TY  - JOUR
PY  - 2019//
TI  - Description of the predictors of persistent post-concussion symptoms and disability after mild traumatic brain injury: the SHEFBIT cohort
JO  - British journal of neurosurgery
A1  - Booker, James
A1  - Sinha, Saurabh
A1  - Choudhari, Kishor
A1  - Dawson, Jeremy
A1  - Singh, Rajiv
SP  - 367
EP  - 375
VL  - 33
IS  - 4
N2  - INTRODUCTION: Several patients who suffer Mild Traumatic Brain Injury (mTBI) develop Persistent Post-Concussion Symptoms (PPCS) and long-term disability. Current prognostic models for mTBI have a large unexplained variance, which limits their use in a clinical setting. <br><br>AIM: This study aimed to identify background demographics and mTBI details that are associated with PPCS and long-term disability. <br><br>METHODS: Patients from the SHEFfield Brain Injury after Trauma (SHEFBIT) cohort with mTBI in the Emergency Department (ED) were analysed as part of the study. PPCS and long-term disability were measured using the Rivermead Post-Concussion Questionnaire and the Rivermead Post-Injury Follow-up Questionnaire respectively, during follow up brain injury clinics. <br><br>RESULTS: A representative mTBI sample of 647 patients was recruited with a follow-up rate of 89%. Non-attenders were older (p < 0.001), a greater proportion were retired (p < 0.001) and had a greater burden of comorbidity (p = 0.009). Multivariate analysis identified that female gender, previous psychiatric history, GCS <15, aetiology of assault and alcohol intoxication, were associated with worse recovery. <br><br>CONCLUSION: These findings will support and add to current understanding of MBTI recovery in pursuit of developing a validated prognostic model. This will allow for more accurate prognostication and eventual improved treatment for sufferers of this complex disorder.<p />  <p>Language: en</p>
LA  - en
SN  - 0268-8697
UR  - http://dx.doi.org/10.1080/02688697.2019.1598542
ID  - ref1
ER  -