Health status, not head injury, predicts concussion symptoms after minor injury

被引：78

作者：

McLean, Samuel A. ^{[1
,2
]}

Kirsch, Ned L.

Tan-Schriner, Cheribeth U. ^{[5
]}

Sen, Ananda ^{[3
]}

Frederiksen, Shirley

Harris, Richard E.

Maixner, William ^{[6
]}

Maio, Ronald F. ^{[4
]}

机构：

[1] Univ N Carolina, Dept Emergency Med, Chapel Hill, NC 27599 USA

[2] Univ N Carolina, TRYUMPH Res Program, Chapel Hill, NC 27599 USA

[3] Univ Michigan, Med Ctr, Ctr Stat Consulting & Res, Ann Arbor, MI 48109 USA

[4] Univ Michigan, Med Ctr, Injury Res Ctr, Ann Arbor, MI 48109 USA

[5] Michigan Publ Hlth Inst, Okemos, MI 48864 USA

[6] Univ N Carolina, Ctr Neurosensory Disorders, Chapel Hill, NC 27599 USA

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2009年 / 27卷 / 02期

关键词：

TRAUMATIC BRAIN-INJURY; POSTTRAUMATIC-STRESS-DISORDER; SICKNESS IMPACT PROFILE; BLOOD-PRESSURE; PAIN SENSITIVITY; SCALE; CARE; POLYMORPHISMS; QUESTIONNAIRE; INTENSITY;

D O I：

10.1016/j.ajem.2008.01.054

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: Postconcussion (PC) syndrome etiology remains poorly understood. We sought to examine predictors of persistent PC symptoms after minor injury. Methods: Health status, symptom, and injury information were obtained on a sample of patients presenting to the emergency department after minor injury. Postconcussion and cognitive symptoms were assessed at I, 3, and 12 months. Results: Among 507 patients enrolled, 339 had head injury. Repeated-measures logistic regression modeling of PC and cognitive symptom presence across time indicated that baseline mental health status and physical health status were most predictive of persistent symptoms. In contrast, head injury presence did not predict persistent PC syndrome. Discussion: Baseline mental health status and physical health status were associated with persistent PC syndrome after minor injury, but head injury status was not. Further studies of PC syndrome pathogenesis are needed. (C) 2009 Elsevier Inc. All rights reserved.

引用

页码：182 / 190

页数：9

共 40 条

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