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Quality of Life among Patients undergoing Decompressive Craniectomy for Traumatic Brain Injury using GOSE and QOLIBRI scales.

Research paper by Muhammad M Waqas, Noor N Malik, Muhammad Shahzad MS Shamim, Karim Rizwan KR Nathani, Sumia Andleeb SA Abbasi

Indexed on: 01 Jun '18Published on: 01 Jun '18Published in: World Neurosurgery



Abstract

The objective of the study was to assess the quality of life of patients who underwent Decompressive Craniectomy (DC) for head injury and satisfaction of the caregivers with the outcomes. This was a cross-sectional study conducted at a tertiary care urban center in Paksitan. All the patients with severe traumatic brain injury (TBI) who underwent DC and survived > 6 months were included in the study. Outcomes were assessed using two scoring systems, the Extended Glasgow Outcome Scale (GOSE) and Quality of Life After Traumatic Brain Injury (QOLIBRI) scale. The proforma was translasted and validated into the national language. Patient caregivers were interviewed to ask if they would opt for DC in a similar situation in future. The study included 40 patients; 35 males (88%) and 5 females (12%). The mean age of the study population was 26.5 (±9.5). The mean GCS at presentation was 8.34 ± 3.22. Median follow-up was 12 months year (6-18 months). The mean GOSE was 5.35 ±1.9, which correlates with an unfavorable outcome. The mean QOLIBRI score was 59.6 ± 21.3. However, family members of 38 (95%) patients were content with their decision to consent for DC in their patients. Spearman's correlation for different domains of QOLIBRI and GOSE scales was statistically significant for all the parameters, except social relationship. Mean QOLIBRI score of DC patients was 59.65± 21.27. Most care-takers (95%) were satisfied with their decision to consent for DC. Patient reported HRQOL assessment is necessary to assess the impact of TBI. Copyright © 2018 Elsevier Inc. All rights reserved.

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