Évaluation pronostique et niveau de soins des victimes de traumatisme craniocérébral grave


Alexis Turgeon

Centre de recherche du CHA- Hôpital de l'Enfant-Jésus


Domaine : Services de santé

Programme chercheurs-boursiers cliniciens - Junior 2

Concours 2013-2014


Ministère de la santé et des services sociaux

Traumatic brain injuries often afflict young and healthy people. Because the brain injury is sometimes catastrophic, the trauma can lead to death or leave the individual with severe sequelae altering his quality of life in a significant manner. Families and relatives of victims of severe traumatic brain injury want to have clear, concise and accurate information on outcomes soon following the trauma. Sometimes, the medical team is very pessimistic regarding the expected quality of life of their patient and, in agreement with family and relatives, a decision is taken to withhold or withdraw life-sustaining treatments. Although optimal quality of care is provided, our current tools for evaluating prognosis are not perfect.

However, it happens that prognosis evaluation can be very difficult, but that decisions on lowering the level of care are nevertheless made. Thus, it is mandatory to improve our ability to determine the outcome of these patients in the early phases of care. This research program is designed to understand how useful are our current tools to evaluate prognosis and how they could be more useful, to understand how we currently evaluate prognosis and make decisions with families on the level of care to provide to these patients with traumatic brain injury, and to develop new tools and knowledge to improve our ability to identify who of these victims of brain trauma will have a quality of life they would consider acceptable. This project aims to improve the care of victims of severe traumatic brain injury and to ascertain that level of care decisions are taken based on evidence and in the best interest of the patient.