Emergency department assessment of mild traumatic brain injury and the prediction of postconcussive symptoms: A 3-month prospective study

Sheedy, Joanne, Harvey, Evelyn, Faux, Steven, Geffen, Gina and Shores, E. Arthur (2009) Emergency department assessment of mild traumatic brain injury and the prediction of postconcussive symptoms: A 3-month prospective study. Journal of Head Trauma Rehabilitation, 24 5: 333-343. doi:10.1097/HTR.0b013e3181aea51f


Author Sheedy, Joanne
Harvey, Evelyn
Faux, Steven
Geffen, Gina
Shores, E. Arthur
Title Emergency department assessment of mild traumatic brain injury and the prediction of postconcussive symptoms: A 3-month prospective study
Journal name Journal of Head Trauma Rehabilitation   Check publisher's open access policy
ISSN 0885-9701
1550-509X
Publication date 2009-09
Sub-type Article (original research)
DOI 10.1097/HTR.0b013e3181aea51f
Volume 24
Issue 5
Start page 333
End page 343
Total pages 11
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams and Wilkins
Language eng
Formatted abstract
Objective: To investigate the utility of a brief emergency department (ED) bedside screen for the prediction of postconcussive symptoms at 3 months following mild traumatic brain injury (MTBI). Participants: One hundred patients with MTBI (78% men; mean age = 33.6 years); 2 control groups (each n = 100), a "minor nonhead injury" group (77% men; mean age = 32.2 years) and an "uninjured ED visitor" group (78% men; mean age = 33.6 years). Main Measures: Brief measures of neuropsychological functioning, acute pain, and postural stability were collected in the ED; telephone follow-up at 3 months using the Rivermead Post-Concussion Symptoms Questionnaire was undertaken. Results: Neuropsychological deficits, acute pain, and postural instability in the ED were significantly associated with postconcussive symptoms at 3-month follow-up. A regression formula using 3 easily obtainable measures obtained during acute stage of injury-immediate and delayed memory for 5 words and a visual analog scale score of acute headache-provided 80% sensitivity and 76% specificity for the prediction of clinically significant symptoms at 3 months postinjury. Conclusion: A small combination of variables assessable in the ED may predict MTBI patients likely to experience persistent postconcussive symptoms.
Keyword Brain
Concussion
Injury
Mild
Prediction
Traumatic
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Psychology Publications
 
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Created: Thu, 12 Nov 2009, 11:52:07 EST by Mr Andrew Martlew on behalf of School of Psychology