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Traumatic Microbleeds in Mild Traumatic Brain Injury Are Not Associated with Delayed Return to Work or Persisting Post-Concussion Symptoms
- Publication Year :
- 2021
-
Abstract
- The main objective of this prospective cohort study was to evaluate whether traumatic microbleeds (TMBs) are a significant prognostic factor of return to work (RTW), post-traumatic symptoms, and overall recovery in patients with mild traumatic brain injury (mTBI). One hundred and thirteen patients with mTBI were recruited from the Helsinki University Hospital emergency units. All patients underwent multi-contrast 3T magnetic resonance imaging (MRI) 3-17 days after mTBI. Patients were evaluated in the Traumatic Brain Injury Outpatient Clinic of Helsinki University Hospital 1 month after injury. Post-concussion symptoms were assessed with the Post-Concussion Symptom Questionnaire (RPQ) and overall recovery was assessed with the Glasgow Outcome Scale Extended (GOS-E). Their time to RTW was continuously measured up to 1 year after TBI. Median RTW was 9 days (interquartile range [IQR] 4-30) after mTBI and full RTW rate after 1 year was 98%. Patients with TMBs (n = 22) did not have more post-concussion symptoms (median RPQ 10.0 vs. 7.0, p = 0.217) or worse overall recovery (58% vs. 56% with GOS-E = 8, p = 0.853) than patients without TMBs (n = 91). There was no significant difference in time to RTW (13.5 vs. 7.0 days, p = 0.063). In this study, patients with TMBs did not have delayed RTW or more post-concussion symptoms than other patients with mTBI. TMBs in mTBI do not seem to be a significant prognostic factor of RTW.
- Subjects :
- Adult
Male
030506 rehabilitation
Prognostic factor
Pediatrics
medicine.medical_specialty
Time Factors
Adolescent
Traumatic brain injury
functional recovery
IMPACT
Glasgow Outcome Scale
Return to work
3124 Neurology and psychiatry
Young Adult
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
mild traumatic brain injury
Humans
Medicine
Prospective Studies
Prospective cohort study
Brain Concussion
Aged
Cerebral Hemorrhage
business.industry
Outcome measures
post-concussion symptoms
HEAD-INJURY
3112 Neurosciences
COMMON DATA ELEMENTS
Recovery of Function
return to work
Middle Aged
Functional recovery
medicine.disease
Magnetic Resonance Imaging
DIFFUSE AXONAL INJURY
Post concussion symptoms
3121 General medicine, internal medicine and other clinical medicine
traumatic microbleeds
Female
Neurology (clinical)
0305 other medical science
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....1e6de9fc67ef36ef9799381d3a81940e