Cognitive Impairment after Severe Traumatic Brain Injury, Clinical Course and Impact on Outcome: A Swedish-Icelandic Study

Stenberg, Maud; Godbolt, Alison K.; Boussard, Catharina Nygren-de; Levi, Richard; Stålnacke, Britt-Marie

doi:10.1155/2015/680308

Cited by 28 publications

(34 citation statements)

References 37 publications

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“…BNIS has documented validity (34)(35)(36), is easily applicable in clinical routine and has been used in some studies of TBI (36)(37)(38) as well as stroke (39,40). A recent study of patients with severe TBI with BNIS reported that most improvement occurred during the first three months after the injury while cognition was fairly stable between 3 and 12 months (41).…”

Section: Introductionmentioning

confidence: 99%

The effect of time on cognitive impairments after non-traumatic subarachnoid haemorrhage and after traumatic brain injury

et al. 2018

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Section: Introductionmentioning

confidence: 99%

The effect of time on cognitive impairments after non-traumatic subarachnoid haemorrhage and after traumatic brain injury

et al. 2018

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“…18 Most studies have focused on deficits in memory, processing speed, visual spatial abilities, concentration, learning abilities, and abstract reasoning. 19 There is an emerging interest in evaluating the impact of these cognitive disorders on the patient's life using self-rated HRQoL (Health Related Quality of Life) tool after TBI 20 and the importance of early screening of cognitive function for rehabilitation planning in a clinical setting at a stage were the neuroplasticity is at its maximum. 21 Many standardised neurocognitive tests have been developed in the western countries.…”

Section: Discussionmentioning

confidence: 99%

Clinical pattern and neuropsychologic outcome of moderate traumatic brain injuries treated in Conakry

Bah¹,

Donamou²,

Bah³

et al. 2019

JNSK

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Cognitive impairment and behavioral changes following post-traumatic brain injury are disabling sequelae of traumatic brain injury. Processing speed, attention, executive functions and memory are usually the most impaired functions and may go unnoticed during a routine follow up neurologic consult. The aim of this study was to evaluate the degree of impairment of cognitive functions in a Guinean population of moderate traumatic brain injury by assessing the adaptability of classical Western neuropsychological tests to Guinean socio-cultural context. Twenty-three patients treated in neurosurgery at the Ignace Deen Hospital of Conakry were retrospectively assessed with a mean follow-up of 8.2months, a sex ratio of 4.6.1 and a mean age of 30.5years. Patients were subjected to the Bell test, and to the measurement of verbal and visio-spatial memory scores compared to a group of 23 control patients. The results showed significant differences between the two groups with impaired short recall memory and intact attention functions although quickly exhausted (mental fatigability). Our results designate these 3 tests as simple and reliable neuropsychological evaluation tools to be put in place early during the skull trauma care network, to improve the neuropsychological outcomes in Africa.

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“…[16][17][18] Study design has been described previously. 16,17 In brief, inclusion criteria were severe, non-penetrating, traumatic brain injury requiring neurointensive care, with acute Glasgow Coma Scale score of [3][4][5][6][7][8]19 in adult patients aged 18-65 years.…”

Section: Methodsmentioning

confidence: 99%

Behavioural problems in the first year after Severe traumatic brain injury: a prospective multicentre study

et al. 2016

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Objective: To investigate the occurrence of behavioural problems in patients with severe traumatic brain injury during the first year after injury and potential associations with outcome. An additional post hoc objective was to analyse the frequency of behaviours with need for intervention from staff. Design and setting: In a prospective population based cohort study 114 patients with severe traumatic brain injury were assessed at three weeks, three months and one year after injury. Main measures: Assessments included clinical examination and standardised instruments. Agitation was assessed with the Agitated Behaviour Scale, the course of recovery by the Rancho Los Amigo Scale and outcome by Glasgow Outcome Scale Extended. Results: Agitation were most common at 3 weeks post injury and 28% (n=68) of the patients showed at least one agitated behaviour requiring intervention from staff. Presence of significant agitation at 3 weeks after injury was not associated with poor outcome. At 3 months agitation was present in 11% (n=90) and apathy in 26 out of 81 assessed patients. At 3 months agitation and apathy were associated with poor outcome at one year. Conclusions: Most agitated behaviours in the early phase are transient and are not associated with poor outcome. Agitation and apathy are uncommon at three months but when present are associated with poor outcome at one year after injury. In the early phase after a severe traumatic brain injury agitated behaviour in need of interventions from staff occur in a substantial proportion of patients.

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Cognitive Impairment after Severe Traumatic Brain Injury, Clinical Course and Impact on Outcome: A Swedish-Icelandic Study

Cited by 28 publications

References 37 publications

The effect of time on cognitive impairments after non-traumatic subarachnoid haemorrhage and after traumatic brain injury

The effect of time on cognitive impairments after non-traumatic subarachnoid haemorrhage and after traumatic brain injury

Clinical pattern and neuropsychologic outcome of moderate traumatic brain injuries treated in Conakry

Behavioural problems in the first year after Severe traumatic brain injury: a prospective multicentre study

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