Title: The impact of axial injury, extra-axial injury, and combined injury on functional status in traumatic brain injury (tbi) Authors
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Title: The impact of axial injury, extra-axial injury, and combined injury on functional status in traumatic brain injury (TBI)
Authors: Nhung Quach M.D., Reza Ehsanian M.D. Ph.D., Samantha Sechrist, Saranya P. Balakrishnan M.D. Thao Duong M.D., James Crew M.D., & Linda Isaac PhD. Objectives:
Design: Prospective longitudinal study. Head computed tomography (CT) scans were taken within 7 days from date of injury were evaluated. The population was divided into three groups based on the radiographic presentation of the lesions: extra-axial (epidural hematoma, sub-epidural hematoma, and subarachnoid hemorrhage), axial (punctate/petechial hemorrhages, intra-ventricular hemorrhage, cortical parenchymal lesions, non-cortical parenchymal lesions), and combined (involving both axial and extra-axial lesions). DRS and FIM was used to evaluate function at 3 time points (admission, discharge, and one-year follow-up). Setting: Patients from the Northern California Traumatic Brain Injury Model System of Care (TBIMS) were admitted to the rehabilitation department between 1989-2011 and followed up to 1 year post injury. Participants: There were 450 moderate to severe TBI patients. Patients lost to follow-up, without head CT scan results, or without intracranial lesions were excluded from the study. Interventions: None Main Outcome Measures: head CT, DRS, and FIM Level of Evidence: 2b Results: No statistical differences were found in functional status between the axial and extra-axial groups, except for the FIM follow-up after 1 year, which unexpectedly showed the axial group having greater functional recovery (p=.046). The combined lesion group showed statistically significant greater negative impact on functional status than the other groups across all three time points. Conclusions: Combined lesions negatively affect functional status more than axial lesions or extra-axial lesions. The effect of combined injuries will increase the awareness of healthcare providers and likely inform the patient care and patient likelihood of recovery. Kataloq: upload -> userfiles upload -> По антикоррупционной работе в поликлинике upload -> Fərid Zeynalov stomatoloq, bds, dds şəxsi məlumat upload -> Fakültə İxtisas qrup Kurs fənn tarix baslanma vaxti otaq upload -> Oitsning ma’nosi – Orttirilgan Immunitet Tanqisligi Sindromi. Bu dahshatli va bedavo kasallik hozirgi zamonning “vabosi” deb yuritiladi upload -> 4 İstehlakçıların davranışının modelləşdirilməsi Son istehlakçıların davranışının modelləşdirilməsi upload -> UŞaq anatomiyasi, FİZİologiaysi və GİGİyenasi analizatorlar- duyğU ÜzvləRİ upload -> Uşağın fərdi psixoloji hazırlığı 20 azn ağız boşluğunun kompleks peşəkar gigiyenası 80 azn upload -> Мisvak вя онун XXI ясрдя истифадяси upload -> Klinik protokol Az ərbaycan Respublikas userfiles -> А. В. Гнездилов Психология и психотерапия потерь Yüklə 5,86 Kb. Dostları ilə paylaş:
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