[Lack of uniformity and low compliance concerning wake-up advice following head trauma].
OBJECTIVE
To asses the use, content and patient compliance concerning the waking advice (WA) given to non-professional care-givers of mild head injury patients (MHI).


METHODS
Retrospective study.


METHODS
University Hospital Maastricht.


METHODS
Data were collected from 26 First Aid departments (FAD) of 8 university and 18 other hospitals to asses the use and content of WA. Indications for WA were investigated in 326 trauma capitis patients (TC). The compliance of non-professional care-givers of MHI were investigated by an inquiry among 61 TCs.


RESULTS
All 26 FADs responded. The waking interval was 1-4 hours. Of 326 TCs, 180 had commotio cerebri. Seventy-four per cent of those patients were given a WA. Total compliance was 7% and partial compliance 55%. In patients who were instructed both orally and in writing compliance was best.


CONCLUSIONS
There was no consensus on use and content of WA. Double instruction (oral and written) gives the best compliance.
Rijksuniversiteit Limburg, faculteit der Geneeskunde, Maastricht.
A
A
de Louw
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A
Twijnstra
P
P
Leffers
D000328:Adult; D000368:Aged; D001929:Brain Edema / Q000175:diagnosis; D002543:Cerebral Hemorrhage / Q000175:diagnosis; D006259:Craniocerebral Trauma / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance; D055656:Prescriptions; D012189:Retrospective Studies; D014851:Wakefulness
Weinig uniformiteit en slechte therapietrouw bij het wekadvies na trauma capitis.