Silje Christine Reistad Fure1,2, Emilie Isager Howe1,3, Øystein Spjelkavik4, Cecilie Røe1,3, Per-Ola Rike5, Alexander Olsen6,7, Jennie Ponsford8, Nada Andelic1,2, Marianne Løvstad5,9. 1. Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway. 2. Research Center for Habilitation and Rehabilitation Models and Services (CHARM), Institute of Health and Society, University of Oslo, Oslo, Norway. 3. Institute of Clinical Medicine, Faculty of Medicine, Oslo University Hospital, Oslo, Norway. 4. Work Research Institute, Oslo Metropolitan University, Oslo, Norway. 5. Department of Research, Sunnaas Rehabilitation Hospital Trust, Nesoddtangen, Norway. 6. Department of Psychology, Norwegian University of Technology and Science, Trondheim, Norway. 7. Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. 8. Monash Epworth Rehabilitation Research Centre, Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, Australia. 9. Department of Psychology, University of Oslo, Oslo, Norway.
Abstract
Objective: To present pre-injury, injury-related, work-related and post-injury characteristics, and to compare patients with and without traumatic intracranial abnormalities, in a treatment-seeking sample with persistent post-concussion symptoms (PPCS) after mild-to-moderate TBI. Methods: Cross-sectional design in the context of a specialized TBI outpatient clinic. Eligible patients were aged 18-60 years, employed ≥ 50% at time of injury, and sick listed ≥ 50% at inclusion due to PPCS. Data were collected 8-12 weeks after injury through review of medical records, semi-structured interviews, questionnaires, and neuropsychological screening. Results: The study included 116 patients, of whom 60% were women, and predominantly white-collar workers in full-time positions. Ninety-four percent had a mild TBI, and 23% had intracranial abnormalities. The full sample reported high somatic, emotional, and cognitive symptom burden, and decreased health-related quality of life. Patients with normal CT/MRI results reported higher overall symptom burden, while patients with intracranial abnormalities had worse memory function. Conclusion: Injury severity and traumatic intracranial radiological findings should not be the sole ground for planning of rehabilitation service provision in patients with PPCS, as subjective complaints do not necessarily co-vary with these variables.
Objective: To present pre-injury, injury-related, work-related and post-injury characteristics, and to compare patients with and without traumatic intracranial abnormalities, in a treatment-seeking sample with persistent post-concussion symptoms (PPCS) after mild-to-moderate TBI. Methods: Cross-sectional design in the context of a specialized TBI outpatient clinic. Eligible patients were aged 18-60 years, employed ≥ 50% at time of injury, and sick listed ≥ 50% at inclusion due to PPCS. Data were collected 8-12 weeks after injury through review of medical records, semi-structured interviews, questionnaires, and neuropsychological screening. Results: The study included 116 patients, of whom 60% were women, and predominantly white-collar workers in full-time positions. Ninety-four percent had a mild TBI, and 23% had intracranial abnormalities. The full sample reported high somatic, emotional, and cognitive symptom burden, and decreased health-related quality of life. Patients with normal CT/MRI results reported higher overall symptom burden, while patients with intracranial abnormalities had worse memory function. Conclusion: Injury severity and traumatic intracranial radiological findings should not be the sole ground for planning of rehabilitation service provision in patients with PPCS, as subjective complaints do not necessarily co-vary with these variables.
Authors: Kelly A Krese; Kyla Z Donnelly; Bella Etingen; Theresa L Bender Pape; Sarmistha Chaudhuri; Alexandra L Aaronson; Rachana P Shah; Dulal K Bhaumik; Andrea Billups; Sabrina Bedo; Mary Terese Wanicek-Squeo; Sonia Bobra; Amy A Herrold Journal: JMIR Res Protoc Date: 2022-06-15
Authors: Emilie Isager Howe; Nada Andelic; Silje C R Fure; Cecilie Røe; Helene L Søberg; Torgeir Hellstrøm; Øystein Spjelkavik; Heidi Enehaug; Juan Lu; Helene Ugelstad; Marianne Løvstad; Eline Aas Journal: BMC Health Serv Res Date: 2022-02-12 Impact factor: 2.655