Multidisciplinary outpatient treatment in patients with mild traumatic brain injury: A randomised controlled intervention study.
| Autor: | Vikane, Eirik, Hellstrøm, Torgeir, Røe, Cecilie, Bautz-Holter, Erik, Aßmus, Jörg, Skouen, Jan Sture |
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| Předmět: |
BRAIN injury treatment
BRAIN injuries CHI-squared test NEUROLOGIC examination EMPLOYMENT reentry ETHICS HEALTH care teams PATIENT aftercare OUTPATIENT services in hospitals MEDICAL needs assessment PATIENTS GENERAL practitioners RESEARCH funding SURVIVAL VOCATIONAL rehabilitation WOUNDS & injuries RANDOMIZED controlled trials CONTROL groups PATIENT selection DATA analysis software POSTCONCUSSION syndrome KAPLAN-Meier estimator PSYCHOEDUCATION GLASGOW Coma Scale MANN Whitney U Test SYMPTOMS DIAGNOSIS |
| Zdroj: | Brain Injury; 2017, Vol. 31 Issue 4, p475-484, 10p |
| Abstrakt: | Objective: To evaluate the efficacy of a multidisciplinary outpatient follow-up programme compared to follow-up by a general practitioner for patients being at-risk or sick-listed with persistent post-concussion symptoms two months after a mild traumatic brain injury.Design: Randomised controlled trial.Patients: One hundred fifty-one patients, 16–56 years.Methods: Multidisciplinary outpatient rehabilitation with individual contacts and a psycho-educational group intervention at two outpatient rehabilitation clinics compared to follow-up by a general practitioner after the multidisciplinary examination. Primary outcome was sustainable return-to-work first year post-injury. Secondary outcomes were post-concussion symptoms, disability, the patient’s impressions of change and psychological distress.Results: Days to sustainable return-to-work was 90 in the intervention and 71 in the control group (p= 0.375). The number of post-concussion symptoms were fewer in the intervention (6) compared to the control group (8) at 12 months (p= 0.041). No group differences were observed for disability (p= 0.193), patients impression of change (p= 0.285) or psychological distress (p= 0.716).Conclusion: The multidisciplinary outpatient follow-up programme focusing on better understanding and reassurance of favourable outcome for mild traumatic brain injury did not improve return-to-work, but may have reduced the development of post-concussion symptoms. Additional studies should focus on which factors exhibit a direct impact on return-to-work. [ABSTRACT FROM PUBLISHER] |
| Databáze: | Complementary Index |
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