Behavioural problems in the first year after Severe traumatic brain injury : a prospective multicentre study
| Autor: | Catharina Nygren DeBoussard, Alison K. Godbolt, Maud Stenberg, Marianne Lannsjö, Britt-Marie Stålnacke |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Pediatrics Neurology Adolescent Neurologi Traumatic brain injury assessment Apathy Glasgow Outcome Scale Poison control Physical Therapy Sports Therapy and Rehabilitation macromolecular substances Suicide prevention Occupational safety and health Young Adult 03 medical and health sciences 0302 clinical medicine Brain Injuries Traumatic Injury prevention medicine Humans Glasgow Coma Scale In patient Prospective Studies Psychomotor Agitation Aged Severe traumatic brain injury Problem Behavior Depression business.industry Rehabilitation Human factors and ergonomics Middle Aged Prognosis medicine.disease behaviour agitation Physical therapy outcome Female prognosis 0305 other medical science business 030217 neurology & neurosurgery |
| Popis: | Objective: To investigate the occurrence of behavioural problems in patients with severe traumatic brain injury during the first year after injury and potential associations with outcome. An additional post hoc objective was to analyse the frequency of behaviours with need for intervention from staff. Design and setting: In a prospective population based cohort study 114 patients with severe traumatic brain injury were assessed at three weeks, three months and one year after injury. Main measures: Assessments included clinical examination and standardised instruments. Agitation was assessed with the Agitated Behaviour Scale, the course of recovery by the Rancho Los Amigo Scale and outcome by Glasgow Outcome Scale Extended. Results: Agitation were most common at 3 weeks post injury and 28% (n=68) of the patients showed at least one agitated behaviour requiring intervention from staff. Presence of significant agitation at 3 weeks after injury was not associated with poor outcome. At 3 months agitation was present in 11% (n=90) and apathy in 26 out of 81 assessed patients. At 3 months agitation and apathy were associated with poor outcome at one year. Conclusions: Most agitated behaviours in the early phase are transient and are not associated with poor outcome. Agitation and apathy are uncommon at three months but when present are associated with poor outcome at one year after injury. In the early phase after a severe traumatic brain injury agitated behaviour in need of interventions from staff occur in a substantial proportion of patients. |
| Databáze: | OpenAIRE |
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