Highlights
- •The TBI-PRO model adequately estimates outcomes at 3, 6 and 12 months.
- •This model is built based on a patient-reported outcome measure.
- •This tool can be used at the bedside for shared-decision making.
Abstract
Background
Estimation of long-term quality of life in patients sustaining Traumatic brain injuries
is a difficult but important task during the early hospitalization. There are very
limited tools to assess these outcomes, therefore we aimed to develop a predictive
model for quality-of-life that could be used in hospitalized adults with TBIs.
Methods
The TRACK-TBI dataset was used to identify adult patients with TBI from 2014 to 2018.
Multiple variables were assessed to predict favorable versus unfavorable scores on
the Quality of Life after Brain Injury-Overall Scale (QOLIBRI-OS).
Results
We included 1549 subjects. 57% had a favorable outcome, and were more likely to have
private insurance, higher GCS scores, and fewer comorbidities. A model (TBI-PRO) for
3, 6, and 12-month QOLIBRI score was created. The AUROCs for predicting 3, 6 and 12-month
favorable QOLIBRI scores were 0.81, 0.79, and 0.76, respectively.
Conclusion
The TBI-PRO model adequately estimates long-term outcomes in patients with TBI.
Keywords
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Article info
Publication history
Published online: May 24, 2022
Accepted:
May 17,
2022
Received in revised form:
April 14,
2022
Received:
February 11,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
