Strauss D J, Shavelle R M, Anderson T W
Department of Statistics, University of California, Riverside 92521, USA.
Arch Phys Med Rehabil. 1998 Sep;79(9):1095-100. doi: 10.1016/s0003-9993(98)90177-0.
To obtain information on long-term mortality risk and life expectancy after traumatic brain injury (TBI), to improve planning and for counseling patients and their families. In contrast to the literature for spinal cord injury and other disabilities, there have been few such reports for TBI.
Records were reviewed on 946 persons aged 5 to 21 years who had sustained TBI. All were patients who subsequently received disability services in California, 1987 to 1995.
The chief predictors of mortality were basic functional skills such as mobility and self-feeding. After the initial high-risk period, mortality risk for TBI was much lower than for similarly functioning persons with cerebral palsy (a comparison group), although after 10 years the two sets of mortality rates had largely converged. For high-functioning persons, life expectancies were only 3 to 5 years shorter than for the general population. By contrast, the remaining life expectancy for those without mobility 6 months after injury was only 15 years.
获取创伤性脑损伤（TBI）后的长期死亡风险和预期寿命信息，以改善规划并为患者及其家属提供咨询。与脊髓损伤和其他残疾的文献不同，关于TBI的此类报告很少。
对946名5至21岁遭受TBI的人员的记录进行了审查。所有这些人都是1987年至1995年期间在加利福尼亚随后接受残疾服务的患者。
死亡的主要预测因素是基本功能技能，如行动能力和自我进食能力。在最初的高风险期过后，TBI的死亡风险远低于功能类似的脑瘫患者（对照组），尽管10年后两组死亡率已基本趋同。对于功能较高的人，预期寿命仅比普通人群短3至5年。相比之下，受伤6个月后无行动能力者的剩余预期寿命仅为15年。
