Objective: To obtain a comprehensive understanding of long-term outcome after severe traumatic brain injury (sTBI).

Participants: Forty-six patients with sTBI.

Design: Comparison of interdisciplinary evaluation results at discharge from acute care and at 2 to 5 year follow-up.

Main Measures: Extended Glasgow Outcome Scale, the FIM instrument, and the Neurobehavioral Rating Scale-Revised.

Results: Significant improvement was observed on the FIM instrument, the Extended Glasgow Outcome Scale, and on 3 factors of the Neurobehavioral Rating Scale-Revised. These measures at discharge were significant predictors of outcome.

Conclusion: Patients with sTBI 2 to 5 years postinjury showed relatively good physical and functional outcome but poorer cognitive and emotional outcome.

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http://dx.doi.org/10.1097/01.HTR.0000336842.53338.f4DOI Listing

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