title: Acute global outcome in patients with mild uncomplicated and complicated traumatic brain injury.
abstract: OBJECTIVE
  This study assesses the influence of socio-demographic, psychosocial, clinical and radiological variables on the outcome of patients with mild traumatic brain injury (MTBI) in an acute care inpatient setting.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  A total of 2127 inpatients with MTBI were included. Outcomes measured were Extended Glasgow Outcome Scale (GOS-E), the FIM® instrument, length of stay (LOS) and discharge destination.
  
  
  RESULTS
  Fifty-four per cent of patients with MTBI with a median GOS-E of 2 were discharged home with no need for further follow-up. Age, LOS, lower Glasgow score (GCS) at admission, insurance coverage and positive CT scans were associated with rehabilitation referrals on discharge. Age, LOS, alcohol and drug abuse, motor vehicle collision and lower GCS at admission were associated with greater physical disabilities and functional impairment at discharge. FIM® cognitive functional scores were higher in women, younger patients and patients without psychiatric disorders. Brain lesions were correlated with longer LOS. CT scan findings in patients with MTBI may help clinicians predict the final outcome and resources required for patient care during their hospitalization and on discharge.
  
  
  CONCLUSIONS
  This study can help healthcare professionals in treating and planning future care of patients with MTBI.
authors: Physical Medicine and Rehabilitation Department, McGill University Health Centre-Montreal General Hospital, Montreal, Quebec, Canada.
authors: Jehane H
authors: JH
authors: Dagher
authors: Andreane
authors: A
authors: Richard-Denis
authors: Julie
authors: J
authors: Lamoureux
authors: Elaine
authors: E
authors: de Guise
authors: Mitra
authors: M
authors: Feyz
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D001930:Brain Injuries / Q000453:epidemiology* / Q000534:rehabilitation; D002170:Canada / Q000453:epidemiology; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D015600:Glasgow Coma Scale; D023261:Glasgow Outcome Scale; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning; D010351:Patient Discharge / Q000706:statistics & numerical data*; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology