Citation

Silva MA, Nakase-Richardson R, Sherer M, Barnett SD, Evans CC, Yablon SA. Am. J. Phys. Med. Rehabil. 2012; 91(10): 890-893.

Affiliation

Mental Health and Behavioral Sciences Service, James A. Haley Veterans' Hospital, Tampa, Florida (MAS, RN-R); Research Center of Excellence for Maximizing Rehabilitation Outcomes, Tampa, Florida (RN-R, SDB); Department of Psychology, University of South Florida, Tampa (RN-R); TIRR Memorial Hermann, Houston, Texas (MS); Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas (MS); Methodist Rehabilitation Center, Jackson, Mississippi (CCE); University of Mississippi Medical Center, Jackson, Mississippi (CCE); Glenrose Rehabilitation Hospital, Edmonton, AB, Canada (SAY); and Division of Physical Medicine & Rehabilitation, University of Alberta, Edmonton, AB, Canada (SAY).

Copyright

(Copyright © 2012, Lippincott Williams and Wilkins)

DOI

10.1097/PHM.0b013e31825a1648

PMID

22660372

Abstract

Scant research has examined the relationship between posttraumatic confusion (PTC) and cooperation during rehabilitation from moderate to severe traumatic brain injury. In this study, PTC and cooperation were examined in a prospective cohort of 74 inpatients with traumatic brain injury. Confusion was measured using the Confusion Assessment Protocol. Cooperation was rated on a 0-100 scale by rehabilitation therapists. Using multiple regression analysis, PTC significantly predicted cooperation (R = 0.33, P < 0.001). Age at injury, education, days since injury, and Glasgow Come Scale scores were not significant predictors. Bivariate analyses indicated that four PTC symptoms significantly predicted poorer cooperation: daytime hypersomnolence (ρ = -0.42, P < 0.001), agitation (ρ = -0.39, P = 0.001), psychosis (ρ = -0.39, P = 0.001), and cognitive impairment (ρ = -0.24, P = 0.04). Results provide empirical support that PTC is associated with poorer cooperation and empirical justification for interventions to manage confusion during early recovery from traumatic brain injury.

Language: en