TY  - JOUR
PY  - 2012//
TI  - Posttraumatic Confusion Predicts Patient Cooperation During Traumatic Brain Injury Rehabilitation
JO  - American journal of physical medicine and rehabilitation
A1  - Silva, Marc A.
A1  - Nakase-Richardson, Risa
A1  - Sherer, Mark
A1  - Barnett, Scott D.
A1  - Evans, Clea C.
A1  - Yablon, Stuart A.
SP  - 890
EP  - 893
VL  - 91
IS  - 10
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0894-9115
UR  - http://dx.doi.org/10.1097/PHM.0b013e31825a1648
ID  - ref1
ER  -