4.2 Article

Rates of symptom reporting following traumatic brain injury

Journal

Publisher

CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1355617710000196

Keywords

Traumatic brain injuries; Neurobehavioral manifestations; Head injuries; Post-concussion syndrome; Post-traumatic symptoms; Post-concussion symptoms

Funding

  1. National Institutes on Disability and Rehabilitation Research [H133A070032]
  2. Agency for Health Care Research and Quality [HS04146, HS05304]
  3. National Institutes of Health [NS- 19643]

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This study examines rates of reporting of new or worse post-traumatic symptoms for patients with a broad range of injury severity at 1 month and 1 year after traumatic brain injury (TB!), as compared with those whose injury spared the head, and assesses variables related to symptom reporting at 1 year post-injury. Seven hundred thirty two TBI subjects and 120 general trauma comparison (TC) subjects provided new or worse symptom information at 1 month and/or 1 year post-injury. Symptom reporting at I year post-injury was compared in subgroups based on basic demographics, preexisting conditions, and severity of brain injury. The TBI group reported significantly more symptoms at 1 month and I year after injury than TCs (each p < .001). Although symptom endorsement declined from I month to I year, 53% of people with TBI and 24% of TC continued to report 3 or more symptoms at 1 year post-injury. Symptom reporting in the TBI group was significantly related to age, gender, preinjury alcohol abuse, pre-injury psychiatric history, and severity of TBI. Symptom reporting is common following a traumatic injury and continues to be experienced by a substantial number of TBI subjects of all severity levels at 1 year post-injury. (JINS, 2010, 16, 401-411.)

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