Relative Effects of Brain and Non-Brain Injuries on Neuropsychological and Psychosocial Outcome

Dacey, Ralph G.; Dikmen, Sureyya; Temkin, Nancy; McLean, A. J.; G, Armsden; Hr, Winn

doi:10.1097/00005373-199102000-00011

Cited by 32 publications

(23 citation statements)

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“…In the study of Dacey et al 47both brain and systemic injuries were found to contribute to outcome 1 month after injury. In our study 1 month after injury only 13% of patients with systemic injuries had resumed work compared with 34% of patients without systemic injuries.…”

Section: Discussionmentioning

confidence: 95%

One year outcome in mild to moderate head injury: the predictive value of acute injury characteristics related to complaints and return to work

Naalt¹,

Zomeren

Sluiter

et al. 1999

Journal of Neurology, Neurosurgery & Psychiatry

355

195

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Objectives-To determine the prognostic value of characteristics of acute injury and duration of post-traumatic amnesia (PTA) for long term outcome in patients with mild to moderate head injury in terms of complaints and return to work. Methods-Patients with a Glasgow coma score (GCS) on admission of 9-14 were included. Post-traumatic amnesia was assessed prospectively. Follow up was performed at 1, 3, 6, and 12 months after injury. Outcome was determined by the Glasgow outcome scale (GOS) 1 year after injury and compared with a more detailed outcome scale (DOS) comprising cognitive and neurobehavioural aspects. Results-Sixty seven patients were included, mean age 33.2 (SD 14.7) years and mean PTA 7.8 (SD 7.3) days. One year after injury, 73% of patients had resumed previous work although most (84%) still reported complaints. The most frequent complaints were headache (32%), irritability (34%), forgetfulness and poor concentration (42%), and fatigue (45%). According to the GOS good recovery (82%) or moderate disability (18%) was seen. Application of the DOS showed more cognitive (40%) and behavioural problems (48%), interfering with return to work. Correlation between the GOS and DOS was high (r=0.87, p<0.01). Outcome correlated with duration of PTA (r=−0.46) but not significantly with GCS on admission (r=0.19). In multiple regression analysis, PTA and the number of complaints 3 months after injury explained 49% of variance on outcome as assessed with the GOS, and 60% with the DOS. Conclusions-In mild to moderate head injury outcome is determined by duration of PTA and not by GCS on admission. Most patients return to work despite having complaints. The application of a more detailed outcome scale will increase accuracy in predicting outcome in this category of patients with head injury. (J Neurol Neurosurg Psychiatry 1999;66:207-213)

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Section: Discussionmentioning

confidence: 95%

One year outcome in mild to moderate head injury: the predictive value of acute injury characteristics related to complaints and return to work

Naalt¹,

Zomeren

Sluiter

et al. 1999

Journal of Neurology, Neurosurgery & Psychiatry

355

195

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“…Another factor which should be considered in examining functional outcome is the impact of other injuries (Dacey et al, 1991). However relatively few studies have examined this in populations with moderate to severe TBI.…”

Section: Limb Injuriesmentioning

confidence: 99%

Factors contributing to outcome following traumatic brain injury

Ponsford

2013

NRE

105

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BACKGROUND: Traumatic brain injury results in some distinctive patterns of cognitive, behavioural and physical impairment which impact significantly on independent living skills and participation in work or study, social and leisure activities and interpersonal relationships. There is, however, still considerable variability in outcome across individuals in each of the reported domains. This has led to a significant body of research examining factors associated with outcome. A range of injury-related, personal and social factors have been shown to influence survival, as well as cognitive, functional and employment outcome. METHODS: This paper reviews the factors associated with each of these aspects of outcome specifically injury-related factors, including neuroimaging findings, GCS and PTA, other injuries, and cognitive and behavioural impairments; demographic factors, including age, gender, genetic status, education, pre-injury IQ and employment status; and social factors including family and other social support, cultural factors, pre-injury psychiatric history and coping style. CONCLUSION: The paper identifies contributions and complex interrelationships of all of these factors to outcome following TBI. It concludes with a brief discussion of the implications of these factors for the rehabilitation process.

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“…For example, it is recognised that traditional head injury severity indices have limited power to predict long term functioning 6 7. Rather, other injury characteristics (eg, early symptoms,8 9 presence of extracranial injuries10 11) as well as pre- and post-injury physical functioning (eg, pain, fatigue12 13) and psychological status (eg, emotional distress such as depressed mood,14 15 anxiety (especially acute post traumatic stress)16) or personality17 are considered essential for understanding and predicting individual outcome patterns.…”

mentioning

confidence: 99%

Early prediction of favourable recovery 6 months after mild traumatic brain injury

Stulemeijer

Werf

Borm

et al. 2008

Journal of Neurology, Neurosurgery & Psychiatry

199

180

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Relative Effects of Brain and Non-Brain Injuries on Neuropsychological and Psychosocial Outcome

Cited by 32 publications

References 0 publications

One year outcome in mild to moderate head injury: the predictive value of acute injury characteristics related to complaints and return to work

One year outcome in mild to moderate head injury: the predictive value of acute injury characteristics related to complaints and return to work

Factors contributing to outcome following traumatic brain injury

Early prediction of favourable recovery 6 months after mild traumatic brain injury

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