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Journal of the Korean Academy of Rehabilitation Medicine 1991;15(4):481-488.
A follow up study on patients with traumatic head injury.
Kim, Su Yeol , Chang, Soon Ja , Kim, Yun Hee , Choi, Son Mi
Department of Rehabilitation Medicine, Presbyterian Medical Center, Chonju
외상성 두부손상 환자의 추적관찰
김수열, 장순자, 김연희, 최선미
전주예수병원 재활의학과

There is an increasing interest in the clinical features and late outcome of traumatic head injury which is one of the major causes of long term severe disability.

This follow-up study evaluated 30 patients with traumatic head injury who were discharged from Department of Rehabilitation Medicine two to five years ago in order to identify the late outcome and frequent residual symtoms after head injury.

The results were as follows:

1) Mean age was 27 years old and seventeen cases(56.7%) were under 29 years of age.

2) The most common cause of head injury was traffic accidents, especially pedestrian accident.

3) The Glasgow Outcome Scale(GOS) and Disability Rating Scale(DRS) were highly correlated with each other at discharge and at follow-up.

4) The DRS reflects the improvements more sensitively than the GOS between discharge and follow-up period.

5) The problems most frequently reported by family at follow-up were gait disturbance(43.3%), poor hand function(23.3%) and speech disturbance(23.3%).

6) The most common psychologic complaints at discharge and follow-up were forgetfulness, poor concentration, unable to do two things simultaneously, loss of initiative and rapid mood change, etc.

7) Most survivors lived with their families and were dependent upon relatives for activities of daily livings and finances.

Key Words: Traumatic head injury, Late outcome, Disability rating scale


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