TY  - JOUR
PY  - 2018//
TI  - Pharmacological treatment for depression at injury is associated with fewer clinician visits for persistent symptoms after mild traumatic brain injury: a medical record review study
JO  - PM & R : the journal of injury, function, and rehabilitation
A1  - Kruse, Ryan C.
A1  - Li, Zhuo
A1  - Prideaux, Cara C.
A1  - Brown, Allen W.
SP  - 898
EP  - 902
VL  - 10
IS  - 9
N2  - BACKGROUND: Depression and traumatic brain injury (TBI) substantially contribute to the United States healthcare burden. Depression is a known risk factor for prolonged recovery after TBI. However, the effect of depression treatment on health care utilization has yet to be studied. <br><br>OBJECTIVE: To examine whether an association exists between pharmacologic treatment of depression at the time of mild or concussive TBI and the number of subsequent clinician visits for persistent injury-related symptoms. <br><br>DESIGN: Retrospective medical record review. SETTING: Tertiary care medical center. PARTICIPANTS: A total of 120 patients (mean age 45.6 years) with a history of depression who subsequently experienced a mild or concussive TBI were included. <br><br>METHODS: Individuals were identified with co-occurring diagnoses of depression and mild or concussive TBI by retrospective electronic medical record review. The diagnosis of depression must have preceded the diagnosis of TBI. MAIN OUTCOME: The number of clinician visits for post-injury symptoms were counted at 3, 6, and 12 months post-injury. <br><br>RESULTS: Clinician visits for persistent injury-related symptoms were significantly fewer at all 3 time points for the group treated for depression at time of injury. <br><br>CONCLUSIONS: Depressed individuals who were pharmacologically treated for depression at the time of TBI had significantly fewer clinician visits for persistent post-injury symptoms than those not pharmacologically treated for depression at the time of injury. Routine depression screening in patients with a high risk for TBI may identify a mood disorder which could contribute to persistent symptoms if left untreated, with its effective management potentially reducing health-related costs. LEVEL OF EVIDENCE: III.<br><br>Copyright © 2018 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1934-1482
UR  - http://dx.doi.org/10.1016/j.pmrj.2018.03.003
ID  - ref1
ER  -