• B Beck.
• ReIntra GmbH, medizinisch-berufskundlicher Beratungs- und Reintegrationsdienst, Bahnhofstr. 16, 85774, Unterföhring, Deutschland. Bettina_Beck@reintra.com.
• Unfallchirurg. 2016 Jul 1; 119 (7): 554-9.

BackgroundThere are many studies on the prognosis and mortality for the acute care of traumatic brain injury (TBI) during the first year. Prediction of the long-term outcome after TBI is more difficult, and can be ascribed to indistinct methods and the necessity of taking into account multiple influencing factors.ObjectiveThe main factors that determine the long-term outcome of TBI are described.Materials And MethodesA summary of the relevant literature and experience of the reintegration of TBI patients are presented.ResultsThe major factors predicting the long-term outcome of TBI are well-known. They can be measured by International Classification of Functioning, Disability and Health (ICF) of the World Health Organization and self-reported quality of life, which are important for the prognosis. Returning to work has a particularly positive effect on the quality of life.ConclusionsEnvironmental factors are most predictive of long-term TBI outcome. The awareness of the interaction of all these factors requires a individualized long-term rehabilitation.

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