Early outcome in patients with traumatic brain injury, pre-injury alcohol abuse and intoxication at time of injury

Brain Injury : [BI]
Elaine De GuiseMitra Feyz

Abstract

To investigate the relationship between pre-injury alcohol abuse and intoxication at time of injury on duration of post-traumatic amnesia (PTA) as well as on early functional and neurobehavioural outcomes in persons with traumatic brain injury (TBI) hospitalized in an acute care setting. Sixty persons with mild, moderate and severe TBI admitted to the intensive care unit were part of this retrospective study. Duration of PTA, length of stay (LOS), Extended Glasgow Outcome Scale (GOS-E) score, the FIM dagger score as well as early neuropsychological outcome measured by the Neurobehavioural Rating Scale Revised (NBRS-R). 2-factor ANOVAs and chi-squares tests showed that PTA and LOS were significantly longer in the group of patients with pre-injury alcohol abuse, regardless of whether they were intoxicated or not at the time of injury. Moreover, the FIM total and cognitive scores were significantly higher for the group intoxicated on admission compared to the sober group. However, GOS-E scores and results on the NBRS-R were similar. Despite a longer PTA and LOS, global and neurobehavioural outcomes at discharge from acute care were not different for those with pre-injury alcohol abuse.

References

Nov 1, 1979·The Journal of Nervous and Mental Disease·H S LevinR G Grossman
Jul 1, 1992·Brain Injury : [BI]·C P Kaplan, J D Corrigan
Jul 1, 1989·Brain Injury : [BI]·N BrooksW McKinlay
Mar 1, 1989·American Journal of Public Health·J F KrausP Nourjah
Feb 1, 1987·Journal of Neurology, Neurosurgery, and Psychiatry·H S LevinH E Gary
Apr 1, 1981·Journal of Neurology, Neurosurgery, and Psychiatry·B JennettN Brooks
Jan 1, 1982·Alcoholism, Clinical and Experimental Research·E S ParkerR Schoenberg
Aug 1, 1995·Annals of Emergency Medicine·S S DikmenN R Temkin
Apr 1, 1995·Archives of Physical Medicine and Rehabilitation·J D Corrigan
Jun 1, 1997·Brain Injury : [BI]·M P KellyM M Winslow
May 20, 1998·Drug and Alcohol Dependence·M J Selby, R L Azrin
Oct 2, 1998·Brain Injury : [BI]·C H Bombardier, C A Thurber
Jul 20, 2000·Brain Injury : [BI]·S A Kolakowsky-HaynerW O Mckinley
Mar 23, 2002·International Journal of Nursing Studies·Paul D TysonBela Aggarwal
Dec 11, 2002·Archives of Physical Medicine and Rehabilitation·Charles H BombardierHeather Zintel
Jun 13, 2003·The Journal of Head Trauma Rehabilitation·Harle ThomasHowell Lin
Apr 16, 2004·Journal of Rehabilitation Medicine·J David CassidyUNKNOWN WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury
Aug 19, 2004·Journal of Neurology, Neurosurgery, and Psychiatry·C McIntosh, J Chick
Jan 1, 2008·Archives of Physical Medicine and Rehabilitation·Chad D VickeryAngelle Sander

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Citations

May 3, 2012·Brain Imaging and Behavior·Sara B Rosenbaum, Michael L Lipton
Jun 27, 2014·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Rael T LangeGrant L Iverson
Jun 14, 2013·Brain Injury : [BI]·A J de KloetT P M Vliet Vlieland
Jan 28, 2016·Neuroscience and Biobehavioral Reviews·Zachary M WeilKate Karelina
Sep 1, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·Gregory NemunaitisMelvin Mejia
May 28, 2013·Journal of Safety Research·Janessa M GravesFrederick P Rivara
Sep 20, 2017·The Journal of Head Trauma Rehabilitation·Simon Beaulieu-BonneauMarie-Christine Ouellet
Aug 19, 2016·Journal of the International Neuropsychological Society : JINS·Noah D SilverbergRael T Lange
Nov 28, 2012·Journal of Clinical Psychology in Medical Settings·Paul R King, Laura O Wray
Nov 22, 2019·Substance Use & Misuse·Edmund GradyElango Edhayan
Jan 18, 2020·Brain Injury : [BI]·Thomas Jackson HumphriesRajiv Singh
May 17, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·N Ahmed, P Greenberg
Nov 11, 2016·Journal of Clinical and Experimental Neuropsychology·David J Unsworth, Jane L Mathias

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