Prevalence of Incomplete Functional and Symptomatic Recovery among Patients with Head Injury but Brain Injury Debatable
Head injury patients not meeting the American Congress of Rehabilitation Medicine (ACRM)'s criteria for mild traumatic brain injury (mTBI), referred to hereafter as HIBRID (Head Injury BRain Injury Debatable), are often excluded from studies. The prognostic importance of HIBRID is unclear. We i...
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| Veröffentlicht in: | Journal of neurotrauma 2017-04, Vol.34 (8), p.1531-1538 |
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| creator | Korley, Frederick K Diaz-Arrastia, Ramon Falk, Hayley J Peters, Matthew E Leoutsakos, Jeannie-Marie S Roy, Durga Rao, Vani Sair, Haris Iqbal Ofoche, Uju Hall, Anna J Akbari, Freshta Van Meter, Timothy E Everett, Allen D Van Eyk, Jennifer E Bechtold, Kathleen T |
| description | Head injury patients not meeting the American Congress of Rehabilitation Medicine (ACRM)'s criteria for mild traumatic brain injury (mTBI), referred to hereafter as HIBRID (Head Injury BRain Injury Debatable), are often excluded from studies. The prognostic importance of HIBRID is unclear. We investigated the differences in functional and symptomatic recovery at 1 month post-injury among TBI patients classified as: HIBRID, ACRM+ cranial computed tomography (CT)-, and cranial CT+; and trauma and healthy controls. Subjects were enrolled in an ongoing prospective cohort (Head Injury Serum Markers for Assessing Response to Trauma; HeadSMART). Outcomes measured at 1 month post-injury include: incomplete functional recovery (Glasgow Outcome Scale Extended |
| doi_str_mv | 10.1089/neu.2016.4723 |
| format | Article |
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The prognostic importance of HIBRID is unclear. We investigated the differences in functional and symptomatic recovery at 1 month post-injury among TBI patients classified as: HIBRID, ACRM+ cranial computed tomography (CT)-, and cranial CT+; and trauma and healthy controls. Subjects were enrolled in an ongoing prospective cohort (Head Injury Serum Markers for Assessing Response to Trauma; HeadSMART). Outcomes measured at 1 month post-injury include: incomplete functional recovery (Glasgow Outcome Scale Extended <8); moderate/severe post-concussive symptoms (PCS), defined according to the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision definition; and moderate/severe depressive symptoms (Patient Health Questionnaire 9 ≥ 10). Between April 2014 and May 2016, 500 TBI and 100 control subjects were enrolled and 376 TBI and 78 control subjects completed outcome assessment. The HIBRID group, constituting 23.9% of study population, had a lower incidence of incomplete functional recovery (36.7% [33 of 90]) than ACRM+, CT- (60.7% [125 of 206]; p < 0.01) and CT+ (78.8% [63 of 80]; p < 0.01) groups. However, the incidence of delayed functional recovery within the HIBRID group was higher than in trauma (9.3% [5 of 54]; p < 0.01) and healthy controls (0% [0 of 24]; p < 0.01). Compared to trauma/healthy controls, the HIBRID group had a higher incidence of moderate/severe depressive symptoms and a similar incidence of moderate/severe PCS. Subjects in the HIBRID group are at high risk for adverse outcomes following head injury and warrant further investigation.