Physical complaints, medical service use, and social and employment changes following mild traumatic brain injury: a 6-month longitudinal study.

Using a prospective, dual-cohort study design in which selected preinjury factors were controlled, we present outcomes of 235 patients in a case cohort and 235 patients in a comparison cohort following emergency-department-diagnosed mild traumatic brain injury (MTBI). Symptoms, medical services use,...

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Published in:Journal of Head Trauma Rehabilitation Vol. 20; no. 3; pp. 239 - 257
Main Authors: Kraus J, Schaffer K, Ayers K, Stenehjem J, Shen H, Afifi AA
Format: research tables/charts Journal Article
Published: Lippincott Williams & Wilkins May/Jun2005
Online Access:View this record in EBSCOhost
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      dt: May/Jun2005
      vid: 20
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Physical complaints, medical service use, and social and employment changes following mild traumatic brain injury: a 6-month longitudinal study.
      aug:
        au:
          Kraus J
          Schaffer K
          Ayers K
          Stenehjem J
          Shen H
          Afifi AA
        affil: Southern California Injury Prevention Research Center, University of California, Los Angeles, 10911 Weyburn Ave, Suite 200, Los Angeles, CA 90024; jfkraus@ucla.edu
      sug:
        subj:
          Brain Injuries
          Brain Injuries Complications
          Health Resource Utilization
          Socioeconomic Factors
          Prospective Studies
          Emergency Service
          Brain Injuries Symptoms
          Employment Status Evaluation
          Interpersonal Relations Evaluation
          Headache
          Dizziness
          Vision Disorders
          Memory Disorders
          Learning Disorders
          Ethanol Adverse Effects
          Statistical Significance
          Comparative Studies
          Sleep Disorders
          Drug Therapy
          Adult
          Middle Age
          Male
          Female
          Descriptive Statistics
          California
          Brain Injuries Classification
          Severity of Injury Classification
          Glasgow Coma Scale
          Cognition Evaluation
          Neuropsychological Tests
          Consciousness
          Clinical Assessment Tools
          Tomography, X-Ray Computed
          Power Analysis
          International Classification of Diseases
          Interviews
          Sickness Impact Profile
          Health Status Evaluation
          Health Behavior Evaluation
          Functional Assessment
          Univariate Statistics
          Multivariate Analysis
          Goodness of Fit Chi Square Test
          Data Analysis Software
          Two-Tailed Test
          Confidence Intervals
          Trauma Severity Indices
          Length of Stay Evaluation
          Chi Square Test
          Self Report
          Relative Risk
          Funding Source
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Using a prospective, dual-cohort study design in which selected preinjury factors were controlled, we present outcomes of 235 patients in a case cohort and 235 patients in a comparison cohort following emergency-department-diagnosed mild traumatic brain injury (MTBI). Symptoms, medical services use, and social and employment concerns were evaluated 6 months after the injury. After adjusting for preinjury characteristics, headaches, dizziness, vision difficulties, memory or learning problems, and alcohol intolerance were found to occur significantly more often in the MTBI cohort than in the comparison cohort. Problems sleeping, use of prescribed medications, and changes in employment were less likely in the MTBI cohort. Although MTBI is not life threatening, our findings suggest that 6 months after injury persons still have related health problems that require routine medical management.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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