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PHRP : Osong Public Health and Research Perspectives

OPEN ACCESS. pISSN: 2210-9099. eISSN: 2233-6052

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"Brain injuries, traumatic"

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"Brain injuries, traumatic"

Review Article
Predictors of outcomes 3 to 12 months after traumatic brain injury: a systematic review and meta-analysis
Younes Iderdar, Maryem Arraji, Nadia Al Wachami, Morad Guennouni, Karima Boumendil, Yassmine Mourajid, Noureddine Elkhoudri, Elmadani Saad, Mohamed Chahboune
Osong Public Health Res Perspect 2024;15(1):3-17.
Published online February 5, 2024
DOI: https://doi.org/10.24171/j.phrp.2023.0288
Predictors of outcomes 3 to 12 months after traumatic brain injury: a systematic review and meta-analysis
The exact factors predicting outcomes following traumatic brain injury (TBI) remain elusive. In this systematic review and meta-analysis, we examined factors influencing outcomes in adult patients with TBI, from 3 months to 1 year after injury. A search of four electronic databases—PubMed, Scopus, Web of Science, and ScienceDirect—yielded 29 studies for review and 16 for meta-analysis, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. In patients with TBI of any severity, mean differences were observed in age (8.72 years; 95% confidence interval [CI], 4.77–12.66 years), lymphocyte count (−0.15 109/L; 95% CI, −0.18 to −0.11), glucose levels (1.20 mmol/L; 95% CI, 0.73–1.68), and haemoglobin levels (−0.91 g/dL; 95% CI, −1.49 to −0.33) between those with favourable and unfavourable outcomes. The prevalence rates of unfavourable outcomes were as follows: abnormal cisterns, 65.7%; intracranial pressure above 20 mmHg, 52.9%; midline shift of 5 mm or more, 63%; hypotension, 71%; hypoxia, 86.8%; blood transfusion, 70.3%; and mechanical ventilation, 90%. Several predictors were strongly associated with outcome. Specifically, age, lymphocyte count, glucose level, haemoglobin level, severity of TBI, pupillary reaction, and type of injury were identified as potential predictors of long-term outcomes.

Citations

Citations to this article as recorded by  Crossref logo
  • Premorbid physical activity and recovery following an isolated acute traumatic brain injury: an exploratory study
    Naomie Maltais, Elaine de Guise, Maude Laguë-Beauvais, Laurence Trépanier, Jehane H. Dagher
    Global Neurological Insights.2026; 1(1): 100003.     CrossRef
  • Association Between Sex and Mortality After Traumatic Brain Injury: A Systematic Review and Meta-Analysis
    Elise Beijer, Floor J. Mansvelder, Romein W. G. Dujardin, Nicole P. Juffermans, Linda J. Schoonmade, Leo M. G. Geeraedts, Frank W. Bloemers, Charissa E. van den Brom, Patrick Schober
    Neurocritical Care.2026;[Epub]     CrossRef
  • The severity of traumatic brain injury impacts the response to non-pharmacological treatment for post-traumatic amnesia: A retrospective observational study
    Èlia Vilageliu-Jordà, Antonia Enseñat-Cantallops, Alberto García-Molina
    Applied Neuropsychology: Adult.2026; : 1.     CrossRef
  • Traumatic Brain Injury and Artificial Intelligence: Shaping the Future of Neurorehabilitation—A Review
    Seun Orenuga, Philip Jordache, Daniel Mirzai, Tyler Monteros, Ernesto Gonzalez, Ahmed Madkoor, Rahim Hirani, Raj K. Tiwari, Mill Etienne
    Life.2025; 15(3): 424.     CrossRef
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