Disability following head injury.
Disability following head injury.
复制标题
头部受伤后残疾。
DOI：
10.1097/00019052-199310000-00016
复制
发表时间：
1993
影响因子：
4.8
通讯作者：
J. Barth
中科院分区：
文献类型：
--
作者：
S. Macciocchi;D. B. Reid;J. Barth
头部损伤后的残疾取决于损伤机制，神经病理学和其他因素，包括医疗并发症。轻度头部损伤（格拉斯哥昏迷量表评分13-15）已被证明具有相当大的变异性的结果。有些人经历快速症状解决，而其他人继续表现出症状持续时间较长。一个小的，但临床上显着数量的患者可能是神经心理和职业残疾至少长达1年的伤后。方法学问题继续困扰轻度脑损伤结局研究。相比之下，中度（格拉斯哥昏迷量表评分9-12）和重度头部损伤（格拉斯哥昏迷量表评分3-8）导致损伤后残疾的模式更一致。一般来说，中度至重度脑损伤的患者往往会经历持续和广泛的神经心理，精神和职业损伤。康复干预的影响是可变的，取决于损伤的严重程度，干预类型和结果标准。
Disability following head injury varies depending on injury mechanism, neuropathology, and other factors, including medical complications. Mild head injury (Glasgow Coma Scale score 13-15) has been shown to have considerable variability in outcome. Some persons experience rapid symptom resolution whereas others continue to evidence symptoms for an extended duration. A small, but clinically significant number of patients may be neuropsychologically and occupationally disabled at least up to 1 year postinjury. Methodological problems continue to plague mild head injury outcome studies. In contrast, moderate (Glasgow Coma Scale score 9-12) and severe head injury (Glasgow Coma Scale score 3-8) result in more consistent patterns of disability following injury. In general, patients who sustain moderate to severe head injury tend to experience persistent and extensive neuropsychological, psychiatric, and occupational impairment. The impact of rehabilitative interventions is variable and dependent on injury severity, intervention type, and outcome criteria.