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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....
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| Published in: | Brain injury 2006-10, Vol.20 (11), p.1131-1137 |
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| cited_by | cdi_FETCH-LOGICAL-c435t-240b020e8aceca3a6d7c622cb799427f855b90776065cfed450998aafaf5271c3 |
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| container_end_page | 1137 |
| container_issue | 11 |
| container_start_page | 1131 |
| container_title | Brain injury |
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| creator | Sadowski-Cron, Charlotte Schneider, Jörg Senn, Pascal Radanov, Bogdan P. Ballinari, Pietro Zimmermann, Heinz |
| description | 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. |
| doi_str_mv | 10.1080/02699050600832569 |
| format | article |
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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.</description><identifier>ISSN: 0269-9052</identifier><identifier>EISSN: 1362-301X</identifier><identifier>DOI: 10.1080/02699050600832569</identifier><identifier>PMID: 17123929</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>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</subject><ispartof>Brain injury, 2006-10, Vol.20 (11), p.1131-1137</ispartof><rights>2006 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-240b020e8aceca3a6d7c622cb799427f855b90776065cfed450998aafaf5271c3</citedby><cites>FETCH-LOGICAL-c435t-240b020e8aceca3a6d7c622cb799427f855b90776065cfed450998aafaf5271c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17123929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sadowski-Cron, Charlotte</creatorcontrib><creatorcontrib>Schneider, Jörg</creatorcontrib><creatorcontrib>Senn, Pascal</creatorcontrib><creatorcontrib>Radanov, Bogdan P.</creatorcontrib><creatorcontrib>Ballinari, Pietro</creatorcontrib><creatorcontrib>Zimmermann, Heinz</creatorcontrib><title>Patients with mild traumatic brain injury: Immediate and long-term outcome compared to intra-cranial injuries on CT scan</title><title>Brain injury</title><addtitle>Brain Inj</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brain Injuries - diagnostic imaging</subject><subject>Brain Injuries - economics</subject><subject>Brain Injuries - psychology</subject><subject>Brain Injuries - rehabilitation</subject><subject>costs</subject><subject>Employment</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glasgow Coma Scale</subject><subject>Health Care Costs</subject><subject>Humans</subject><subject>intra-cranial injury</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mild traumatic brain injury</subject><subject>neurocognitive tests at admission</subject><subject>Neuropsychological Tests</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Skull Fractures - diagnostic imaging</subject><subject>Skull Fractures - rehabilitation</subject><subject>subjective complaints after 1 year</subject><subject>Tomography, X-Ray Computed - economics</subject><subject>Treatment Outcome</subject><issn>0269-9052</issn><issn>1362-301X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNqFkUFrFDEYhoModlv9AV4kJ29Tv2QmyUS9yNJqoWAPLXgbvslk3CwzyZpkqPvvzbILIkK9JJA878PH9xLyhsElgxbeA5dagwAJ0NZcSP2MrFgteVUD-_6crA7_VQH4GTlPaQsATDB4Sc6YYrzWXK_IrzvMzvqc6KPLGzq7aaA54jKXZ0P7iM5T57dL3H-gN_NsB4fZUvQDnYL_UWUbZxqWbMJsaTl2GG0RhJIplspE9A6no8HZRIOn63uaDPpX5MWIU7KvT_cFebi-ul9_rW6_fblZf76tTFOLXPEGeuBgWzTWYI1yUEZybnqldcPV2ArRa1BKghRmtEMjQOsWccRRcMVMfUHeHb27GH4uNuVudsnYaUJvw5I62TKlGs7_C3KQjWrkAWRH0MSQUrRjt4tuxrjvGHSHXrp_eimZtyf50pcl_kmciijApyPg_BjijI8hTkOXcT-FOJYtGpe6-in_x7_iG4tT3pjSRrcNS_Rlw09M9xtvk66V</recordid><startdate>20061001</startdate><enddate>20061001</enddate><creator>Sadowski-Cron, Charlotte</creator><creator>Schneider, Jörg</creator><creator>Senn, Pascal</creator><creator>Radanov, Bogdan P.</creator><creator>Ballinari, Pietro</creator><creator>Zimmermann, Heinz</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20061001</creationdate><title>Patients with mild traumatic brain injury: Immediate and long-term outcome compared to intra-cranial injuries on CT scan</title><author>Sadowski-Cron, Charlotte ; Schneider, Jörg ; Senn, Pascal ; Radanov, Bogdan P. ; Ballinari, Pietro ; Zimmermann, Heinz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-240b020e8aceca3a6d7c622cb799427f855b90776065cfed450998aafaf5271c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Brain Injuries - diagnostic imaging</topic><topic>Brain Injuries - economics</topic><topic>Brain Injuries - psychology</topic><topic>Brain Injuries - rehabilitation</topic><topic>costs</topic><topic>Employment</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glasgow Coma Scale</topic><topic>Health Care Costs</topic><topic>Humans</topic><topic>intra-cranial injury</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mild traumatic brain injury</topic><topic>neurocognitive tests at admission</topic><topic>Neuropsychological Tests</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Skull Fractures - diagnostic imaging</topic><topic>Skull Fractures - rehabilitation</topic><topic>subjective complaints after 1 year</topic><topic>Tomography, X-Ray Computed - economics</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sadowski-Cron, Charlotte</creatorcontrib><creatorcontrib>Schneider, Jörg</creatorcontrib><creatorcontrib>Senn, Pascal</creatorcontrib><creatorcontrib>Radanov, Bogdan P.</creatorcontrib><creatorcontrib>Ballinari, Pietro</creatorcontrib><creatorcontrib>Zimmermann, Heinz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Brain injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sadowski-Cron, Charlotte</au><au>Schneider, Jörg</au><au>Senn, Pascal</au><au>Radanov, Bogdan P.</au><au>Ballinari, Pietro</au><au>Zimmermann, Heinz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients with mild traumatic brain injury: Immediate and long-term outcome compared to intra-cranial injuries on CT scan</atitle><jtitle>Brain injury</jtitle><addtitle>Brain Inj</addtitle><date>2006-10-01</date><risdate>2006</risdate><volume>20</volume><issue>11</issue><spage>1131</spage><epage>1137</epage><pages>1131-1137</pages><issn>0269-9052</issn><eissn>1362-301X</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>17123929</pmid><doi>10.1080/02699050600832569</doi><tpages>7</tpages></addata></record> |
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| ispartof | Brain injury, 2006-10, Vol.20 (11), p.1131-1137 |
| issn | 0269-9052 1362-301X |
| language | eng |
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| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| 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 |
| title | Patients with mild traumatic brain injury: Immediate and long-term outcome compared to intra-cranial injuries on CT scan |
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