Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury
Aim. To assess the clinical course of disability, cognitive, and emotional impairments in patients with severe TBI (s-TBI) from 3 months to up to 7 years post trauma. Methods. A prospective cohort study of s-TBI in northern Sweden was conducted. Patients aged 18-65 years with acute Glasgow Coma Scal...
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fthindawi:oai:hindawi.com:10.1155/2019/9216931 2023-05-15T17:44:53+02:00 Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury Britt-Marie Stålnacke Britt-Inger Saveman Maud Stenberg 2019 https://doi.org/10.1155/2019/9216931 en eng Behavioural Neurology https://doi.org/10.1155/2019/9216931 Copyright © 2019 Britt-Marie Stålnacke et al. Research Article 2019 fthindawi https://doi.org/10.1155/2019/9216931 2019-08-29T14:47:18Z Aim. To assess the clinical course of disability, cognitive, and emotional impairments in patients with severe TBI (s-TBI) from 3 months to up to 7 years post trauma. Methods. A prospective cohort study of s-TBI in northern Sweden was conducted. Patients aged 18-65 years with acute Glasgow Coma Scale 3-8 were assessed with the Glasgow Outcome Scale Extended (GOSE), the Hospital Anxiety and Depression Scale (HADS), and the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS) at 3 months, 1 year, and 7 years after the injury. Results. The scores on both GOSE and BNIS improved significantly from 3 months (GOSE mean: 4.4±2.3, BNIS mean: 31.5±7.0) to 1 year (GOSE mean: 5.5±2.7, p=0.003, BNIS mean: 33.2±6.3, p=0.04), but no significant improvement was found from 1 year to 7 years (GOSE mean: 4.7±2.8, p=0.13, BNIS mean: 33.5±3.9, p=0.424) after the injury. The BNIS subscale “speech/language” at 1 year was significantly associated with favourable outcomes on the GOSE at 7 years (OR=2.115, CI: 1.004-4.456, p=0.049). Conclusions. These findings indicate that disability and cognition seem to improve over time after s-TBI and appear to be relatively stable from 1 year to 7 years. Since cognitive function on some of the BNIS subscales was associated with outcome on the GOSE, these results indicate that both screening and follow-up of cognitive function could be of importance for the rehabilitation of persons with s-TBI. Article in Journal/Newspaper Northern Sweden Hindawi Publishing Corporation Behavioural Neurology 2019 1 7 |
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Aim. To assess the clinical course of disability, cognitive, and emotional impairments in patients with severe TBI (s-TBI) from 3 months to up to 7 years post trauma. Methods. A prospective cohort study of s-TBI in northern Sweden was conducted. Patients aged 18-65 years with acute Glasgow Coma Scale 3-8 were assessed with the Glasgow Outcome Scale Extended (GOSE), the Hospital Anxiety and Depression Scale (HADS), and the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS) at 3 months, 1 year, and 7 years after the injury. Results. The scores on both GOSE and BNIS improved significantly from 3 months (GOSE mean: 4.4±2.3, BNIS mean: 31.5±7.0) to 1 year (GOSE mean: 5.5±2.7, p=0.003, BNIS mean: 33.2±6.3, p=0.04), but no significant improvement was found from 1 year to 7 years (GOSE mean: 4.7±2.8, p=0.13, BNIS mean: 33.5±3.9, p=0.424) after the injury. The BNIS subscale “speech/language” at 1 year was significantly associated with favourable outcomes on the GOSE at 7 years (OR=2.115, CI: 1.004-4.456, p=0.049). Conclusions. These findings indicate that disability and cognition seem to improve over time after s-TBI and appear to be relatively stable from 1 year to 7 years. Since cognitive function on some of the BNIS subscales was associated with outcome on the GOSE, these results indicate that both screening and follow-up of cognitive function could be of importance for the rehabilitation of persons with s-TBI. |
format |
Article in Journal/Newspaper |
author |
Britt-Marie Stålnacke Britt-Inger Saveman Maud Stenberg |
spellingShingle |
Britt-Marie Stålnacke Britt-Inger Saveman Maud Stenberg Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury |
author_facet |
Britt-Marie Stålnacke Britt-Inger Saveman Maud Stenberg |
author_sort |
Britt-Marie Stålnacke |
title |
Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury |
title_short |
Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury |
title_full |
Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury |
title_fullStr |
Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury |
title_full_unstemmed |
Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury |
title_sort |
long-term follow-up of disability, cognitive, and emotional impairments after severe traumatic brain injury |
publisher |
Behavioural Neurology |
publishDate |
2019 |
url |
https://doi.org/10.1155/2019/9216931 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
https://doi.org/10.1155/2019/9216931 |
op_rights |
Copyright © 2019 Britt-Marie Stålnacke et al. |
op_doi |
https://doi.org/10.1155/2019/9216931 |
container_title |
Behavioural Neurology |
container_volume |
2019 |
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1 |
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7 |
_version_ |
1766147190214885376 |