A Lundin1, C de Boussard, G Edman, J Borg. 1. Department of Psychiatry, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden. anders.lundin@ds.se
Abstract
OBJECTIVE: Examine frequency, character and course of symptoms until 3 months after MTBI and the relation between symptoms and disability. METHODS: Prospective cohort study of 122 consecutive patients with MTBI. Symptom assessment after 1, 7 and 14 days and 3 months post-injury by use of Rivermead Post-concussional Questionnaire. Disability assessment by use of Rivermead Head Injury Follow-up Questionnaire. RESULTS: Patients reporting one or more symptoms declined from 86% on day 1 to 49% 3 months post-injury, when 25% also reported change in one or more domains of everyday activities. Poor memory, sleep disturbance and fatigue were most commonly reported. Symptom and disability scores were correlated (tau = 0.60; p < 0.001). Early symptom load correlated with late symptom load (tau = 0.38; p < 0.01). CONCLUSIONS: Symptoms gradually decline post-injury. Symptoms correlate with disability at 3 months. Patients with early high symptom load are at risk for developing persisting complaints.
OBJECTIVE: Examine frequency, character and course of symptoms until 3 months after MTBI and the relation between symptoms and disability. METHODS: Prospective cohort study of 122 consecutive patients with MTBI. Symptom assessment after 1, 7 and 14 days and 3 months post-injury by use of Rivermead Post-concussional Questionnaire. Disability assessment by use of Rivermead Head Injury Follow-up Questionnaire. RESULTS:Patients reporting one or more symptoms declined from 86% on day 1 to 49% 3 months post-injury, when 25% also reported change in one or more domains of everyday activities. Poor memory, sleep disturbance and fatigue were most commonly reported. Symptom and disability scores were correlated (tau = 0.60; p < 0.001). Early symptom load correlated with late symptom load (tau = 0.38; p < 0.01). CONCLUSIONS: Symptoms gradually decline post-injury. Symptoms correlate with disability at 3 months. Patients with early high symptom load are at risk for developing persisting complaints.
Authors: Robert W Van Boven; Greg S Harrington; David B Hackney; Andreas Ebel; Grant Gauger; J Douglas Bremner; Mark D'Esposito; John A Detre; E Mark Haacke; Clifford R Jack; William J Jagust; Denis Le Bihan; Chester A Mathis; Susanne Mueller; Pratik Mukherjee; Norbert Schuff; Anthony Chen; Michael W Weiner Journal: J Rehabil Res Dev Date: 2009
Authors: Carrie M Farmer; Heather Krull; Thomas W Concannon; Molly Simmons; Francesca Pillemer; Teague Ruder; Andrew Parker; Maulik P Purohit; Liisa Hiatt; Benjamin Saul Batorsky; Kimberly A Hepner Journal: Rand Health Q Date: 2017-01-13
Authors: Lisa A van der Kleij; Jill B De Vis; Matthew C Restivo; L Christine Turtzo; Jeroen Hendrikse; Lawrence L Latour Journal: J Neurotrauma Date: 2019-12-05 Impact factor: 5.269
Authors: Carolyn A McCarty; Douglas Zatzick; Elizabeth Stein; Jin Wang; Robert Hilt; Frederick P Rivara Journal: Pediatrics Date: 2016-09-13 Impact factor: 7.124
Authors: Elizabeth Stein; Waylon Howard; Ali Rowhani-Rahbar; Frederick P Rivara; Douglas Zatzick; Carolyn A McCarty Journal: Brain Inj Date: 2017-11-08 Impact factor: 2.311