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Brain Inj. 2013;27(3):318-24. doi: 10.3109/02699052.2012.750740.

Early intervention for patients at risk for persisting disability after mild traumatic brain injury: a randomized, controlled study.

Author information

1
Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden. giedre.matuseviciene@ds.se

Abstract

STUDY OBJECTIVE:

To investigate the effect of an early intervention visit in addition to written information and treatment as usual for patients with an estimated high risk for persisting disability after a mild traumatic brain injury (MTBI).

RESEARCH DESIGN:

Randomized controlled trial.

METHODS:

One hundred and seventy-three patients, aged 15-70 years with a Glasgow coma scale of 14-15 were included. All received written information about MTBI. Ninety-seven patients who reported three or more symptoms according to the rivermead post-concussion symptoms questionnaire (RPQ) at 10 days after the injury were considered as high-risk patients and were randomized to either early visit to a doctor or to treatment as usual (TAU); all patients including the 76 low-risk patients were followed-up at 3 months. Completion rate was 83%. Outcome measures included RPQ and the hospital anxiety and depression scale.

RESULTS:

RPQ symptoms decreased significantly in both randomized groups, but were not significantly different in the groups at 3 months. At 3 months, anxiety and depression scores did not differ between groups.

CONCLUSIONS:

An early intervention, offered to patients with an estimated high risk for persisting disability, had no additional effect on symptom level at 3 months after MTBI as compared to TAU.

PMID:
23438351
DOI:
10.3109/02699052.2012.750740
[Indexed for MEDLINE]

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