Post-injury symptoms after work related traumatic brain injury in Canadian population

Post-injury symptoms after work related traumatic brain injury in Canadian population
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DOI:
10.3233/wor-2012-1377
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发表时间:
2012-01-01
影响因子:
2.3
通讯作者:
Comper, P.
Comper, P.
中科院分区:
医学4区
文献类型:
--
作者:
Colantonio, A.;Comper, P.

文献摘要

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目的:研究加拿大安大略省经历过与工作有关的创伤性脑损伤(WrTBI)的人持续损伤后症状的性质和程度。方法:采用回顾性病例系列设计,对成年人群的伤后症状、职业和工作因素进行wrtbi检查。数据摘自1998年至2001年间从转诊神经内科门诊出院的WrTBI患者的医疗记录。结果:在435例持续WrTBI的个体中,大多数是45岁的男性。大约50%的人只有头部受伤,而其他人则有多处受伤。最常见的损伤后症状是头痛(85.1%)、记忆改变(74.3%)和情绪/性格改变(68.3%)。一小部分人报告了很长时间的受伤后症状,大多数人尚未重返工作岗位。结论:本研究分析了有外伤史的门诊工伤人群的人口学特征和临床特征,为该临床人群的评估和治疗方案的规划和实施提供了依据。
Objectives: To examine the nature and extent of persistent post-injury symptoms of persons who have experienced a work-related traumatic brain injury (WrTBI) in Ontario, Canada.Methods: Using a retrospective case series design, post-injury symptoms, occupation, and work factors were examined for WrTBIs among an adult population. Data were abstracted from medical records of individuals who sustained a WrTBI and were discharged from a referral-based outpatient neurology service between the years of 1998 and 2001.Results: Of the 435 individuals who sustained a WrTBI, most were >= 45 years of age and male. Approximately 50% had injuries to the head only, while others had multiple injuries. The most common post-injury symptoms were headaches (85.1%), memory changes (74.3%), and mood/personality changes (68.3%). A small subset of individuals reported very long-term post-injury symptoms, and a majority of individuals had not yet returned to work.Conclusions: This study profiles the demographic and clinical characteristics of an outpatient injured worker population with a history of WrTBI which provides a basis for the planning and implementation of assessment and treatment programs for this clinical population.