The ESPARR cohort: the future of the serious injured aged 16 years and over (MAIS3=) with a traumatic brain injury (TBI) three years after the crash.

19th European Congress of Physical and Rehabilitation Medicine, MARSEILLE, FRANCE, 26-/05/2014 - 31/05/2014Introduction Few longitudinal studies investigated the long-term future of road accident victims. The ESPARR cohort has been followed for five years after the crash occurred. Objective To study the future of serious injured with TBI three years after their road accident. Methods The ESPARR cohort comprises 324 serious injured including 72 mild TBI (AIS2) and 70 moderate/severe TBI (AIS3+). 51 TBI2 and 49 TBI3+ responded to the questionnaire at three years. They are compared to 131 serious injured who have not had TBI (noTBI). Results The same proportion of victims declares a non-recovered health status three years after the accident (TBI2=69%, TBI3+=65%, noTBI=68%). Compared to noTBI, TBI3+ report more neurological sequelae, headache, sensory disorders, or psychocognitive. Only psychocognitive sequelae are more frequent for TBI2. 12% of TBI3+ (TBI2=4%, noTBI=5%) declare a poor quality of life. 14% of TBI3+ (TBI2=4%, noTBI=8%) are still off work due to the accident. TBI3+ report more frequently than other a disturbance of their family and friendly relations. Discussion TBI3+ still suffer serious consequences three years after the accident, resulting in a lower quality of life