Late outcome of very severe blunt head trauma: a 10-15 year second follow-up.

TLDR

Forty patients with very severe blunt head trauma were followed up at 2.5 years and 10–15 years post‑injury, with home visits and questionnaires administered to patients, relatives, and staff. Long‑term follow‑up revealed persistent severe physical, speech, and memory deficits, with psychosocial problems being most debilitating; two thirds experienced lasting personality and emotional changes, especially among younger patients, and worse outcomes were linked to severe brainstem or anterior lesions, yet many patients showed functional improvement and some regained work capacity.

Abstract

Forty patients with very severe blunt head trauma (post-traumatic amnesia greater than or equal to 1 month) were initially examined at an average of 4.5 months after the injury. The patients were visited in their homes 2.5 years and 10-15 years after the accident and questionnaires were presented to patients, relatives and/or staff. Though physical impairment, dysarthria and defects of memory remained severe in many cases, the psychosocial sequelae presented the most serious problems. Permanent changes in personality and emotion were reported in two thirds and were especially frequent among the youngest patients. The worse overall outcome was seen in cases with severe brainstem involvement or anterior lesions or both. In spite of the great frequency of deficits long-term improvement of functional state was common and several regained at least some work capacity.