Factors associated with persistent post-concussion symptoms following mild traumatic brain injury in adults

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4 Citations (Scopus)

Abstract

Objectives: Debate regarding factors associated with persistent symptoms following mild traumatic brain injury continues. Nested within a trial aiming to change practice in emergency department management of mild traumatic brain injury, this study investigated the nature of persistent symptoms, work/ study outcomes, anxiety and quality of life and factors associated with persistent symptoms following injury, including the impact of receiving information about mild traumatic brain injuries in the emergency department. Methods: A total of 343 individuals with mild traumatic brain injury completed the Rivermead Post-Concussion Symptom Questionnaire, Hospital Anxiety Depression Scale – Anxiety Scale, and Quality of Life – Short Form an average 7 months post-injury. Results: Overall, 18.7% of participants reported 3 or more post-concussional symptoms, most commonly fatigue (17.2%) and forgetfulness (14.6%). Clinically significant anxiety was reported by 12.8%, and was significantly associated with symptom reporting, as were mental and physical quality of life scores. Significant predictors of post-concussional symptoms at follow-up were pre-injury psychological issues, experiencing loss of consciousness, and having no recall of receiving information about brain injury in the emergency department. Conclusion: This study confirms that loss of consciousness and pre-injury psychological issues are associated with persistent symptom reporting. Not receiving injury information in the emergency department may also negatively influence symptom reporting.

Original languageEnglish
Pages (from-to)32-39
Number of pages8
JournalJournal of Rehabilitation Medicine
Volume51
Issue number1
DOIs
Publication statusPublished - 2019

Keywords

  • Anxiety
  • Mild traumatic brain injury
  • Post-concussion symptoms
  • Quality of life

Cite this

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title = "Factors associated with persistent post-concussion symptoms following mild traumatic brain injury in adults",
abstract = "Objectives: Debate regarding factors associated with persistent symptoms following mild traumatic brain injury continues. Nested within a trial aiming to change practice in emergency department management of mild traumatic brain injury, this study investigated the nature of persistent symptoms, work/ study outcomes, anxiety and quality of life and factors associated with persistent symptoms following injury, including the impact of receiving information about mild traumatic brain injuries in the emergency department. Methods: A total of 343 individuals with mild traumatic brain injury completed the Rivermead Post-Concussion Symptom Questionnaire, Hospital Anxiety Depression Scale – Anxiety Scale, and Quality of Life – Short Form an average 7 months post-injury. Results: Overall, 18.7{\%} of participants reported 3 or more post-concussional symptoms, most commonly fatigue (17.2{\%}) and forgetfulness (14.6{\%}). Clinically significant anxiety was reported by 12.8{\%}, and was significantly associated with symptom reporting, as were mental and physical quality of life scores. Significant predictors of post-concussional symptoms at follow-up were pre-injury psychological issues, experiencing loss of consciousness, and having no recall of receiving information about brain injury in the emergency department. Conclusion: This study confirms that loss of consciousness and pre-injury psychological issues are associated with persistent symptom reporting. Not receiving injury information in the emergency department may also negatively influence symptom reporting.",
keywords = "Anxiety, Mild traumatic brain injury, Post-concussion symptoms, Quality of life",
author = "Jennie Ponsford and Sylvia Nguyen and Marina Downing and Marije Bosch and McKenzie, {Joanne E.} and Simon Turner and Marisa Chau and Duncan Mortimer and Gruen, {Russell L.} and Jonathan Knott and Sally Green",
year = "2019",
doi = "10.2340/16501977-2492",
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pages = "32--39",
journal = "Journal of Rehabilitation Medicine",
issn = "1650-1977",
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T1 - Factors associated with persistent post-concussion symptoms following mild traumatic brain injury in adults

AU - Ponsford, Jennie

AU - Nguyen, Sylvia

AU - Downing, Marina

AU - Bosch, Marije

AU - McKenzie, Joanne E.

AU - Turner, Simon

AU - Chau, Marisa

AU - Mortimer, Duncan

AU - Gruen, Russell L.

AU - Knott, Jonathan

AU - Green, Sally

PY - 2019

Y1 - 2019

N2 - Objectives: Debate regarding factors associated with persistent symptoms following mild traumatic brain injury continues. Nested within a trial aiming to change practice in emergency department management of mild traumatic brain injury, this study investigated the nature of persistent symptoms, work/ study outcomes, anxiety and quality of life and factors associated with persistent symptoms following injury, including the impact of receiving information about mild traumatic brain injuries in the emergency department. Methods: A total of 343 individuals with mild traumatic brain injury completed the Rivermead Post-Concussion Symptom Questionnaire, Hospital Anxiety Depression Scale – Anxiety Scale, and Quality of Life – Short Form an average 7 months post-injury. Results: Overall, 18.7% of participants reported 3 or more post-concussional symptoms, most commonly fatigue (17.2%) and forgetfulness (14.6%). Clinically significant anxiety was reported by 12.8%, and was significantly associated with symptom reporting, as were mental and physical quality of life scores. Significant predictors of post-concussional symptoms at follow-up were pre-injury psychological issues, experiencing loss of consciousness, and having no recall of receiving information about brain injury in the emergency department. Conclusion: This study confirms that loss of consciousness and pre-injury psychological issues are associated with persistent symptom reporting. Not receiving injury information in the emergency department may also negatively influence symptom reporting.

AB - Objectives: Debate regarding factors associated with persistent symptoms following mild traumatic brain injury continues. Nested within a trial aiming to change practice in emergency department management of mild traumatic brain injury, this study investigated the nature of persistent symptoms, work/ study outcomes, anxiety and quality of life and factors associated with persistent symptoms following injury, including the impact of receiving information about mild traumatic brain injuries in the emergency department. Methods: A total of 343 individuals with mild traumatic brain injury completed the Rivermead Post-Concussion Symptom Questionnaire, Hospital Anxiety Depression Scale – Anxiety Scale, and Quality of Life – Short Form an average 7 months post-injury. Results: Overall, 18.7% of participants reported 3 or more post-concussional symptoms, most commonly fatigue (17.2%) and forgetfulness (14.6%). Clinically significant anxiety was reported by 12.8%, and was significantly associated with symptom reporting, as were mental and physical quality of life scores. Significant predictors of post-concussional symptoms at follow-up were pre-injury psychological issues, experiencing loss of consciousness, and having no recall of receiving information about brain injury in the emergency department. Conclusion: This study confirms that loss of consciousness and pre-injury psychological issues are associated with persistent symptom reporting. Not receiving injury information in the emergency department may also negatively influence symptom reporting.

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KW - Mild traumatic brain injury

KW - Post-concussion symptoms

KW - Quality of life

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