title: Emergency department assessment of mild traumatic brain injury and prediction of post-concussion symptoms at one month post injury.
abstract: Mild traumatic brain injury (mTBI) is a common injury and a significant proportion of those affected report chronic symptoms. This study investigated prediction of post-concussion symptoms using an Emergency Department (ED) assessment that examined neuropsychological and balance deficits and pain severity of 29 concussed individuals. Thirty participants with minor orthopedic injuries and 30 ED visitors were recruited as control subjects. Concussed and orthopedically injured participants were followed up by telephone at one month to assess symptom severity. In the ED, concussed subjects performed worse on some neuropsychological tests and had impaired balance compared to controls. They also reported significantly more post-concussive symptoms at follow-up. Neurocognitive impairment, pain and balance deficits were all significantly correlated with severity of post-concussion symptoms. The findings suggest that a combination of variables assessable in the ED may be useful in predicting which individuals will suffer persistent post-concussion problems.
authors.affiliation: St. Vincent's Hospital, Darlinghurst, NSW, Australia. jsheedy@stvincents.com.au
authors.forename: Joanne
authors.initials: J
authors.lastname: Sheedy
authors.forename: Gina
authors.initials: G
authors.lastname: Geffen
authors.forename: James
authors.initials: J
authors.lastname: Donnelly
authors.forename: Steven
authors.initials: S
authors.lastname: Faux
mesh_terms: D000328:Adult; D000647:Amnesia / Q000175:diagnosis / Q000209:etiology; D001259:Ataxia / Q000175:diagnosis / Q000209:etiology; D001924:Brain Concussion / Q000150:complications / Q000175:diagnosis*; D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000209:etiology; D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests / Q000592:standards; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D038223:Post-Concussion Syndrome / Q000175:diagnosis*; D011187:Posture; D011237:Predictive Value of Tests; D012016:Reference Values; D015203:Reproducibility of Results; D018570:Risk Assessment / Q000379:methods; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices; D014947:Wounds and Injuries / Q000150:complications / Q000175:diagnosis