Cognitive Outcome Following Traumatic Brain Injury

被引:331
作者
Dikmen, Sureyya S. [1 ,2 ,3 ]
Corrigan, John D. [4 ]
Levin, Harvey S. [5 ]
Machamer, Joan [1 ]
Stiers, William [6 ]
Weisskopf, Marc G. [7 ,8 ]
机构
[1] Univ Washington, Dept Rehabil Med, Seattle, WA 98195 USA
[2] Univ Washington, Dept Neurol Surg, Seattle, WA 98195 USA
[3] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[4] Ohio State Univ, Dept Phys Med & Rehabil, Columbus, OH 43210 USA
[5] Baylor Coll Med, Dept Phys Med & Rehabil, Cognit Neurosci Lab, Houston, TX 77030 USA
[6] Johns Hopkins Univ, Dept Phys Med & Rehabil, Baltimore, MD USA
[7] Harvard Univ, Sch Publ Hlth, Dept Environm Hlth, Boston, MA 02115 USA
[8] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
关键词
closed head injury; cognitive outcome; neuropsychological outcome; penetrating TBI; traumatic brain injury; PENETRATING HEAD-INJURY; PROFESSIONAL SOCCER PLAYERS; UNITED-STATES; NEUROPSYCHOLOGICAL IMPAIRMENT; VIETNAM VETERANS; TEST-PERFORMANCE; CONCUSSION; RECOVERY; MEMORY; HOSPITALIZATION;
D O I
10.1097/HTR.0b013e3181c133e9
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Objective: To determine whether an association exists between traumatic brain Injury (TBI) sustained in adulthood and cognitive impairment 6 months or longer after injury. Design: Systematic review of the published, peer-reviewed literature. Results: From 430 articles, we identified 11 primary and 22 secondary studies that examined cognitive impairment by using performance measures for adults who were at least 6 months post-TBI. There was clear evidence of an association between penetrating brain injury and impaired cognitive function. Factors that modified this association included preinjury intelligence, volume of brain tissue lost, and brain region injured. There was also suggestive evidence that penetrating brain injury may exacerbate the cognitive effects of normal aging. We found clear evidence for long-term cognitive deficits associated with severe TBI. There was suggestive evidence that moderately severe brain injuries are associated with cognitive impairments. There was inadequate/insufficient evidence to determine whether an association exists between a single, mild TBI and cognitive deficits 6 months or longer postinjury. Conclusion: In adults, penetrating, moderate, and severe TBIs are associated with cognitive deficits 6 months or longer postinjury. There is insufficient evidence to determine whether mild TBI is associated with cognitive deficits 6 months or longer postinjury.
引用
收藏
页码:430 / 438
页数:9
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