The European Head Injury Evaluation Chart (EHIEC) was designed by the
European Brain Injury Society to assess head-injured patients from the
initial insult to several years following injury. We describe the exp
erience of using the EHIEC in assessing 56 consecutive traumatically b
rain-injured people admitted to an early inpatient brain injury rehabi
litation programme over a 9-month period. An account of its use on adm
ission and at discharge in a subgroup of 40 cases is also given. The d
ifficulties in relation to the length of time to administer the EHIEC,
the wording, definition and scoring of items are discussed. We sugges
t that an instruction manual is required and conclude that, while in i
ts present form it represents a potentially useful checklist, further
work is needed to refine the instrument and establish its validity and
reliability.