MILD TRAUMATIC BRAIN INJURY: ARE ED PROVIDERS IDENTIFYING WHICH PATIENTS ARE AT RISK?
MILD TRAUMATIC BRAIN INJURY: ARE ED PROVIDERS IDENTIFYING WHICH PATIENTS ARE AT RISK?
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DOI：
10.1016/j.jen.2011.04.006
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发表时间：
2012-09-01
影响因子：
1.7
通讯作者：
Heaston, Sondra
中科院分区：
文献类型：
--
作者：
Stuart, Barbara;Mandleco, Barbara;Heaston, Sondra
目的：识别具有特定艾德出院诊断报告与轻度创伤性脑损伤（MTBI）相关症状的患者，通过出院诊断比较MTBI症状的频率/严重程度，调查在艾德出院时提供的头部损伤教育，并了解MTBI患者在受伤后的变化。方法：52名艾德患者完成了脑震荡后症状量表、人口统计学问卷和关于损伤对患者生活影响的开放式问题，受伤后至少2周，出院时有脑震荡/闭合性头部损伤、头部裂伤、机动车碰撞（MVC）或挥鞭样/颈椎劳损诊断。头痛和疲劳是最常见的;女性患者的平均症状几乎是男性患者的两倍。在MVC患者中，83.3%的患者报告了所有4种脑震荡后症状量表类别的中度严重程度评分，这些评分代表了最高的总体严重程度评分。脑震荡/闭合性颅脑损伤诊断患者接受的颅脑损伤教育最多。大多数患者受伤后更加谨慎。结论：大多数参与者报告有MTBI症状。虽然MVC参与者报告了最严重的MTBI症状，但他们的头部受伤教育最少。急诊护士需要意识到患者可能有MTBI，无论他们的症状或损伤严重程度如何。
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.