Article

PURPOSE: To quantify traumatic brain injury (TBI) patients' perceptions of own
function by the Patient Competency Rating Scale (PCRS) one year after injury, and
to examine self-awareness of functional deficits by comparing PCRS ratings from
patients (PCRS-P) and PCRS ratings from near relatives (PCRS-R), and to identify
predictors of awareness deficits. METHOD: A cohort of 50 severe (n = 33) and
moderate (n = 17) TBI patients. Awareness of deficits was investigated by
subtracting PCRS relative ratings from PCRS patient ratings. Predictors of PCRS
ratings and differences were assessed by stepwise multiple regression analyses.
RESULTS: The average patient PCRS sum score was 122/150 (95% CI = 115; 129) as
compared to a sum score of 117/150 (95% CI = 110; 125), given by their relatives
(p = 0.93). The patients scored themselves slightly higher than their relatives
in the domains of activities of daily living (ADL) and cognitive function (p <
0.001, p < 0.001). Regression analyses showed that Glasgow Coma Scale (GCS)score
at admission to rehabilitation was the strongest predictor of patient PCRS (B =
3.314, p = 0.008). The strongest predictor of differences between patient and
relative PCRS was GCS acute (B = -3.530, p = 0.001). CONCLUSIONS: TBI patients
demonstrated a slight "awareness gap" in ADL and cognitive function. Low GCS in
the acute phase and high age were the strongest predictors of self- awareness
deficits.

Langue : ANGLAIS