月至1年之间有显著改善。同样，受伤1年后恢复工作的比例高于6个月时。研究结果表明，GOS与GCS呈负相关，在某些情况下，GOS与ISS和年龄相关。恢复工作与教育水平或工作类型无关。
