TY - JOUR PY - 2018// TI - The value of the identification of predisposing factors for post-traumatic amnesia in management of mild traumatic brain injury JO - Brain injury A1 - Fotakopoulos, George A1 - Makris, Demosthenes A1 - Tsianaka, Eleni A1 - Kotlia, Polikceni A1 - Karakitsios, Paulos A1 - Gatos, Charalabos A1 - Tzannis, Alkiviadis A1 - Fountas, Kostas SP - 563 EP - 568 VL - 32 IS - 5 N2 - OBJECT: To identify the risk factors for post-traumatic amnesia (PTA) and to document the incidence of PTA after mild traumatic brain injuries.

METHODS: This was a prospective study, affecting mild TBI (mTBI) (Glasgow Coma Scale 14-15) cases attending to the Emergency Department between January 2009 and April 2012 (40 months duration). Patients were divided into two groups (Group A: without PTA, and Group B: with PTA, and they were assessed according to the risk factors.

RESULTS: A total of 1762 patients (males: 1002, 56.8%) were meeting study inclusion criteria [Group A: n = 1678 (83.8%), Group B: n = 84 (4.2%)]. Age, CT findings: (traumatic focal HCs in the frontal and temporal lobes or more diffuse punctate HCs, and skull base fractures), anticoagulation therapy and seizures were independent factors of PTA. There was no statistically significant correlation between PTA and sex, convexity fractures, stroke event, mechanism of mTBI (fall +/or beating), hypertension, coronary heart disease, chronic smokers and diabetes (p > 0.005).

CONCLUSION: CT findings: (traumatic focal HCs in the frontal and temporal lobes or more diffuse punctate HCs and skull base fractures), age, seizures and anticoagulation/antiplatelet therapy, were independent factors of PTA and could be used as predictive factors after mTBI.

Language: en

LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699052.2018.1432075 ID - ref1 ER -