</description><identifier>ISSN: 0897-7151</identifier><identifier>EISSN: 1557-9042</identifier><identifier>DOI: 10.1089/neu.2016.4723</identifier><identifier>PMID: 27784200</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adult ; Aged ; Behavioral sciences ; Brain research ; Craniocerebral Trauma - complications ; Craniocerebral Trauma - epidemiology ; Depression - epidemiology ; Depression - etiology ; Disease control ; Emergency medical care ; Female ; Glasgow Outcome Scale ; Head injuries ; Humans ; Male ; Medicine ; Middle Aged ; Original ; Outcome Assessment, Health Care - statistics & numerical data ; Post-Concussion Syndrome - epidemiology ; Post-Concussion Syndrome - etiology ; Prevalence ; Psychiatry ; Trauma ; Trauma centers ; Traumatic brain injury ; Vomiting</subject><ispartof>Journal of neurotrauma, 2017-04, Vol.34 (8), p.1531-1538</ispartof><rights>(©) Copyright 2017, Mary Ann Liebert, Inc.</rights><rights>Copyright 2017, Mary Ann Liebert, Inc. 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-ed4bbba703f8248ef3a4060a3ebffdb1c2883b7b4fb60291cf6725b4b7f0e4243</citedby><cites>FETCH-LOGICAL-c410t-ed4bbba703f8248ef3a4060a3ebffdb1c2883b7b4fb60291cf6725b4b7f0e4243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27784200$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korley, Frederick K</creatorcontrib><creatorcontrib>Diaz-Arrastia, Ramon</creatorcontrib><creatorcontrib>Falk, Hayley J</creatorcontrib><creatorcontrib>Peters, Matthew E</creatorcontrib><creatorcontrib>Leoutsakos, Jeannie-Marie S</creatorcontrib><creatorcontrib>Roy, Durga</creatorcontrib><creatorcontrib>Rao, Vani</creatorcontrib><creatorcontrib>Sair, Haris Iqbal</creatorcontrib><creatorcontrib>Ofoche, Uju</creatorcontrib><creatorcontrib>Hall, Anna J</creatorcontrib><creatorcontrib>Akbari, Freshta</creatorcontrib><creatorcontrib>Van Meter, Timothy E</creatorcontrib><creatorcontrib>Everett, Allen D</creatorcontrib><creatorcontrib>Van Eyk, Jennifer E</creatorcontrib><creatorcontrib>Bechtold, Kathleen T</creatorcontrib><title>Prevalence of Incomplete Functional and Symptomatic Recovery among Patients with Head Injury but Brain Injury Debatable</title><title>Journal of neurotrauma</title><addtitle>J Neurotrauma</addtitle><description>Head injury patients not meeting the American Congress of Rehabilitation Medicine (ACRM)'s criteria for mild traumatic brain injury (mTBI), referred to hereafter as HIBRID (Head Injury BRain Injury Debatable), are often excluded from studies. The prognostic importance of HIBRID is unclear. We investigated the differences in functional and symptomatic recovery at 1 month post-injury among TBI patients classified as: HIBRID, ACRM+ cranial computed tomography (CT)-, and cranial CT+; and trauma and healthy controls. Subjects were enrolled in an ongoing prospective cohort (Head Injury Serum Markers for Assessing Response to Trauma; HeadSMART). Outcomes measured at 1 month post-injury include: incomplete functional recovery (Glasgow Outcome Scale Extended <8); moderate/severe post-concussive symptoms (PCS), defined according to the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision definition; and moderate/severe depressive symptoms (Patient Health Questionnaire 9 ≥ 10). Between April 2014 and May 2016, 500 TBI and 100 control subjects were enrolled and 376 TBI and 78 control subjects completed outcome assessment. The HIBRID group, constituting 23.9% of study population, had a lower incidence of incomplete functional recovery (36.7% [33 of 90]) than ACRM+, CT- (60.7% [125 of 206]; p < 0.01) and CT+ (78.8% [63 of 80]; p < 0.01) groups. However, the incidence of delayed functional recovery within the HIBRID group was higher than in trauma (9.3% [5 of 54]; p < 0.01) and healthy controls (0% [0 of 24]; p < 0.01). Compared to trauma/healthy controls, the HIBRID group had a higher incidence of moderate/severe depressive symptoms and a similar incidence of moderate/severe PCS. Subjects in the HIBRID group are at high risk for adverse outcomes following head injury and warrant further investigation.