TY  - JOUR
PY  - 2012//
TI  - Specificity of post-concussion symptoms at 3 months after mild traumatic brain injury. Results from a prospective study
JO  - Injury prevention
A1  - Lagarde, E.
A1  - Masson, F.
A1  - Ribereau-Gayon, R.
A1  - Zongo, D.
A1  - Salmi, Louis-Rachid
A1  - Laborey, M.
SP  - A78
EP  - A78
VL  - 18
IS  - Suppl 1
N2  - Background Common complaints after mild traumatic brain injury (MTBI) include headaches, anxiety, irritability, and sleep disturbances, but these symptoms also occur in the non head-injured population. Whether they are more frequent among MTBI patients should help identify those that could be considered as part of the post concussion syndrome (PCS).    Aims/Objectives/Purpose We assessed the specificity of symptoms proposed in the three main scales used to measure PCS: post concussion symptoms listed in the Rivermead Post Concussion Symptoms Questionnaire (RPQ), the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), and the 10th International Classification of Diseases (ICD-10).    Methods A cohort of 536 patients with MTBI and a comparison group of 946 patients with non-head injuries were recruited in the Adult Emergency Department (ED) of a teaching hospital in Bordeaux, France. Specificity of symptoms was assessed comparing MTBI and comparison patients at 3 months taking in to account baseline levels before ED admission.    Results/Outcomes 8 symptoms were identified as being specific to MTBI: headaches, dizziness, intolerance of stress, forgetfulness, poor concentration, taking longer to think, blurred vision, and personality change. Eight symptoms were found to be not specific to MTBI: nausea, noise sensitivity, irritability, anxiety, feeling frustrated, double vision, light sensitivity and restlessness.    Significance/Contribution to the Field The relevance of symptoms proposed to constitute PCS should be reviewed. A more specific definition of PCS would make diagnosis easier and facilitate prevention as well as treatment of patients with MTBI.     This is an abstract of a presentation at Safety 2012, the 11th World Conference on Injury Prevention and Safety Promotion, 1-4 October 2012, Michael Fowler Center, Wellington, New Zealand. Full text does not seem to be available for this abstract. <p />
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/injuryprev-2012-040580g.21
ID  - ref1
ER  -