BACKGROUND: Mild traumatic brain injury (MTBI) defined as Glasgow Coma Scale (GCS) 14 or 15 has shown contradictory short- and long-term outcomes. The objective of this study was to correlate intra-cranial injuries (ICI) on CT scan to neurocognitive tests at admission and to complaints after 1 year. METHODS: Two hundred and five patients with MTBI underwent a CT scan and were examined with neurocognitive tests. After 1 year complaints were assessed by phone interviews. RESULTS: The neurocognitive tests in 51% of the patients showed significant deficits; there was no difference for patients with GCS 14-15, nor was there a difference between patients with ICI to patients without. After 1 year patients with ICI had significantly more complaints than patients without ICI, the most frequent complaint was headache and memory deficits. CONCLUSIONS: No correlation was found between GCS or ICI and the neurocognitive tests upon admission. After 1 year, patients with ICI have significantly more complaints than patients without ICI. No cost savings resulted by doing immediate CT scan on all.
BACKGROUND: Mild traumatic brain injury (MTBI) defined as Glasgow Coma Scale (GCS) 14 or 15 has shown contradictory short- and long-term outcomes. The objective of this study was to correlate intra-cranial injuries (ICI) on CT scan to neurocognitive tests at admission and to complaints after 1 year. METHODS: Two hundred and five patients with MTBI underwent a CT scan and were examined with neurocognitive tests. After 1 year complaints were assessed by phone interviews. RESULTS: The neurocognitive tests in 51% of the patients showed significant deficits; there was no difference for patients with GCS 14-15, nor was there a difference between patients with ICI to patients without. After 1 year patients with ICI had significantly more complaints than patients without ICI, the most frequent complaint was headache and memory deficits. CONCLUSIONS: No correlation was found between GCS or ICI and the neurocognitive tests upon admission. After 1 year, patients with ICI have significantly more complaints than patients without ICI. No cost savings resulted by doing immediate CT scan on all.
Authors: Michael W Kirkwood; Keith Owen Yeates; H Gerry Taylor; Christopher Randolph; Michael McCrea; Vicki A Anderson Journal: Clin Neuropsychol Date: 2007-09-01 Impact factor: 3.535
Authors: Esther L Yuh; Pratik Mukherjee; Hester F Lingsma; John K Yue; Adam R Ferguson; Wayne A Gordon; Alex B Valadka; David M Schnyer; David O Okonkwo; Andrew I R Maas; Geoffrey T Manley Journal: Ann Neurol Date: 2012-12-07 Impact factor: 10.422
Authors: Hagen Andruszkow; Julia Urner; Ezin Deniz; Christian Probst; Orna Grün; Ralf Lohse; Michael Frink; Frank Hildebrand; Christian Zeckey Journal: Patient Saf Surg Date: 2013-10-10
Authors: William J Panenka; Rael T Lange; Sylvain Bouix; Jason R Shewchuk; Manraj K S Heran; Jeffrey R Brubacher; Ryan Eckbo; Martha E Shenton; Grant L Iverson Journal: PLoS One Date: 2015-04-27 Impact factor: 3.240