</description><subject>Adult</subject><subject>Aged</subject><subject>Behavioral sciences</subject><subject>Brain research</subject><subject>Craniocerebral Trauma - complications</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Disease control</subject><subject>Emergency medical care</subject><subject>Female</subject><subject>Glasgow Outcome Scale</subject><subject>Head injuries</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Outcome Assessment, Health Care - statistics & numerical data</subject><subject>Post-Concussion Syndrome - epidemiology</subject><subject>Post-Concussion Syndrome - etiology</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Trauma</subject><subject>Trauma centers</subject><subject>Traumatic brain injury</subject><subject>Vomiting</subject><issn>0897-7151</issn><issn>1557-9042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkUtv1DAURi0EokNhyRZZYsMmg1-JnRWihdJKlah4rC3buW4zSuzBdqaaf49HfQhYsbJ0v6NP1_cg9JqSNSWqfx9gWTNCu7WQjD9BK9q2sumJYE_RquaykbSlR-hFzhtCKO-YfI6OmJRKMEJW6PYqwc5MEBzg6PFFcHHeTlAAny3BlTEGM2ETBvx9P29LnE0ZHf4GLu4g7bGZY7jGV3UIoWR8O5YbfA5mqD2bpeZ2KfgkmTE8DD6BNcXYCV6iZ95MGV7dv8fo59nnH6fnzeXXLxenHy8bJygpDQzCWmsk4V4xocBzI0hHDAfr_WCpY0pxK63wtiOsp853krVWWOkJCCb4Mfpw17td7AyDq3smM-ltGmeT9jqaUf-dhPFGX8edppT0nJKuNry7b0jx1wK56HnMDqbJBIhL1rQemSuhiPgPlLedkqrvK_r2H3QTl1SPfaCU6nrei7ZSzR3lUsw5gX9cnBJ90K-rfn3Qrw_6K__mz98-0g---W8bC61x</recordid><startdate>20170415</startdate><enddate>20170415</enddate><creator>Korley, Frederick K</creator><creator>Diaz-Arrastia, Ramon</creator><creator>Falk, Hayley J</creator><creator>Peters, Matthew E</creator><creator>Leoutsakos, Jeannie-Marie S</creator><creator>Roy, Durga</creator><creator>Rao, Vani</creator><creator>Sair, Haris Iqbal</creator><creator>Ofoche, Uju</creator><creator>Hall, Anna J</creator><creator>Akbari, Freshta</creator><creator>Van Meter, Timothy E</creator><creator>Everett, Allen D</creator><creator>Van Eyk, Jennifer E</creator><creator>Bechtold, Kathleen T</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170415</creationdate><title>Prevalence of Incomplete Functional and Symptomatic Recovery among Patients with Head Injury but Brain Injury Debatable</title><author>Korley, Frederick K ; Diaz-Arrastia, Ramon ; Falk, Hayley J ; Peters, Matthew E ; Leoutsakos, Jeannie-Marie S ; Roy, Durga ; Rao, Vani ; Sair, Haris Iqbal ; Ofoche, Uju ; Hall, Anna J ; Akbari, Freshta ; Van Meter, Timothy E ; Everett, Allen D ; Van Eyk, Jennifer E ; Bechtold, Kathleen T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-ed4bbba703f8248ef3a4060a3ebffdb1c2883b7b4fb60291cf6725b4b7f0e4243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Behavioral sciences</topic><topic>Brain research</topic><topic>Craniocerebral Trauma - complications</topic><topic>Craniocerebral Trauma - epidemiology</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>Disease control</topic><topic>Emergency medical care</topic><topic>Female</topic><topic>Glasgow Outcome Scale</topic><topic>Head injuries</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Outcome Assessment, Health Care - statistics & numerical data</topic><topic>Post-Concussion Syndrome - epidemiology</topic><topic>Post-Concussion Syndrome - etiology</topic><topic>Prevalence</topic><topic>Psychiatry</topic><topic>Trauma</topic><topic>Trauma centers</topic><topic>Traumatic brain injury</topic><topic>Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korley, Frederick K</creatorcontrib><creatorcontrib>Diaz-Arrastia, Ramon</creatorcontrib><creatorcontrib>Falk, Hayley J</creatorcontrib><creatorcontrib>Peters, Matthew E</creatorcontrib><creatorcontrib>Leoutsakos, Jeannie-Marie S</creatorcontrib><creatorcontrib>Roy, Durga</creatorcontrib><creatorcontrib>Rao, Vani</creatorcontrib><creatorcontrib>Sair, Haris Iqbal</creatorcontrib><creatorcontrib>Ofoche, Uju</creatorcontrib><creatorcontrib>Hall, Anna J</creatorcontrib><creatorcontrib>Akbari, Freshta</creatorcontrib><creatorcontrib>Van