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Long-Term Outcome After Severe Traumatic Brain Injury: The McGill Interdisciplinary Prospective Study

deGuise, Elaine PhD; LeBlanc, Joanne MOA; Feyz, Mitra MScPs; Meyer, Kim BSW; Duplantie, Jennifer BSc; Thomas, Harle MSW, MEd; Abouassaly, Michel BSc, PT; Champoux, Marie-Claude BSc, OT; Couturier, Céline BSc, OT; Lin, Howell BSc, PT; Lu, Lucy MA; Robinson, Cathlyn MSc; Roger, Eric MD

The Journal of Head Trauma Rehabilitation: September-October 2008 - Volume 23 - Issue 5 - p 294–303
doi: 10.1097/01.HTR.0000336842.53338.f4

Objective To obtain a comprehensive understanding of long-term outcome after severe traumatic brain injury (sTBI).

Participants Forty-six patients with sTBI.

Design Comparison of interdisciplinary evaluation results at discharge from acute care and at 2 to 5 year follow-up.

Main Measures Extended Glasgow Outcome Scale, the FIM™ instrument, and the Neurobehavioral Rating Scale-Revised.

Results Significant improvement was observed on the FIM™ instrument, the Extended Glasgow Outcome Scale, and on 3 factors of the Neurobehavioral Rating Scale-Revised. These measures at discharge were significant predictors of outcome.

Conclusion Patients with sTBI 2 to 5 years postinjury showed relatively good physical and functional outcome but poorer cognitive and emotional outcome.

From the Montreal General Hospital, McGill University Health Center (Dr deGuise, Ms LeBlanc, and Messrs Feyz, Meyer, Thomas, Abouassaly, Champoux, Couturier, Lin, Robinson, Duplantie); CSSS de la Montagne (Ms Lu); and State University of New York, Buffalo (Dr Roger).

Corresponding author: Joanne LeBlanc, MOA, Montreal General Hospital, local D13-124, 1650 Ave, Cedar, Montreal, Québec, Canada H3G 1A4 (e-mail:

The FIM™ data set, measurement scale and impairment codes referenced herein are the property Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities Inc. The service marks and trademarks associated with the FIM instrument are all owned by Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities Inc.

This study was supported by grants from the McGill University Health Centre, Montreal General Hospital Foundation and by the Quebec Ministry of Health and Social Services. We also acknowledge the contribution of Paulette Niewczyk, MPH, PhD, in completing the data analysis.

© 2008 Lippincott Williams & Wilkins, Inc.