Predicting outcomes after traumatic brain injury: A novel hospital prediction model for a patient reported outcome. Am J Surg 2022 Oct;224(4):1150-1155
Date
06/01/2022Pubmed ID
35637020DOI
10.1016/j.amjsurg.2022.05.016Scopus ID
2-s2.0-85130979709 (requires institutional sign-in at Scopus site) 1 CitationAbstract
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.
Author List
Morris RS, Figueroa JF, Pokrzywa CJ, Barber JK, Temkin NR, Bergner C, Karam BS, Murphy P, Nelson LD, Laud P, Cooper Z, de Moya M, Trevino C, Tignanelli CJ, deRoon-Cassini TAAuthors
Carisa Bergner Biostatistician II in the Surgery department at Medical College of WisconsinMarc Anthony De Moya MD Chief, Professor in the Surgery department at Medical College of Wisconsin
Purushottam W. Laud PhD Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Rachel S. Morris MD Assistant Professor in the Surgery department at Medical College of Wisconsin
Patrick Murphy MD Assistant Professor in the Surgery department at Medical College of Wisconsin
Lindsay D. Nelson PhD Associate Professor in the Neurosurgery department at Medical College of Wisconsin
Colleen Trevino PhD APP Clinical Dir Inpatient 2 in the Surgery department at Medical College of Wisconsin
Terri A. deRoon Cassini PhD Center Director, Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultBrain Injuries
Brain Injuries, Traumatic
Hospitals
Humans
Patient Reported Outcome Measures
Quality of Life
