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Cognitive Performance of Brazilian Patients With Favorable Outcomes After Severe Traumatic Brain Injury: A Prospective Study.
- Source :
-
American Journal of Physical Medicine & Rehabilitation . Dec2023, Vol. 102 Issue 12, p1070-1075. 6p. - Publication Year :
- 2023
-
Abstract
- Objective: The aim of this study was to investigate the cognitive performance of patients with favorable outcomes, determined by the Glasgow Outcome Scale, 1 yr after hospital discharge due to severe traumatic brain injury. Design: This was a prospective case-control study. From 163 consecutive adult patients with severe traumatic brain injury included in the study, 73 patients had a favorable outcome (Glasgow Outcome Scale score of 4 or 5) 1 yr after hospital discharge and were eligible for the cognitive evaluation, of which 28 completed the evaluations. The latter were compared with 44 healthy controls. Results: The average loss of cognitive performance among participants with traumatic brain injury varied between 13.35% and 43.49% compared with the control group. Between 21.4% and 32% of the patients performed below the 10th percentile on three language tests and two verbal memory tests, whereas 39% to 50% performed below this threshold on one language test and three memory tests. Longer hospital stay, older age, and lower education were the most important predictors of worse cognitive performance. Conclusion: One year after a severe traumatic brain injury, a significant proportion of Brazilian patients with the favorable outcome determined by Glasgow Outcome Scale still showed significant cognitive impairment in verbal memory and language domains. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COGNITION disorder risk factors
*COGNITION disorders
*MEMORY
*LENGTH of stay in hospitals
*EXECUTIVE function
*STATISTICS
*LABORATORY test panels
*AGE distribution
*MULTIPLE regression analysis
*CASE-control method
*TASK performance
*LANGUAGE & languages
*SEVERITY of illness index
*RISK assessment
*COMPARATIVE studies
*VISION testing
*NEUROPSYCHOLOGICAL tests
*FUNCTIONAL assessment
*T-test (Statistics)
*HOSPITAL care
*RESEARCH funding
*ATTENTION
*CHI-squared test
*DESCRIPTIVE statistics
*COGNITIVE testing
*BRAIN injuries
*SOCIODEMOGRAPHIC factors
*DATA analysis software
*DISCHARGE planning
*LONGITUDINAL method
*EDUCATIONAL attainment
*NEURORADIOLOGY
*DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 08949115
- Volume :
- 102
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- American Journal of Physical Medicine & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 174258005
- Full Text :
- https://doi.org/10.1097/PHM.0000000000002279