Delirium After Traumatic Brain Injury: Prediction by Location and Size of Brain Lesion.

IF 2.1 Q1 REHABILITATION Annals of Rehabilitation Medicine-ARM Pub Date : 2023-06-01 Epub Date: 2023-06-07 DOI:10.5535/arm.23008

Soo Jeong Han, Jee Hyun Suh, Ja Young Lee, Soo Jin Kim

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Abstract

Objective: To examine (1) the location of brain lesion that would predict post-traumatic delirium and (2) the association between volume of brain lesion and occurrence of delirium in patients with traumatic brain injury (TBI).

Methods: A retrospective study was conducted by reviewing medical records of 68 TBI patients, categorized into two groups: the delirious group (n=38) and non-delirious group (n=30). The location and volume of TBI were investigated with the 3D Slicer software.

Results: The TBI region in the delirious group mainly involved the frontal or temporal lobe (p=0.038). All 36 delirious patients had brain injury on the right side (p=0.046). The volume of hemorrhage in the delirious group was larger by about 95 mL compared to the non-delirious group, but this difference was not statistically significant (p=0.382).

Conclusion: Patients with delirium after TBI had significantly different injury site and side, but not lesion size compared to patients without delirium.

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创伤性脑损伤后的谵妄：根据脑损伤的位置和大小进行预测。

研究目的研究(1)可预测创伤后谵妄的脑损伤位置；(2)脑损伤体积与创伤性脑损伤（TBI）患者谵妄发生之间的关联：通过回顾 68 名创伤性脑损伤患者的病历进行了一项回顾性研究，这些患者被分为两组：谵妄组（38 人）和非谵妄组（30 人）。使用 3D Slicer 软件研究了创伤性脑损伤的位置和体积：结果：谵妄组的 TBI 区域主要涉及额叶或颞叶（P=0.038）。所有 36 名神志不清患者的脑损伤都在右侧（P=0.046）。与非谵妄组相比，谵妄组的出血量增加了约95毫升，但这一差异无统计学意义（P=0.382）：结论：与无谵妄的患者相比，创伤后谵妄患者的损伤部位和损伤侧明显不同，但病灶大小没有明显差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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