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Long-term outcomes after uncomplicated mild traumatic brain injury: a comparison with trauma controls

Ponsford, Jennie, Cameron, Peter, Fitzgerald, Mark, Grant, Michele and Mikocka-Walus, Antonina 2011, Long-term outcomes after uncomplicated mild traumatic brain injury: a comparison with trauma controls, Journal of neurotrauma, vol. 28, no. 6, pp. 937-946, doi: 10.1089/neu.2010.1516.

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Title Long-term outcomes after uncomplicated mild traumatic brain injury: a comparison with trauma controls
Author(s) Ponsford, Jennie
Cameron, Peter
Fitzgerald, Mark
Grant, Michele
Mikocka-Walus, Antonina
Journal name Journal of neurotrauma
Volume number 28
Issue number 6
Start page 937
End page 946
Total pages 10
Publisher Mary Ann Liebert Publishers
Place of publication New Rochelle, N.Y.
Publication date 2011-06
ISSN 1557-9042
Keyword(s) Adult
Aged
Brain Concussion
Brain Injuries
Cognition Disorders
Cohort Studies
Comorbidity
Female
Humans
Male
Middle Aged
Mood Disorders
Prospective Studies
Time
Trauma Severity Indices
mild traumatic brain injury outcomes
Summary The question as to whether mild traumatic brain injury (mTBI) results in persisting sequelae over and above those experienced by individuals sustaining general trauma remains controversial. This prospective study aimed to document outcomes 1 week and 3 months post-injury following mTBI assessed in the emergency department (ED) of a major adult trauma center. One hundred and twenty-three patients presenting with uncomplicated mTBI and 100 matched trauma controls completed measures of post-concussive symptoms and cognitive performance (Immediate Post-Concussion Assessment and Cognitive Testing battery; ImPACT) and pre-injury health-related quality of life (SF-36) in the ED. These measures together with measures of psychiatric status (the Mini-International Neuropsychiatric Interview [MINI]) pre- and post-injury, the Hospital Anxiety and Depression Scale, Visual Analogue Scale for Pain, Functional Assessment Questionnaire, and PTSD Checklist-Specific, were re-administered at follow-up. Participants with mTBI showed significantly more severe post-concussive symptoms in the ED and at 1 week post-injury. They performed more poorly than controls on the Visual Memory subtest of the ImPACT at 1 week and 3 months post-injury. Both the mTBI and control groups recovered well physically, and most were employed 3 months post-injury. There were no significant group differences in psychiatric function. However, the group with mild TBI was more likely to report ongoing memory and concentration problems in daily activities. Further investigation of factors associated with these ongoing problems is warranted.
Language eng
DOI 10.1089/neu.2010.1516
Field of Research 170101 Biological Psychology (Neuropsychology, Psychopharmacology, Physiological Psychology)
1103 Clinical Sciences
1109 Neurosciences
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, Mary Ann Liebert Publishers
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090091

Document type: Journal Article
Collection: School of Psychology
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