Symptom and Disability One Year After Traumatic Brain Injury

Nury Sukraeny
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引用次数: 2

Abstract

TBI is a leading cause of death and disability worldwide. The effects of TBI can significantly disrupt the lives of those who are injured and survive. TBI can affect patients in the physical, cognitive, behavioral and emotional domains which appear from the acute phase and can remain long-term. This cross sectional survey aimed to examine the disability after TBI by the components of ICF and also to describe the symptom present in one year after TBI. TBI patients were recruited from the medical record data of patients admitted to the neurosurgery unit who at least 12 month after discharge from hospital and able to be followed up. The DRS was used for measured disability. Total 56 TBI patients were recruited in this study, 58.9% of the subjects were classified as mild TBI, while 37.5% and 3.6% of them were classified as moderate and severe TBI respectively. More than half of subjects (62.5%) reported of current symptoms with headache as a most common reported. Based on DRS was found that 83.9% of the subjects have no disability, whereas 3.6% had a mild disability, 5.45 had a partial disability, and 7.2% had a moderate disability. The results demonstrated that a TBI survivors face substantial disability and symptom 1 year after injury. To optimise health and well-being outcomes, clinicians need to identified the needs of patients with less severe TBI and treated during the post-acute period.
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创伤性脑损伤后一年的症状和残疾
创伤性脑损伤是世界范围内导致死亡和残疾的主要原因。创伤性脑损伤的影响会严重扰乱伤者和幸存者的生活。创伤性脑损伤可对患者的身体、认知、行为和情绪产生影响,从急性期开始,并可长期存在。本横断面调查旨在通过ICF成分检查脑外伤后的残疾,并描述脑外伤后一年内出现的症状。TBI患者是从神经外科收治的出院后至少12个月且能够随访的患者病历数据中招募的。DRS用于测量残疾。本研究共招募56例TBI患者,其中58.9%为轻度TBI, 37.5%为中度TBI, 3.6%为重度TBI。超过一半的受试者(62.5%)报告目前的症状,头痛是最常见的症状。基于DRS, 83.9%的受试者无残疾,3.6%的受试者有轻度残疾,5.45%的受试者有部分残疾,7.2%的受试者有中度残疾。结果表明,创伤性脑损伤幸存者在损伤后1年面临严重的残疾和症状。为了优化健康和福祉结果,临床医生需要确定轻度TBI患者的需求,并在急性期后进行治疗。
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