Prognostic Markers for Poor Recovery After Mild Traumatic Brain Injury in Older Adults: A Pilot Cohort Study. Issue 6 (November 2016)

• Record Type: Journal Article
• Authors: Kristman, Vicki L.; Brison, Robert J.; Bédard, Michel; Reguly, Paula; Chisholm, Shelley
• Is Part Of: Journal of head trauma rehabilitation. Volume 31:Issue 6(2016:Nov./Dec.)
• Page Start: E33
• Page End: E43
• Publication Date: 2016-11
• Subjects: adult -- aged -- brain injuries -- depression -- emergency service -- fatigue -- follow-up studies -- hospital -- prognosis -- prospective studies; Brain damage -- Patients -- Rehabilitation -- Periodicals; Brain damage -- Periodicals; 617.4810443
• DOI: 10.1097/HTR.0000000000000226
• Languages: English
• ISSNs: 0885-9701

Abstract

Abstract : Supplemental Digital Content is Available in the Text. Abstract : Objective: To identify prognostic markers associated with poor recovery from mild traumatic brain injury (MTBI) in older adults. Setting: Three Ontario emergency departments. Participants: Forty-nine participants aged 65 years and older that visited an emergency department for MTBI. Design: Pilot prospective cohort study. Main Measures: Recovery from MTBI determined using the Rivermead Postconcussion symptom Questionnaire, the Glasgow Outcomes Scale—Extended, physical and mental health functioning (SF-12), and a single question on self-rated recovery assessed by telephone shortly after emergency department visit (baseline) and again 6 months later. Predictors were measured at baseline. Results: Markers potentially associated with poor recovery included reporting worse health 1 year before the injury, poor expectations for recovery, depression, and fatigue. Conclusion: Recovery after MTBI in older adults may be associated more with psychosocial than with biomedical or injury-related factors.