Cognitive Impairment after Severe Traumatic Brain Injury, Clinical Course and Impact on Outcome: A Swedish-Icelandic Study

Behavioural Neurology
Maud StenbergBritt-Marie Stålnacke

Abstract

To assess the clinical course of cognitive and emotional impairments in patients with severe TBI (sTBI) from 3 weeks to 1 year after trauma and to study associations with outcomes at 1 year. Prospective, multicenter, observational study of sTBI in Sweden and Iceland. Patients aged 18-65 years with acute Glasgow Coma Scale 3-8 were assessed with the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS) and the Hospital Anxiety and Depression Scale (HADS). Outcome measures were Glasgow Outcome Scale Extended (GOSE) and Rancho Los Amigos Cognitive Scale-Revised (RLAS-R). Cognition was assessed with the BNIS assessed for 42 patients out of 100 at 3 weeks, 75 patients at 3 months, and 78 patients at 1 year. Cognition improved over time, especially from 3 weeks to 3 months. The BNIS subscales "orientation" and "visuospatial and visual problem solving" were associated with the GOSE and RLAS-R at 1 year. Cognition seemed to improve over time after sTBI and appeared to be rather stable from 3 months to 1 year. Since cognitive function was associated with outcomes, these results indicate that early screening of cognitive function could be of importance for rehabilitation planning in a clinical setting.

References

Nov 1, 1988·Journal of Neurosurgery·J E StarmarkB Rosander
Jan 1, 1988·Acta neurochirurgica·J E StarmarkE Holmgren
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Apr 1, 1981·Journal of Neurology, Neurosurgery, and Psychiatry·B JennettN Brooks
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Jan 23, 1999·Archives of Physical Medicine and Rehabilitation·G P Prigatano, J L Wong
Feb 8, 2002·Journal of Psychosomatic Research·Ingvar BjellandDag Neckelmann
Jun 13, 2003·The Journal of Head Trauma Rehabilitation·Susan R BorgaroSally Alcott
Jun 13, 2003·The Journal of Head Trauma Rehabilitation·Susan R Borgaro, George P Prigatano
Jul 17, 2003·Injury Control and Safety Promotion·Svein KleivenHans von Holst
Dec 9, 2003·Brain Injury : [BI]·Susan R BorgaroNancy Cutter
Aug 4, 2004·The Medical Journal of Australia·Peter G HarradineRoss D Harris
Sep 26, 2007·Journal of Neurotrauma·Johan StyrkeUlf Björnstig
Jun 26, 2008·Journal of the International Neuropsychological Society : JINS·Cristina Bornhofen, Skye McDonald
Apr 13, 2012·The Journal of Head Trauma Rehabilitation·Gershon SpitzJennie Ponsford
Jul 10, 2012·Journal of Neurology, Neurosurgery, and Psychiatry·Chien-Chang LiaoTa-Liang Chen
Dec 20, 2012·The Journal of Head Trauma Rehabilitation·Elizabeth KelleyJohn H Poole
Jun 6, 2014·The Journal of Head Trauma Rehabilitation·Alison K GodboltCatharina Nygren DeBoussard
Apr 29, 2015·Brain Injury : [BI]·Kayela Robertson, Maureen Schmitter-Edgecombe

❮ Previous
Next ❯

Citations

Dec 23, 2016·The Annals of Otology, Rhinology, and Laryngology·Mohit KothariJørgen Feldbæk Nielsen
Jun 10, 2016·Clinical Rehabilitation·Catharina Nygren DeBoussardAlison K Godbolt
Jun 11, 2020·Disability and Rehabilitation·Maud StenbergBritt-Inger Saveman
Sep 20, 2019·Behavioural Neurology·Britt-Marie StålnackeMaud Stenberg
Jul 1, 2020·Scandinavian Journal of Psychology·Trine Okkerstrøm RyttersgaardCarsten Reidies Bjarkam
Aug 9, 2020·Neurorehabilitation and Neural Repair·Louis JacobUNKNOWN CENTER-TBI Participants and Investigators
Nov 17, 2017·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Roseminu VargheseGirish Menon

❮ Previous
Next ❯

Methods Mentioned

BETA
RLAS

Software Mentioned

PROBRAIN

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.