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Table 16.2 Functional Outcomes Post TBI based on Age and Severity of Injury

Author Year

Country

Research Design

PEDro

Sample Size

Sample Characteristics Study Findings
Outcome at Discharge

Ritchie et al.

(2000)

Australia

Case Series

N=191

Patients >66yr old, CGS 3-15 incoming, recovery at discharge by GOS

GOS 4-5

GCS 3-8=0.0%

GCS 9-12=27.5%

GCS 13-15=73.5%

GOS 1-2

GCS 3-8=87.8%

GCS 9-12=31%

GCS 13-15=13.3%

Pennings et al.

(1993)

USA

Observational

N=169

Patients 20-40 and >60yr old, GCS <5 incoming, recovery at discharge by GOS

GOS 4-5

<40yr=38%

>60yr=2%

GOS 1-2

<40yr=44%

>60yr=93%

Kotwica & Jakubowski (1992)

Poland

Case Series

N=136

Patients >70yr old, GCS 3-15 incoming, recovery at discharge by GOS

GOS 4-5

GCS 3-8=4%

GCS 9-12=28%

GCS 13-15=80%

GOS 1-2

GCS 3-8=91%

GCS 9-12=40%

GCS 13-15=20%

 

Pentland et al.

(1986)

Scotland

Cohort

N=2,019

 
Patients <65 and >65yr old, GCS scores 3-14 incoming, recovery at 1 mo post injury by GOS

GOS 4-5

GCS 3-7

<65yr=22%

>65yr=4%

 

GCS 8-12

<65yr=86%

>65yr=46%

GCS 13-14

<65yr=99%

>65yr=96%

GOS 1-3

GCS 3-7

<65yr=78%

>65yr=96%   GCS 8-12 <65yr=14% >65yr=55%   GCS 13-14 <65yr=1% >65yr=4%
Outcome at 6 Months Post Injury

Utomo et al.

(2009)

The Netherlands

Case Series

N=310

Patients >65yr old, AIS 4-5 incoming, recovery at 6 mo post injury by GOS

AIS 4-5

GOS 1-2=8%

GOS 3=49.5%

GOS 4=11%

GOS 5=31.5%

Mohindra et al.

(2008)

India

Case Series

N=1,071

Patients 20-40 and >70yr old, GCS 3-15 pre-operative, recovery at 6 mo post surgery

GOS 4-5

GCS 3-8

20-40yr=42.1%

>70yr=3.0%

GCS 9-12

20-40yr=72.5%

>70yr=14.3%

GCS 13-15

20-40yr=90.0%

>70yr=80%

GOS 1-2

GCS 3-8

20-40yr=42.6%

>70yr=96.9%

GCS 9-12

20-40yr=21.1%

>70yr=85.7%

GCS 13-15

20-40yr=7.6%

>70yr=0%

Gomez et al.

(2000)

Spain

Case Study

N=810

Patients 14-64 and >65yr old, GCS <8 incoming, recovery at 6 mo post injury

GOS 1-2

15-35yr=45%

36-45yr=57%

46-64yr=54%

>65yr=88%

GOS 4-5

15-35yr=44%

36-45yr=30%

46-64yr=24%

>65yr=8%

Ross et al.

(1992)

USA

Observational

N=195

Patients >65yr old, GCS 3-15 incoming, recovery at 6 mo post injury by GOS

GOS 4-5

GCS 3-8=4%

GCS 9-12=12%

GCS 13-15=27%

GOS 1-2

GCS 3-8=91%

GCS 9-12=71%

GCS 13-15=55%

Vollmer et al.

(1991)

USA

Case Series

N=661

Patients 15-55 and >56yr old, GCS 3-15 incoming, recovery 6mo post injury by GOS

GOS 4-5

16-35yr=49%

36-45yr=33%

46-55yr=22%

>56yr=9%

GOS 1-3

16-35yr=51%

36-45yr=66%

46-55yr=77%

>56yr=91%

Outcome at 12 Months Post Injury

Menon et al.

(2018)

India

Case Series

N=73

Patients ≥65, 50% moderate to severe TBI, GOS recorded at 36 months post-injury. *One individual over 75 was lost to follow-up.

GOS 1-3

Total=26%

≥75yr=45%*

GOS 4-5

Total=74%

≥75yr=50%*

Brazinova et al.

(2010)

Austria

Case Series

N=100

Patients ≥66yr old, GCS 3-4 incoming, mortality rate/recovery by GOS 1 yr post injury

GOS 1-3

GCS 3-4=91%

GOS 4-5

GCS 3-4=9%

Dikmen et al.

(1995)

USA

Observational

N=466

Patients <70 and >70yr old, GCS 3-15 incoming, recovery 1yr post injury by GOS

GOS 4-5

20-29yr=>75%

30-39yr=70%

40-49yr=60%

50 – 59yr=30%

60-69yr=25%

>70yr=20%

Katz & Alexander

(1994)

USA

Observational

N=243

Patients <60 and >60yr old, PTA <3 mo, LOC <2 wk incoming, recovery at 1 yr post injury by GOS

GOS 4

<20yr=93%

20-39yr=90%

40-59yr=88%

>60yr=53%

GOS 2-3

<20yr=8%

20-39yr=10%

40-59yr=10%

>60yr=43%

Alberico et al.

(1987)

USA

Case Series

N=330

Patients <60 and >60yr old, GCS ≤7 incoming, recovery at 1yr post injury by GOS

GOS 4

0-20yr=45%

2-40yr=35%

41-59yr=15%

>60yr=5%

GOS 1

0-20yr=25%

20-40yr=32%

41-59yr=50%

>60yr=70%