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Early intervention for patients at risk for persisting disability after mild traumatic brain injury: A randomized, controlled study
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
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2013 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 27, no 3, 318-324 p.Article in journal (Refereed) Published
Abstract [en]

Study objective: To investigate the effect of an early intervention visit in addition to written information and treatment as usual for patients with an estimated high risk for persisting disability after a mild traumatic brain injury (MTBI). Research design: Randomized controlled trial. Methods: One hundred and seventy-three patients, aged 15-70 years with a Glasgow Coma Scale of 14-15 were included. All received written information about MTBI. Ninety-seven patients who reported three or more symptoms according to the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) at 10 days after the injury were considered as high-risk patients and were randomized to either early visit to a doctor or to treatment as usual (TAU); all patients including the 76 low-risk patients were followed-up at 3 months. Completion rate was 83%. Outcome measures included RPQ and the Hospital Anxiety and Depression Scale. Results: RPQ symptoms decreased significantly in both randomized groups, but were not significantly different in the groups at 3 months. At 3 months, anxiety and depression scores did not differ between groups. Conclusions: An early intervention, offered to patients with an estimated high risk for persisting disability, had no additional effect on symptom level at 3 months after MTBI as compared to TAU.

Place, publisher, year, edition, pages
2013. Vol. 27, no 3, 318-324 p.
Keyword [en]
Mild brain injury, intervention, traumatic brain injury, concussion
National Category
Neurosciences Nursing
Identifiers
URN: urn:nbn:se:umu:diva-67793DOI: 10.3109/02699052.2012.750740ISI: 000315413400009OAI: oai:DiVA.org:umu-67793DiVA: diva2:614592
Available from: 2013-04-05 Created: 2013-04-03 Last updated: 2017-12-06Bibliographically approved

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