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Brain Inj. 2006 Jul;20(8):799-806.

Symptoms and disability until 3 months after mild TBI.

Author information

1
Department of Psychiatry, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden. anders.lundin@ds.se

Abstract

OBJECTIVE:

Examine frequency, character and course of symptoms until 3 months after MTBI and the relation between symptoms and disability.

METHODS:

Prospective cohort study of 122 consecutive patients with MTBI. Symptom assessment after 1, 7 and 14 days and 3 months post-injury by use of Rivermead Post-concussional Questionnaire. Disability assessment by use of Rivermead Head Injury Follow-up Questionnaire.

RESULTS:

Patients reporting one or more symptoms declined from 86% on day 1 to 49% 3 months post-injury, when 25% also reported change in one or more domains of everyday activities. Poor memory, sleep disturbance and fatigue were most commonly reported. Symptom and disability scores were correlated (tau = 0.60; p < 0.001). Early symptom load correlated with late symptom load (tau = 0.38; p < 0.01).

CONCLUSIONS:

Symptoms gradually decline post-injury. Symptoms correlate with disability at 3 months. Patients with early high symptom load are at risk for developing persisting complaints.

PMID:
17060147
DOI:
10.1080/02699050600744327
[Indexed for MEDLINE]

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