Meter, Timothy E</creatorcontrib><creatorcontrib>Everett, Allen D</creatorcontrib><creatorcontrib>Van Eyk, Jennifer E</creatorcontrib><creatorcontrib>Bechtold, Kathleen T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurotrauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korley, Frederick K</au><au>Diaz-Arrastia, Ramon</au><au>Falk, Hayley J</au><au>Peters, Matthew E</au><au>Leoutsakos, Jeannie-Marie S</au><au>Roy, Durga</au><au>Rao, Vani</au><au>Sair, Haris Iqbal</au><au>Ofoche, Uju</au><au>Hall, Anna J</au><au>Akbari, Freshta</au><au>Van Meter, Timothy E</au><au>Everett, Allen D</au><au>Van Eyk, Jennifer E</au><au>Bechtold, Kathleen T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Incomplete Functional and Symptomatic Recovery among Patients with Head Injury but Brain Injury Debatable</atitle><jtitle>Journal of neurotrauma</jtitle><addtitle>J Neurotrauma</addtitle><date>2017-04-15</date><risdate>2017</risdate><volume>34</volume><issue>8</issue><spage>1531</spage><epage>1538</epage><pages>1531-1538</pages><issn>0897-7151</issn><eissn>1557-9042</eissn><abstract>Head injury patients not meeting the American Congress of Rehabilitation Medicine (ACRM)'s criteria for mild traumatic brain injury (mTBI), referred to hereafter as HIBRID (Head Injury BRain Injury Debatable), are often excluded from studies. The prognostic importance of HIBRID is unclear. We investigated the differences in functional and symptomatic recovery at 1 month post-injury among TBI patients classified as: HIBRID, ACRM+ cranial computed tomography (CT)-, and cranial CT+; and trauma and healthy controls. Subjects were enrolled in an ongoing prospective cohort (Head Injury Serum Markers for Assessing Response to Trauma; HeadSMART). Outcomes measured at 1 month post-injury include: incomplete functional recovery (Glasgow Outcome Scale Extended <8); moderate/severe post-concussive symptoms (PCS), defined according to the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision definition; and moderate/severe depressive symptoms (Patient Health Questionnaire 9 ≥ 10). Between April 2014 and May 2016, 500 TBI and 100 control subjects were enrolled and 376 TBI and 78 control subjects completed outcome assessment. The HIBRID group, constituting 23.9% of study population, had a lower incidence of incomplete functional recovery (36.7% [33 of 90]) than ACRM+, CT- (60.7% [125 of 206]; p < 0.01) and CT+ (78.8% [63 of 80]; p < 0.01) groups. However, the incidence of delayed functional recovery within the HIBRID group was higher than in trauma (9.3% [5 of 54]; p < 0.01) and healthy controls (0% [0 of 24]; p < 0.01). Compared to trauma/healthy controls, the HIBRID group had a higher incidence of moderate/severe depressive symptoms and a similar incidence of moderate/severe PCS. Subjects in the HIBRID group are at high risk for adverse outcomes following head injury and warrant further investigation.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>27784200</pmid><doi>10.1089/neu.2016.4723</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Aged Behavioral sciences Brain research Craniocerebral Trauma - complications Craniocerebral Trauma - epidemiology Depression - epidemiology Depression - etiology Disease control Emergency medical care Female Glasgow Outcome Scale Head injuries Humans Male Medicine Middle Aged Original Outcome Assessment, Health Care - statistics & numerical data Post-Concussion Syndrome - epidemiology Post-Concussion Syndrome - etiology Prevalence Psychiatry Trauma Trauma centers Traumatic brain injury Vomiting |
| title | Prevalence of Incomplete Functional and Symptomatic Recovery among Patients with Head Injury but Brain Injury Debatable |
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