Preinjury Factors and 3-Month Outcomes Following Emergency Department Diagnosis of Mild Traumatic Brain Injury
Preinjury Factors and 3-Month Outcomes Following Emergency Department Diagnosis of Mild Traumatic Brain Injury
复制标题
DOI：
10.1097/htr.0b013e3181ae35fd
复制
发表时间：
2009-09-01
影响因子：
2.4
通讯作者：
Afifi, Abdelmonem A.
中科院分区：
文献类型：
--
作者：
Kraus, Jess;Hsu, Paul;Afifi, Abdelmonem A.
目的：通过比较急诊科诊断的轻度颅脑损伤患者与非颅脑损伤患者的结局，探讨轻度颅脑损伤（MTBI）的后遗症。设置：加州南部的五个急诊室。参与者：两个队列，一个MTBI（初始评估时n = 689），另一个非头部损伤（n = 1318）。主要测量指标：伤后3个月Rivermead脑震荡后症状问卷和匹兹堡睡眠质量指数。结果如下：MTBI患者的脑震荡后症状发生率和Rivermead脑震荡后症状问卷评分显著高于对照组。女性报告的症状明显多于男性。MTBI患者对整体睡眠质量（以及睡眠潜伏期和日间功能障碍子成分）的投诉明显更频繁。结论：MTBI患者的不良结局显著多于对照组患者，应考虑到这些普遍结局进行临床管理。后续的医疗管理和治疗指南的发展，这组患者的进一步研究都是必要的。
Objective: To investigate the sequelae of mild traumatic brain injury (MTBI) by comparing selected outcomes of emergency department-diagnosed patients with mild head injuries to those with non-head injuries. Setting: Five emergency departments in southern California. Participants: Two cohorts, one with MTBI (n = 689 at initial assessment) and another with non-head injuries (n = 1318). Main Measures: Rivermead Post-Concussion Symptoms Questionnaire and Pittsburgh Sleep Quality Index at 3 months postinjury. Results: Postconcussion symptom rates and summary Rivermead Post-Concussion Symptoms Questionnaire scores were significantly higher for persons with MTBI than for the comparison cohort. Women reported significantly more symptoms than men. Complaints about sleep quality overall (and also sleep latency and daytime dysfunction subcomponents) were significantly more frequent among those with MTBI. Conclusion: Patients with MTBI have significantly more negative outcomes than patients in the comparison cohort and should be clinically managed with these prevalent outcomes in mind. Further study of follow-up medical management and the development of treatment guidelines for this group of patients are both warranted.