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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Umeå universitet, Rehabiliteringsmedicin
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ftumeauniv:oai:DiVA.org:umu-164648 2023-10-09T21:54:34+02:00 Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury Stålnacke, Britt-Marie Saveman, Britt-Inger Stenberg, Maud 2019 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-164648 https://doi.org/10.1155/2019/9216931 eng eng Umeå universitet, Rehabiliteringsmedicin Umeå universitet, Institutionen för omvårdnad Behavioural Neurology, 0953-4180, 2019, 2019, orcid:0000-0003-3716-6445 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-164648 doi:10.1155/2019/9216931 PMID 31534558 ISI:000485989300001 Scopus 2-s2.0-85072378106 info:eu-repo/semantics/openAccess Nursing Omvårdnad Article in journal info:eu-repo/semantics/article text 2019 ftumeauniv https://doi.org/10.1155/2019/9216931 2023-09-22T13:51:45Z 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 Umeå University: Publications (DiVA) Behavioural Neurology 2019 1 7 |
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Umeå University: Publications (DiVA) |
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language |
English |
topic |
Nursing Omvårdnad |
spellingShingle |
Nursing Omvårdnad Stålnacke, Britt-Marie Saveman, Britt-Inger Stenberg, Maud Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury |
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Nursing Omvårdnad |
description |
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 |
Stålnacke, Britt-Marie Saveman, Britt-Inger Stenberg, Maud |
author_facet |
Stålnacke, Britt-Marie Saveman, Britt-Inger Stenberg, Maud |
author_sort |
Stålnacke, Britt-Marie |
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 |
Umeå universitet, Rehabiliteringsmedicin |
publishDate |
2019 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-164648 https://doi.org/10.1155/2019/9216931 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Behavioural Neurology, 0953-4180, 2019, 2019, orcid:0000-0003-3716-6445 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-164648 doi:10.1155/2019/9216931 PMID 31534558 ISI:000485989300001 Scopus 2-s2.0-85072378106 |
op_rights |
info:eu-repo/semantics/openAccess |
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 |
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1779318191613280256 |