Abstract:

Traumatic brain injury after-effects, particulary cognitive disorders can persist over the long-term and compromise the socio-professional reintegration of victims. This study aimed to evaluate cognitive disorders at one year and more in adult head trauma patients. Cognitive impairement was assessed using the MoCA, the MMSE, the IHDS and 5 Words. Chi-square tests and multimodal logistic regression were used to identify associated. The mean age was 37 years. Males predominated (90%). The average time to assesment was 21 months (13 to 40). Two-thirds of patients had persistent long-term complaints. Of the participants 21% had not returned to work. Cognitive disorders were found in 58.0% of participants. Associated factors were low educational level, long duration of coma and presence of sequelae at discharge. Cognitive disorders are common at long-term in head injured patients. Their assessment is essential for the better socio-professional reintegration.