TY - JOUR PY - 2007// TI - Gender and traumatic brain injury: Do the sexes fare differently? JO - Brain injury A1 - Ratcliff, Jennifer J. A1 - Greenspan, Arlene I. A1 - Goldstein, F. C. A1 - Stringer, Anthony Y. A1 - Bushnik, Tamara A1 - Hammond, Flora M. A1 - Novack, Thomas A. A1 - Whyte, J. A1 - Wright, D. W. SP - 1023 EP - 1030 VL - 21 IS - 10 N2 - Objective: To examine the relationship between gender and cognitive recovery 1 year following traumatic brain injury (TBI). Methods: Patients with blunt TBI were identified from the TBI Model Systems of Care National Database, multi-centre cohort study. The included patients (n = 325) were 16-45 years at injury, admitted to an acute care facility within 24 hours, received inpatient rehabilitation, had documented admission Glasgow Coma Scale (GCS) scores, completed neuropsychological follow-up 1 year post-injury and did not report pre-morbid learning problems. Multivariate analyses of variance examined the unadjusted association between gender and six cognitive domains examining attention/working memory, verbal memory, language, visual analytic skills, problem-solving and motor functioning. Analyses of covariance models were constructed to determine if confounding factors biased the observed associations. Results: Females performed significantly better than males on tests of attention/working memory and language. Males outperformed females in visual analytic skills. Gender remained significantly associated with performance in these areas when controlling for confounding variables. Conclusions: These results suggest a better cognitive recovery of females than males following TBI. However, future studies need to include non-TBI patients to control for possible pre-injury gender-related differences, as well as to conduct extended follow-ups to determine the stability of the observed differences.

Language: en

LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699050701633072 ID - ref1 ER -