Prédiction du devenir fonctionnel à long terme des patients ayant subi un traumatisme craniocérébral mesuré à l’aide de l’Inventaire d’adaptabilité Mayo-Portland-4 (MPAI-4)
Introduction. Traumatic brain injury (TBI) is likely to cause several persistent symptoms that interfere with long-term patient functioning. The objective of the study was to explore the functional outcome of TBI patients one year after the accident using the Mayo- Portland Adaptability Inventory-4 (MPAI-4) and to identify the best variables for predicting long-term outcome. Methods. A total of 74 TBI patients were included in this study. Sociodemographic and accident-related variables were collected in acute care. Cognition was assessed by the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) during the first two weeks after TBI while acute functional status was assessed using the Disability Rating Scale (DRS) upon acute care discharge. The MPAI-4 was administered by telephone one year after the accident. Results. The score on the MPAI-4 Adaptation scale is higher (more functional limitations) and the Participation scale score was lower (less functional limitations) than the other subscales and the total score. In addition, the level of education, severity of TBI, acute functional outcome and presence of frontal injury were associated with functional outcome one year after the accident. Conclusion. MPAI-4 is a useful tool to measure long-term functional outcome following TBI. Future studies are needed to refine the prediction model.
MPAI-4 Traumatic brain injury Functional outcome Recovery Neuropsychology.