Colantonio A, Dawson D R, McLellan B A
Department of Occupational Therapy, University of Toronto, Ontario, Canada.
Arch Phys Med Rehabil. 1998 May;79(5):550-8. doi: 10.1016/s0003-9993(98)90072-7.
To describe the long-term outcome 5 years after injury of young adults who were 15 to 19 years old at the time of their head injuries.
A retrospective cohort. The health records of 62 consecutive eligible subjects were abstracted for baseline sociodemographic, health, and injury variables. A telephone interview was administered to assess quality of life, impairment, disability, and handicap.
Canada's largest trauma center, Sunnybrook Health Science Centre, Toronto, Canada.
Of the 58 subjects (94%) who were traced at follow-up, 51 agreed to participate.
The Medical Outcomes Study SF-36, Head Injury Symptom Checklist, selected disability measures, Community Integration Questionnaire.
Of the 8 summary items of the Medical Outcomes Study SF-36, subjects scored lowest on mental health. There were no significant differences between mild and more severely injured groups in all quality of life measures. Subjects classified with mild head injury overall reported more symptoms from the Head Injury Symptom Checklist. Subjects with more severe injuries had lower community integration scores (p < .05).
Overall, mental health is an important area of concern at follow-up for all subjects. Adolescents with apparent mild head injury can have disabling symptoms many years after injury.
描述头部受伤时年龄在15至19岁的年轻成年人受伤5年后的长期预后情况。
一项回顾性队列研究。对62名连续符合条件的受试者的健康记录进行了提取，以获取基线社会人口统计学、健康和损伤变量信息。通过电话访谈来评估生活质量、损伤、残疾和残障情况。
加拿大最大的创伤中心，加拿大多伦多的桑尼布鲁克健康科学中心。
在随访中追踪到的58名受试者（94%）中，51名同意参与。
医学结局研究简明健康状况调查量表（SF-36）、头部损伤症状清单、选定的残疾测量指标、社区融入问卷。
在医学结局研究简明健康状况调查量表（SF-36）的8个总结项目中，受试者在心理健康方面得分最低。在所有生活质量测量指标上，轻度损伤组和重度损伤组之间没有显著差异。总体而言，被归类为轻度头部损伤的受试者在头部损伤症状清单中报告的症状更多。损伤更严重的受试者社区融入得分更低（p < .05）。
总体而言，心理健康是所有受试者随访时需要关注的重要领域。明显轻度头部损伤的青少年在受伤多年后可能会出现致残症状。
