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- Title
Outcome from Complicated versus Uncomplicated Mild Traumatic Brain Injury.
- Authors
Iverson, Grant L.; Lange, Rael T.; Wäljas, Minna; Liimatainen, Suvi; Dastidar, Prasun; Hartikainen, Kaisa M.; Soimakallio, Seppo; Öhman, Juha
- Abstract
Objective: To compare acute outcome following complicated versus uncomplicated mild traumatic brain injury (MTBI) using neurocognitive and self-report measures. Method: Participants were 47 patients who presented to the emergency department of Tampere University Hospital, Finland. All completed MRI scanning, self-report measures, and neurocognitive testing at 3-4 weeks after injury. Participants were classified into the complicated MTBI or uncomplicated MTBI group based on the presence/absence of intracranial abnormality on day-of-injury CT scan or 3-4 week MRI scan. Results: There was a large statistically significant difference in time to return to work between groups. The patients with uncomplicated MTBIs had a median of 6.0 days (IQR = 0.75-14.75, range = 0-77) off work compared to a median of 36 days (IQR = 13.5-53, range = 3-315) for the complicated group. There were no significant differences between groups for any of the neurocognitive or self-report measures. There were no differences in the proportion of patients who (a) met criteria for ICD-10 postconcussional disorder or (b) had multiple low scores on the neurocognitive measures. Conclusion: Patients with complicated MTBIs took considerably longer to return to work. They did not perform more poorly on neurocognitive measures or report more symptoms, at 3-4 weeks after injury compared to patients with uncomplicated MTBIs.
- Subjects
BRAIN injuries; EMERGENCY medical services; MAGNETIC resonance imaging of the brain; HEALTH outcome assessment; SELF-evaluation; SYMPTOMS
- Publication
Rehabilitation Research & Practice, 2012, p1
- ISSN
2090-2867
- Publication type
Article
- DOI
10.1155/2012/415740