Document Detail


Prevalence of impairments 5 years after a head injury, and their relationship with disabilities and outcome.
MedLine Citation:
PMID:  8806009     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine what consequences cognitive, behavioural or somatic impairments had on disabilities and recovery after a head injury (HI), a population-based sample of 231 adult patients was studied 5 years after an HI. Eighty lower-limb-injured (LLI) patients were considered as controls. Sixty-four LLI and 176 HI patients were reviewed (114 minor, 35 moderate, and 27 severe HI). Prevalence values of headaches (44-54%), dizziness (26-37%), and anxiety (47-63%) were not significantly different in the three HI severity groups, but were significantly lower in patients with an isolated limb injury (12-15%). Memory problems and depressive mood increased with injury severity. Mental impairments were frequent in severe HI patients (18-40% of patients). In minor and moderate HI patients, most disabilities were related to associated injuries. According to the Glasgow Outcome Scale (GOS), recovery was not considered as good because of somatic, behavioural or cognitive complaints in 2.5%, 5.7% and 59.2% of surviving patients in each of the above HI groups. Somatic or behavioural complaints may have considerable consequences in some minor HI patients, and the long-term management of certain patients needs improvement because these impairments are misunderstood.
Authors:
F Masson; P Maurette; L R Salmi; J F Dartigues; J Vecsey; J M Destaillats; P Erny
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Brain injury     Volume:  10     ISSN:  0269-9052     ISO Abbreviation:  Brain Inj     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-12-27     Completed Date:  1996-12-27     Revised Date:  2014-11-14    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  487-97     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Brain Damage, Chronic / diagnosis,  psychology,  rehabilitation*
Brain Injuries / diagnosis,  psychology,  rehabilitation*
Delirium, Dementia, Amnestic, Cognitive Disorders / diagnosis,  psychology,  rehabilitation
Disability Evaluation*
Follow-Up Studies
Glasgow Coma Scale
Head Injuries, Closed / diagnosis,  psychology,  rehabilitation*
Humans
Leg Injuries / diagnosis,  psychology,  rehabilitation
Middle Aged
Neurologic Examination
Neuropsychological Tests
Skull Fractures / diagnosis,  psychology,  rehabilitation*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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