Medical complications, physical function and communication skills in patients with traumatic brain injury: A single centre 5-year experience
Medical complications, physical function and communication skills in patients with traumatic brain injury: A single centre 5-year experience
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DOI：
10.1080/02699050802304714
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发表时间：
2008-01-01
期刊：
影响因子：
1.9
通讯作者：
Yilmaz, Bilge
中科院分区：
文献类型：
--
作者：
Safaz, Ismail;Alaca, Ridvan;Yilmaz, Bilge
目的：本回顾性研究的目的是回顾 2000 年至 2006 年随访的创伤性脑损伤 (TBI) 患者的医疗并发症。方法和程序：记录 116 名 TBI 患者的人口统计数据、功能和认知状态。首次入院和随访时记录了沟通问题、吞咽障碍、大小便失禁、压疮、深静脉血栓（DVT）、创伤后惊厥（PTS）和异位骨化（HO）的情况。 主要结局和结果：本研究检测到失语症占 19.0%，构音障碍占 30.2%，吞咽困难占 17.2%，压疮占 6.9%在我们的 TBI 患者中，2.6% 发生 DVT。入院时尿失禁和大便失禁的比例分别为 32.7% 和 26.7%。失禁患者的认知功能比失禁正常的患者较差。 HO发生率为18.1%，有HO的患者下床活动水平比无HO的患者差。入院时 13.8% 的患者出现 PTS，随访期间这一比例增加至 21.6%。在这些患者中，PTS 的病因学危险因素是枪伤和跌倒受伤。结论：考虑到并发症的广泛性，本研究主张这些 TBI 患者应立即由多学科团队进行随访。
Objective: The aim of this retrospective study was to review the medical complications of patients with traumatic brain injury (TBI) who were followed in 2000-2006.Methods and procedures: The demographic data, functional and cognitive status of 116 persons with TBI were noted. The presence of communication problems, swallowing disturbances, urinary and faecal incontinence, pressure ulcer, deep venous thrombosis (DVT), post-traumatic seizure (PTS) and heterotopic ossification (HO) were recorded at first admission and follow-up.Main outcome and results: This study detected aphasia in 19.0%, dysarthria in 30.2%, dysphagia in 17.2%, pressure ulcers in 6.9% and DVT in 2.6% the our patients with TBI. Urinary and faecal incontinence on admission were 32.7% and 26.7%, respectively. Patients with incontinence had poorer cognitive function than those with normal continence. HO rate was 18.1% and the ambulation levels of patients with HO were worse than those without HO. PTS was seen in 13.8% of the patients on admission and this ratio increased to 21.6% during the follow-up. In these patients, the aetiological risk factors for PTS were gunshot and fall injuries.Conclusions: Considering the wide spectrum of complications, this study advocates that these persons with TBI should be followed promptly by a multidisciplinary team.