Physical Complaints, Medical Service Use, and Social and Employment Changes Following Mild Traumatic Brain Injury

Abstract

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.

Concussion: Improving Nurses' Knowledge in the Emergency Department

“…Patients in the MTBI cohort used rehabilitation (23%), counseling (26%), physician (12%) and acute care services (14%) (Kraus et al, 2005). Kraus et al (2005) also found that 82.6% of the MTBI cohort reported one or more symptoms during the 6 months follow up period.…”

“…A prospective dual-cohort study by Kraus, Schaffer, Ayers, Stenehjem & Shen (2005) compared patients with a physician-diagnosed MTBI with a comparison cohort of patients with other physician-diagnosed injuries comparable in severity but not involving the head (fractures, contusions, lacerations or strains). Each cohort consisted of 235 patients.…”

“…While the comparison cohort most commonly reported weakness (46%) and fatigue (43%) (Kraus, Schaffer, Ayers, Stenehjem, & Shen, 2005). Patients in the MTBI cohort used rehabilitation (23%), counseling (26%), physician (12%) and acute care services (14%) (Kraus et al, 2005).…”

“… Most common complaints: fatigue (43%), weakness (43%), memory problems (40%), headache (36%) and dizziness (34%) (Kraus, Schaffer, Ayers, Stenehjem, & Shen, 2005).…”

Acidentes de trânsito com adultos e suas consequências após a alta hospitalar

“…Grauwmeijer et al (46) , o TCE é considerado a principal causa de morte e incapacidade em todo o mundo, especialmente em pessoas com idade inferior a 40 anos (120) .…”