Natalie P Kreitzer1, Kimberly Hart, Christopher J Lindsell, Geoffrey T Manley, Sureyya S Dikmen, Jonathan J Ratcliff, John K Yue, Opeolu M Adeoye. 1. Department of Emergency Medicine (Drs Kreitzer and Adeoye), Division of Neurocritical Care (Drs Kreitzer and Adeoye), and Department of Neurosurgery (Dr Adeoye), University of Cincinnati, Cincinnati, Ohio; Department of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee (Ms Hart and Dr Lindsell); Department of Neurological Surgery, University of California, San Francisco (Drs Manley and Yue); Department of Rehabilitation Medicine, University of Washington, Seattle (Dr Dikmen); Department of Emergency Medicine, and Department of Neurology, Division of Neurocritical Care Emory University, Atlanta, Georgia (Dr Ratcliff).
Abstract
OBJECTIVE: To evaluate the relationship between satisfaction with life (SWL) and functional outcome after traumatic brain injury (TBI). SETTING AND PARTICIPANTS: The Transforming Research and Clinical Knowledge in Traumatic Brain Injury Pilot study (TRACK-TBI Pilot) enrolled patients at 3 US Level I trauma centers within 24 hours of TBI. DESIGN: Patients were grouped by outcome measure concordance (good-recovery/good-satisfaction, impaired-recovery/impaired-satisfaction) and discordance (good-recovery/impaired-satisfaction, impaired-recovery/good-satisfaction). Logistic regression was utilized to determine predictors of discordance. MAIN MEASURES: Functional outcome: Glasgow Outcome Scale-Extended (GOSE); SWL: Satisfaction with Life Scale (SWLS). RESULTS: Of the 586 enrolled subjects, 298 had completed both outcome measures at 6-month follow-up; the correlation between GOSE and SWLS was 0.380. Patients with impaired-recovery (GOSE < 7)/impaired-satisfaction (SWLS < 20) were more likely to have mild TBI (83% vs 62%, P = .012), baseline depression (42% vs 15%, P < .0001), and 6-month depression (59% vs 21%, P < .0001) when compared with patients with impaired-recovery/good-satisfaction. Patients with good-recovery/impaired-satisfaction were more likely to have baseline depression (31% vs 13%, P < .0001) and 6-month depression (33% vs 6%, P < .0001) compared with good-recovery/good-satisfaction. CONCLUSION: Correlation between SWL and functional outcome was not strong, and depression may modulate the association. Future research should account for functional, mental health, and patient-centered outcomes when assessing TBI recovery.
OBJECTIVE: To evaluate the relationship between satisfaction with life (SWL) and functional outcome after traumatic brain injury (TBI). SETTING AND PARTICIPANTS: The Transforming Research and Clinical Knowledge in Traumatic Brain Injury Pilot study (TRACK-TBI Pilot) enrolled patients at 3 US Level I trauma centers within 24 hours of TBI. DESIGN:Patients were grouped by outcome measure concordance (good-recovery/good-satisfaction, impaired-recovery/impaired-satisfaction) and discordance (good-recovery/impaired-satisfaction, impaired-recovery/good-satisfaction). Logistic regression was utilized to determine predictors of discordance. MAIN MEASURES: Functional outcome: Glasgow Outcome Scale-Extended (GOSE); SWL: Satisfaction with Life Scale (SWLS). RESULTS: Of the 586 enrolled subjects, 298 had completed both outcome measures at 6-month follow-up; the correlation between GOSE and SWLS was 0.380. Patients with impaired-recovery (GOSE < 7)/impaired-satisfaction (SWLS < 20) were more likely to have mild TBI (83% vs 62%, P = .012), baseline depression (42% vs 15%, P < .0001), and 6-month depression (59% vs 21%, P < .0001) when compared with patients with impaired-recovery/good-satisfaction. Patients with good-recovery/impaired-satisfaction were more likely to have baseline depression (31% vs 13%, P < .0001) and 6-month depression (33% vs 6%, P < .0001) compared with good-recovery/good-satisfaction. CONCLUSION: Correlation between SWL and functional outcome was not strong, and depression may modulate the association. Future research should account for functional, mental health, and patient-centered outcomes when assessing TBI recovery.
Authors: Tessa Hart; Lisa Brenner; Allison N Clark; Jennifer A Bogner; Thomas A Novack; Inna Chervoneva; Risa Nakase-Richardson; Juan Carlos Arango-Lasprilla Journal: Arch Phys Med Rehabil Date: 2011-08 Impact factor: 3.966
Authors: Lynne C Davis; Mark Sherer; Angelle M Sander; Jennifer A Bogner; John D Corrigan; Marcel P Dijkers; Robin A Hanks; Thomas F Bergquist; Ronald T Seel Journal: Arch Phys Med Rehabil Date: 2012-08 Impact factor: 3.966
Authors: Shannon B Juengst; Leah M Adams; Jennifer A Bogner; Patricia M Arenth; Therese M O'Neil-Pirozzi; Laura E Dreer; Tessa Hart; Thomas F Bergquist; Charles H Bombardier; Marcel P Dijkers; Amy K Wagner Journal: Rehabil Psychol Date: 2015-11
Authors: Alize J Ferrari; Fiona J Charlson; Rosana E Norman; Scott B Patten; Greg Freedman; Christopher J L Murray; Theo Vos; Harvey A Whiteford Journal: PLoS Med Date: 2013-11-05 Impact factor: 11.069
Authors: Natalie Kreitzer; Sonia Jain; Jacob S Young; Xiaoying Sun; Murray B Stein; Michael A McCrea; Harvey S Levin; Joseph T Giacino; Amy J Markowitz; Geoffrey T Manley; Lindsay D Nelson Journal: J Neurotrauma Date: 2021-10-18 Impact factor: 5.269
Authors: Therese M O'Neil-Pirozzi; Shanti M Pinto; Mitch Sevigny; Flora M Hammond; Shannon B Juengst; Charles H Bombardier Journal: Arch Phys Med Rehabil Date: 2022-02-22 Impact factor: 4.060