Understanding long term impact of traumatic brain injury (TBI) survivors during recovery following discharge from the intensive care units (ICU) in Malaysian hospitals

• Main Authors: Mohamed Ludin, Salizar, Abdul Rashid, Nor'ain
• Format: Conference or Workshop Item
• Language: English
• Published: 2016
• Subjects: RD Surgery; RT Nursing
• Online Access: http://irep.iium.edu.my/53013/17/53013.pdf; http://irep.iium.edu.my/53013/

Introduction: Traumatic brain injury (TBI) is the number one cause of mortality and disability in young adults in western societies, while head injury (including TBI) is reported as one of the top three most common diagnoses (for 9 years) leading to Intensive Care Unit (ICU) admission in Malaysian hospitals. Medical advances have improved the survival rate after severe TBI, but survivors may face a lifetime disability. Despite international studies concluded that subjects with moderate and severe TBI shows physical and functional improvement but remain with cognitive and psycho-social problem throughout the recovery, TBI survivors’ long term outcome of in Malaysia is unknown. Objectives: This study aim to measure the long term impact of traumatic brain injury (TBI) survivors during recovery following discharge from ICU. Methodology: A cross-sectional study design will be used to explore the long term outcome of TBI survivors following discharged from 2 hospitals in the East Coast of Malaysia (HTAA, Kuantan, and HSNH, Kuala Terengganu) within 12 month period. In Phase 1, medical records and Hospital Information System (ICU) record will be reviewed for sampling purposively, based of set criteria (survivors age 13 year and above, not senile, understand Malay and or English). In Phase 2, survivors will be followed-up and assessed at 6 month and 12 month after the injury using Functional study scale, Glasgow Outcome Scale Extended (GOSE) and Quality of life after brain injury (QOLIBRI). Statistical software (SPSS) Software will be used for descriptive and inferential analysis. Expected outcome and conclusion: The study findings will allow for real-time tracking and outcome assessment, documentation of changes in functional status, mental and the quality of life after TBI. All these data will become important guidance for nurses and doctors to provide prognostic information and care planning and anticipate the best care for the patients in the future when they were admitted to the ICU or general wards and community after the injury. It can be also used as the national strategy to reduce healthcare cost through concerns and safety priorities and needs of TBI survivors.