Patients with mild traumatic brain injury: Immediate and long-term outcome compared to intra-cranial injuries on CT scan

Background: Mild traumatic brain injury (MTBI) defined as Glasgow Coma Scale (GCS) 14 or 15 has shown contradictory short- and long-term outcomes. The objective of this study was to correlate intra-cranial injuries (ICI) on CT scan to neurocognitive tests at admission and to complaints after 1 year....

Full description

Saved in:
Bibliographic Details
Published in:Brain injury 2006-10, Vol.20 (11), p.1131-1137
Main Authors: Sadowski-Cron, Charlotte, Schneider, Jörg, Senn, Pascal, Radanov, Bogdan P., Ballinari, Pietro, Zimmermann, Heinz
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Brain Injuries - diagnostic imaging
Brain Injuries - economics
Brain Injuries - psychology
Brain Injuries - rehabilitation
costs
Employment
Female
Follow-Up Studies
Glasgow Coma Scale
Health Care Costs
Humans
intra-cranial injury
Male
Middle Aged
Mild traumatic brain injury
neurocognitive tests at admission
Neuropsychological Tests
Prognosis
Prospective Studies
Skull Fractures - diagnostic imaging
Skull Fractures - rehabilitation
subjective complaints after 1 year
Tomography, X-Ray Computed - economics
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Mild traumatic brain injury (MTBI) defined as Glasgow Coma Scale (GCS) 14 or 15 has shown contradictory short- and long-term outcomes. The objective of this study was to correlate intra-cranial injuries (ICI) on CT scan to neurocognitive tests at admission and to complaints after 1 year. Methods: Two hundred and five patients with MTBI underwent a CT scan and were examined with neurocognitive tests. After 1 year complaints were assessed by phone interviews. Results: The neurocognitive tests in 51% of the patients showed significant deficits; there was no difference for patients with GCS 14-15, nor was there a difference between patients with ICI to patients without. After 1 year patients with ICI had significantly more complaints than patients without ICI, the most frequent complaint was headache and memory deficits. Conclusions: No correlation was found between GCS or ICI and the neurocognitive tests upon admission. After 1 year, patients with ICI have significantly more complaints than patients without ICI. No cost savings resulted by doing immediate CT scan on all.
ISSN:0269-9052
1362-301X
DOI:10.1080/02699050600832569