Adapting to a New Normal After Severe Acute Brain Injury: An Observational Cohort Using a Sequential Explanatory Design.

ABSTRACT:

Objectives

Treatment decisions following severe acute brain injury need to consider patients' goals-of-care and long-term outcomes. Using family members as respondents, we aimed to assess patients' goals-of-care in the ICU and explore the impact of adaptation on survivors who did not reach the level of recovery initially considered acceptable.

Design

Prospective, observational, mixed-methods cohort study.

Setting

Comprehensive stroke and level 1 trauma center in Pacific Northwest United States.

Participants

Family members of patients with severe acute brain injury in an ICU for greater than 2 days and Glasgow Coma Scale score less than 12.

Measurements and main results

At enrollment, we asked what level of physical and cognitive recovery the patient woul

SUBMITTER: Rutz Voumard R 

PROVIDER: S-EPMC8282680 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature