The Association Between the Postconcussion Symptoms and Clinical Outcomes for Patients With Mild Traumatic Brain Injury

Yang, Chi; Tu, Yong Kwang; Hua, Mau‐Sun; Huang, Sheng Jean

doi:10.1097/01.ta.0000203577.68764.b8

Cited by 82 publications

(71 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To the authors' knowledge, this is the first prospective long-term study that demonstrates the persistence of PTH 10 years after MTBI. This confirms findings reported previously by other authors, 23,24 who established that postconcussion syndrome after MTBI is a serious problem and should be systemically evaluated and monitored, because such long-term complaints can significantly impair quality of life.…”

Section: Quality Of Lifesupporting

confidence: 92%

“…12,23,28 Headache was present in 41.8% of patients in our study (significant OR of 7.52). The tendency to an increase in headaches between the 1-year and 10-year follow-up from 26.2% 17 to 41.8% seems to indicate that this is a relevant long-term complaint after MTBI.…”

Section: Additional Complaintsmentioning

confidence: 71%

“…This was slightly higher than established by Hoge et al (mean of 42.5%, but similar to the upper value of 53.2% in patients with LOC). 12 In contrast, Yang et al 23 reported a decrease in the proportion of patients complaining of fatigue, from 24% 1 week after injury to less than 10% 8 weeks after. Interestingly, we observed no correlation between fatigue and the presence of an ICI.…”

Section: Quality Of Lifementioning

confidence: 92%

See 2 more Smart Citations

Long-Term Outcome in Patients With Mild Traumatic Brain Injury: A Prospective Observational Study

Zumstein

Moser

Mottini

et al. 2011

Journal of Trauma: Injury, Infection &Amp; Critical Care

View full text Add to dashboard Cite

show abstract

Section: Quality Of Lifesupporting

confidence: 92%

Section: Additional Complaintsmentioning

confidence: 71%

Section: Quality Of Lifementioning

confidence: 92%

See 1 more Smart Citation

Long-Term Outcome in Patients With Mild Traumatic Brain Injury: A Prospective Observational Study

Zumstein

Moser

Mottini

et al. 2011

Journal of Trauma: Injury, Infection &Amp; Critical Care

View full text Add to dashboard Cite

show abstract

“…27,43,44 Therefore, we repeated our analysis using PCS as the outcome rather than our clinical definition of DSR. We noted 2 important findings.…”

Section: Figurementioning

confidence: 99%

Acute Concussion Symptom Severity and Delayed Symptom Resolution

et al. 2014

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Children are often evaluated in the emergency department after a concussion. Although prolonged symptoms are associated with higher initial symptom severity when measured 2 to 3 weeks after injury, a similar association with acute symptom severity has not been demonstrated. WHAT THIS STUDY ADDS:Higher acute symptom severity is not associated with development of persistent post-concussion symptoms 1 month after injury, but persistent post-concussive symptoms affect a significant number of children after concussion. Outpatient follow-up is essential to identify children who develop persistent symptoms. abstract BACKGROUND AND OBJECTIVES: Up to 30% of children who have concussion initially evaluated in the emergency department (ED) display delayed symptom resolution (DSR). Greater initial symptom severity may be an easily quantifiable predictor of DSR. We hypothesized that greater symptom severity immediately after injury increases the risk for DSR. METHODS:We conducted a prospective longitudinal cohort study of children 8 to 18 years old presenting to the ED with concussion. Acute symptom severity was assessed using a graded symptom inventory. Presence of DSR was assessed 1 month later. Graded symptom inventory scores were tested for association with DSR by sensitivity analysis. We conducted a similar analysis for post-concussion syndrome (PCS) as defined by the International Statistical Classification of Diseases and Related Health Problems, 10th revision. Potential symptoms characteristic of DSR were explored by using hierarchical cluster analysis. RESULTS:We enrolled 234 subjects; 179 (76%) completed follow-up. Thirtyeight subjects (21%) experienced DSR. Initial symptom severity was not significantly associated with DSR 1 month after concussion. A total of 22 subjects (12%) had PCS. Scores .10 (possible range, 0-28) were associated with an increased risk for PCS (RR, 3.1; 95% confidence interval 1.2-8.0). Three of 6 of the most characteristic symptoms of DSR were also most characteristic of early symptom resolution. However, cognitive symptoms were more characteristic of subjects reporting DSR.CONCLUSIONS: Greater symptom severity measured at ED presentation does not predict DSR but is associated with PCS. Risk stratification therefore depends on how the persistent symptoms are defined. Cognitive symptoms may warrant particular attention in future study. Follow-up is recommended for all patients after ED evaluation of concussion to monitor for DSR. Dr Grubenhoff conceptualized and designed the study, designed the database, oversaw data collection and analysis, drafted the initial manuscript, and reviewed and revised the manuscript; Ms Deakyne performed the primary statistical analysis, assisted with study design and database design, managed study personnel in recruitment and data acquisition, and co-authored, reviewed, and revised the manuscript; Ms Brou assisted with the cluster analysis and drafting and reviewed and revised the manuscript; Dr Bajaj assisted with study design and ...

show abstract

“…7,8 Symptoms are best treated early with a multidisciplinary approach for optimal recovery, which makes timely recognition and diagnosis crucial. 9,10 If left untreated, persistent MTBI symptoms frequently become worse and have a significant impact on quality of life. 11,12 Therefore the purpose of this pilot project was to investigate the frequency/severity of MTBI symptoms related to specific ED discharge diagnoses, identify the frequency and type of head injury education provided at the time of discharge, and identify how the injury has impacted patients' lives so that more appropriate interventions can be provided.…”

mentioning

confidence: 99%

Mild Traumatic Brain Injury: Are ED Providers Identifying Which Patients Are at Risk?

Stuart

Mandleco

Wilshaw

et al. 2012

Journal of Emergency Nursing

View full text Add to dashboard Cite

show abstract

The Association Between the Postconcussion Symptoms and Clinical Outcomes for Patients With Mild Traumatic Brain Injury

Abstract: The results show that PCS during the disease course and the relationship between PCS and clinical outcome can be systematically evaluated. In fact, different postconcussion symptom domains should be monitored while the disease is progressing.

Cited by 82 publications

References 44 publications

Long-Term Outcome in Patients With Mild Traumatic Brain Injury: A Prospective Observational Study

Long-Term Outcome in Patients With Mild Traumatic Brain Injury: A Prospective Observational Study

Acute Concussion Symptom Severity and Delayed Symptom Resolution

Mild Traumatic Brain Injury: Are ED Providers Identifying Which Patients Are at Risk?

Contact Info

Product

Resources

About