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EBSCO

https://doi.org/10.14300/mnnc.2023.18043

The value of health-related quality of life in objectivizing the long-term prognosis of patients with post-traumatic brain injury

[Abstracts]
Yury Gennadievich Annikov; Irina Lvovna Krom; Marina Vasilievna Erugina; Maria Mikhailovna Orlova; Elena Mikhailovna Dolgova; Galina Nikolaevna Bochkareva;

The study included 414 working-age patients with a history of PTBI, of which 93.6 % were men. Respondents underwent an examination of their neurological status and an assessment of the quality of life (QOL) using the WHOQOL-100 questionnaire annually during 2020–2022. In 64.7 % of patients with PTBI, clinical deterioration was noted, accompanied by a decrease in QOL. In 6.3 % of respondents, the clinical picture remained stable, and QOL indicators remained unchanged during repeated studies. In 24.9 % of cases, there was a clinical improvement accompanied by an increase in the dynamics of QOL. In 4.1 % of patients, an inverse relationship was noted in the form of a decrease in the overall quality of life and an improvement in the clinical picture (a reduction in the severity of cerebral symptoms, asthenic syndrome).

Thus, in the absence of specific laboratory markers in clinical practice and insufficient information content of neuroimaging research methods in patients after PTBI, QOL should be considered an additional personalized criterion for predicting patients with this pathology.

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Keywords: traumatic brain injury, long-term prognosis, quality of life