@article{ref1,
title=""Can differences in hospitalised mild traumatic brain injury (mTBI) outcomes at 12 months be predicted?"",
journal="Acta neurochirurgica",
year="2022",
author="Humphries, Thomas Jackson and Sinha, Saurabh and Dawson, Jeremy and Lecky, Fiona and Singh, Rajiv",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: To identify risk factors for poor outcome one year post-mild traumatic brain injury (mTBI). <br><br>DESIGN: This study was a prospective observational study using consecutive adult hospital admissions with mTBI. SUBJECTS: A total of 869 consecutive mTBI patients were enrolled in this study. <br><br>METHODS: All patients were reviewed by the specialist TBI rehabilitation team at six weeks and one year following mTBI. Demographic and injury data collected included: age, gender, TBI severity and Glasgow Coma Scale (GCS). At twelve months, global outcome was assessed by the Extended Glasgow Outcome Score (GOSE) and participation restriction by the Rivermead Head Injury Follow-up Questionnaire (RHFUQ) via semi-structured interview. An ordinal regression (OR) was used to identify associated factors for poor GOSE outcome and a linear regression for a poor RHFUQ outcome. <br><br>RESULTS: In the GOSE analysis, lower GCS (p < 0.001), medical comorbidity (p = 0.027), depression (p < 0.001) and male gender (p = 0.008) were identified as risk factors for poor outcome. The RHFUQ analysis identified: lower GCS (p = 0.002), female gender (p = 0.001) and injuries from assault (p = 0.003) were variables associated with worse social functioning at one year. <br><br>CONCLUSION: mTBI is associated with a significant impact upon the physical health and psychosocial function of affected individuals. The results of this study demonstrate that differences in mTBI outcome can be identified at twelve months post-mTBI and that certain features, particularly GCS, are associated with poorer outcomes.<p /> <p>Language: en</p>",
language="en",
issn="0001-6268",
doi="10.1007/s00701-022-05183-0",
url="http://dx.doi.org/10.1007/s00701-022-05183-0"
}