Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury

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Fältnamn	Indikatorer	Metadata
000		03216naa a2200337 4500
001		oai:DiVA.org:umu-164648
003		SwePub
008		191025s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1646482 URI
024	7	a https://doi.org/10.1155/2019/92169312 DOI
040		a (SwePub)umu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Stålnacke, Britt-Marie,d 1955-u Umeå universitet,Rehabiliteringsmedicin4 aut0 (Swepub:umu)brst0005
245	1 0	a Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury
264	1	b Hindawi Publishing Corporation,c 2019
338		a electronic2 rdacarrier
520		a Aim. To assess the clinical course of disability, cognitive, and emotional impairments in patients with severe TBI (s-TBI) from 3 months to up to 7 years post trauma. Methods. A prospective cohort study of s-TBI in northern Sweden was conducted. Patients aged 18-65 years with acute Glasgow Coma Scale 3-8 were assessed with the Glasgow Outcome Scale Extended (GOSE), the Hospital Anxiety and Depression Scale (HADS), and the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS) at 3 months, 1 year, and 7 years after the injury. Results. The scores on both GOSE and BNIS improved significantly from 3 months (GOSE mean: 4.4 +/- 2.3, BNIS mean: 31.5 +/- 7.0) to 1 year (GOSE mean: 5.5 +/- 2.7, p=0.003, BNIS mean: 33.2 +/- 6.3, p=0.04), but no significant improvement was found from 1 year to 7 years (GOSE mean: 4.7 +/- 2.8, p=0.13, BNIS mean: 33.5 +/- 3.9, p=0.424) after the injury. The BNIS subscale "speech/language" at 1 year was significantly associated with favourable outcomes on the GOSE at 7 years (OR=2.115, CI: 1.004-4.456, p=0.049). Conclusions. These findings indicate that disability and cognition seem to improve over time after s-TBI and appear to be relatively stable from 1 year to 7 years. Since cognitive function on some of the BNIS subscales was associated with outcome on the GOSE, these results indicate that both screening and follow-up of cognitive function could be of importance for the rehabilitation of persons with s-TBI.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
700	1	a Saveman, Britt-Ingeru Umeå universitet,Institutionen för omvårdnad4 aut0 (Swepub:umu)brsa0002
700	1	a Stenberg, Maudu Umeå universitet,Rehabiliteringsmedicin4 aut0 (Swepub:umu)mast0219
710	2	a Umeå universitetb Rehabiliteringsmedicin4 org
773	0	t Behavioural Neurologyd : Hindawi Publishing Corporationg 2019q 2019x 0953-4180x 1875-8584
856	4	u https://doi.org/10.1155/2019/9216931y Fulltext
856	4	u https://umu.diva-portal.org/smash/get/diva2:1365850/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4	u https://downloads.hindawi.com/journals/bn/2019/9216931.pdf
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-164648
856	4 8	u https://doi.org/10.1155/2019/9216931

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