Function after motor vehicle accidents: A prospective study of mild head injury and posttraumatic stress
Function after motor vehicle accidents: A prospective study of mild head injury and posttraumatic stress
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DOI：
10.1097/00005053-200107000-00003
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发表时间：
2001-07-01
影响因子：
1.9
通讯作者：
Dawson, DR
中科院分区：
文献类型：
--
作者：
Friedland, JF;Dawson, DR
研究了99例机动车事故（MVA）住院患者中轻度创伤性脑损伤（MTBI）、创伤后应激（PTS）和功能之间的关系：MTBI组64例，无MTBI对照组35例。在第一个月内和6至9个月时进行评估。在随访时，样本在疾病影响概况（SIP）中为中度残疾，71%的人对正常生活指数（RNL）的重新整合感到满意，42%的人已经重返工作岗位。只有SIP心理社会评分是显着不同的MTBI组; 24%的样本显示明确的症状PTS。这组人在SIP上的残疾程度明显更高，对RNL的满意度更低，并且不太可能重返工作岗位。在每个模型中解释的结果的方差比例范围从32%（物理SIP）到44%（RNL）。结果表明，临床医生需要更多地了解PTS对功能结局的强烈影响。
Relationships among mild traumatic brain injury (MTBI), posttraumatic stress (PTS), and function were examined in 99 motor vehicle accident (MVA) admissions: 64 in an MTBI group and 35 in a no-MTBI comparison group. Assessments occurred within the first month and at 6 to 9 months. At follow-up, the sample was moderately disabled on the Sickness Impact Profile (SIP), 71% satisfied on the Reintegration of Normal Living Index (RNL), and 42% had returned to work. Only the SIP Psychosocial score was significantly different for MTBI groups; 24% of the sample showed definite symptoms of PTS. This group was significantly more disabled on the SIP, less satisfied on the RNL, and less likely to return to work. The proportion of variance in outcome explained in each model ranged from 32% (Physical SIP) to 44% (RNL). Results suggest the need for clinicians to be more aware of the strong influence of PTS on functional outcomes.