Skip Navigation LinksHome > July/August 2015 - Volume 30 - Issue 4 > Functional Recovery and Life Satisfaction in the First Year...
Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0000000000000080
Original Articles

Functional Recovery and Life Satisfaction in the First Year After Severe Traumatic Brain Injury: A Prospective Multicenter Study of a Norwegian National Cohort

Anke, Audny MD, PhD; Andelic, Nada MD, PhD; Skandsen, Toril MD, PhD; Knoph, Rein MD; Ader, Tiina MD; Manskow, Unn RN, MPH; Sigurdardottir, Solrun CPsych, PhD; Røe, Cecilie MD, PhD

Collapse Box


Objectives: (1) To examine the impact of demographic and acute injury-related variables on functional recovery and life satisfaction after severe traumatic brain injury (sTBI) and (2) to test whether postinjury functioning, postconcussive symptoms, emotional state, and functional improvement are related to life satisfaction.

Design: Prospective national multicenter study.

Setting: Level 1 trauma centers in Norway.

Participants: 163 adults with sTBI.

Main Measures: Functional recovery between 3 and 12 months postinjury measured with Glasgow Outcome Scale Extended, Rivermead Postconcussion Symptoms Questionnaire, Hospital Anxiety and Depression Scale, and satisfaction with life situation.

Results: 60% of cases experienced functional improvement from 3 to 12 months postinjury. Multivariate logistic regression analysis revealed that discharge to a rehabilitation department from acute care (odds ratio [OR] = 2.14; P < .05) and fewer days with artificial ventilation (OR = 1.04; P < .05) were significantly related to improvement. At 12 months postinjury, 85% were independent in daily activities. Most participants (63%) were satisfied with their life situation. Regression analysis revealed that older age (>65 years), low education, better functional outcome, and the absence of depressive and postconcussion symptoms were significant (P < .05) predictors of life satisfaction. Functional improvement was significantly associated with emotional state but not to life satisfaction.

Conclusion: Following sTBI, approximately two-thirds of survivors improve between 3 and 12 months postinjury and are satisfied with their life. Direct discharge from acute care to specialized rehabilitation appears to increase functional recovery.

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.