The Wessex Head Injury Matrix (WHIM) main scale: a preliminary report on a scale to assess and monitor patient recovery after severe head injury
The Wessex Head Injury Matrix (WHIM) main scale: a preliminary report on a scale to assess and monitor patient recovery after severe head injury
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DOI：
10.1191/0269215500cr326oa
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发表时间：
2000-08-01
影响因子：
3
通讯作者：
McLellan, DL
中科院分区：
文献类型：
--
作者：
Shiel, A;Horn, SA;McLellan, DL
目的：为了发展一个行为评估的基础上观察患者恢复后，严重的头部损伤，数据可以通过观察和测试，甚至/天tasks.Design收集：一个前瞻性的观察性研究队列的88个连续入院严重的头部injuries.Setting：两个区综合医院在英国。患者：88个连续入院严重的创伤性头部损伤。年龄14 ~ 67岁，平均昏迷时间14天，平均创伤后遗忘（PTA）时间56天。配对偏好分析被用来确定这些行为的恢复顺序。这一序列始于唤醒，并导致了社交互动和沟通恢复的行为。随后的行为表明认知组织的增加以及方向和记忆的恢复。行为的规模是分层的，范围从昏迷到出现PTA.Conclusions：一个规模来评估患者和监测严重脑损伤后的认知恢复已经开发。虽然个别患者会表现出一些偏离序列识别，规模有助于明确的自然恢复模式后，头部受伤的最早阶段。
Objective: To develop a behavioural assessment based on observations of patients recovering after severe head injury whereby data could be collected by observation and by testing even/day tasks.Design: A prospective observational study of a cohort of 88 consecutive hospital admissions with severe head injury.Setting: Two district general hospitals in the UK.Patients: Eighty-eight consecutive admissions with severe traumatic head injury. Ages ranged from 14 to 67 years, mean coma duration was 14 days and mean duration of post traumatic amnesia (PTA) was 56 days.Results: Fifty-eight items of behaviour were identified. Paired preference analysis was used to identify a sequence of recovery of these behaviours. The sequence began with arousal and led on to behaviours signalling recovery of social interaction and communication. Subsequent behaviours indicated increasing cognitive organization and return of orientation and memory. The behaviours on the scale are hierarchical and range from coma to emergence from PTA.Conclusions: A scale to assess patients and monitor cognitive recovery after severe head injury has been developed. While individual patients will show some departures from the sequence identified, the scale helps to make explicit the earliest stages of natural recovery patterns after head injury.