OBJECTIVE: To identify patients with specific ED discharge diagnoses reporting symptoms associated with a mild traumatic brain injury (MTBI), compare frequency/severity of MTBI symptoms by discharge diagnosis, investigate head injury education provided at ED discharge, and learn about changes made by MTBI patients after injury. METHODS: The Post Concussion Symptom Scale, a demographic questionnaire, and open-ended questions about the impact the injury had on patients' lives were completed by 52 ED patients, at least 2 weeks after injury, discharged with concussion/closed head injury, head laceration, motor vehicle crash (MVC), or whiplash/cervical strain diagnoses. RESULTS: Between 1 and 23 MTBI symptoms were reported by 84.6% of the participants. Headache and fatigue were the most common; female patients had almost twice as many symptoms on average as male patients. Of MVC patients, 83.3% reported moderate severity scores for all 4 Post Concussion Symptom Scale categories, and these represented the highest overall severity scores. Concussion/closed head injury diagnosis patients received the most head injury education. The majority of patients were more cautious after injury. CONCLUSION: Most participants reported having MTBI symptoms. Although MVC participants reported the most severe MTBI symptoms, they had the least head injury education. Emergency nurses need to be aware patients may have an MTBI regardless of their presenting symptoms or injury severity.
OBJECTIVE: To identify patients with specific ED discharge diagnoses reporting symptoms associated with a mild traumatic brain injury (MTBI), compare frequency/severity of MTBI symptoms by discharge diagnosis, investigate head injury education provided at ED discharge, and learn about changes made by MTBI patients after injury. METHODS: The Post Concussion Symptom Scale, a demographic questionnaire, and open-ended questions about the impact the injury had on patients' lives were completed by 52 ED patients, at least 2 weeks after injury, discharged with concussion/closed head injury, head laceration, motor vehicle crash (MVC), or whiplash/cervical strain diagnoses. RESULTS: Between 1 and 23 MTBI symptoms were reported by 84.6% of the participants. Headache and fatigue were the most common; female patients had almost twice as many symptoms on average as male patients. Of MVC patients, 83.3% reported moderate severity scores for all 4 Post Concussion Symptom Scale categories, and these represented the highest overall severity scores. Concussion/closed head injury diagnosis patients received the most head injury education. The majority of patients were more cautious after injury. CONCLUSION: Most participants reported having MTBI symptoms. Although MVC participants reported the most severe MTBI symptoms, they had the least head injury education. Emergency nurses need to be aware patients may have an MTBI regardless of their presenting symptoms or injury severity.
Authors: Tessa Hart; Simon Driver; Angelle Sander; Monique Pappadis; Kristen Dams-O'Connor; Claire Bocage; Emma Hinkens; Marie N Dahdah; Xinsheng Cai Journal: Brain Inj Date: 2018-08-07 Impact factor: 2.311
Authors: Cheryl K Zogg; R Sterling Haring; Likang Xu; Joseph K Canner; Taylor D Ottesen; Ali Salim; Adil H Haider; Eric B Schneider Journal: Epidemiology Date: 2018-11 Impact factor: 4.822
Authors: Robert A Stern; Daniel Seichepine; Christine Tschoe; Nathan G Fritts; Michael L Alosco; Oren Berkowitz; Peter Burke; Jonathan Howland; Jonathan Olshaker; Robert C Cantu; Christine M Baugh; James W Holsapple Journal: J Neurotrauma Date: 2016-05-19 Impact factor: 5.269
Authors: Cheryl K Zogg; R Sterling Haring; Likang Xu; Joseph K Canner; Hatim A AlSulaim; Zain G Hashmi; Ali Salim; Lilly D Engineer; Adil H Haider; Jeneita M Bell; Eric B Schneider Journal: Epidemiology Date: 2018-03 Impact factor: 4.822
Authors: Emma J Tavender; Marije Bosch; Russell L Gruen; Sally E Green; Jonathan Knott; Jill J Francis; Susan Michie; Denise A O'Connor Journal: Implement Sci Date: 2014-01-13 Impact factor: 7.327
Authors: Marije Bosch; Emma J Tavender; Sue E Brennan; Jonathan Knott; Russell L Gruen; Sally E Green Journal: PLoS One Date: 2016-02-04 Impact factor: 3.240
Authors: Robson Luis Oliveira de Amorim; André Russowsky Brunoni; Mirian Akiko Furutani de Oliveira; Ana Luiza Costa Zaninotto; Marcia Mitie Nagumo; Vinícius Monteiro de Paula Guirado; Iuri Santana Neville; Gláucia Rosana Guerra Benute; Mara Cristina Souza de Lucia; Wellingson Silva Paiva; Almir Ferreira de Andrade; Manoel Jacobsen Teixeira Journal: Front Neurol Date: 2017-05-02 Impact factor: 4.003