Part of the
Critical Issues in Neuropsychology
book series (CINP)
Traumatic Brain Injury
Outcome and Predictors of Outcome
Traumatic brain injury (TBI) affects over 400,000 people each year in the United States (Kalsbeck, McLaurin et al., 1980). Mortality following severe TBI varies between 30% and 60% (Bartkowski & Lovely, 1986). One multicenter study of TBI in an adult population identified 51% mortality with 36% having good recovery or moderate disability and 13% having severe disability or being in a vegetative state (Jennett, Teasdale et al., 1987). In children and adolescents, there was a 33% mortality, 51% of the patients had a good outcome or moderate disability and 16% were severely disabled or were in a vegetative state (Berger, Pitts, & Lovely, 1985). The Medical College of Virginia, demonstrating the value of intensive management, found 30% mortality with 60% good outcome/moderate disability, 8% severe disability, and 2% persistent vegetative state (Becker, Miller et al., 1977). A study of pediatric head injury from the same institution reported 24% mortality, 68% good outcome/moderate disability, 6% severe disability, and 2% persistent vegetative state (Ward & Alberico, 1987). Thus, although good outcome or moderate disability varies widely depending on age and level of care, the incidence of severe disability/vegetative state is relatively constant despite age or type of care. Approximately 40,000 patients will have poor outcome annually with 32,000 being severely disabled and 8000 remaining in a vegetative state.
KeywordsTraumatic Brain Injury Head Injury Vegetative State Severe Disability Severe Traumatic Brain Injury
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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