| Titre : | Accuracy of Self-reported Length of Coma and Posttraumatic Amnesia in Persons With Medically Verified Traumatic Brain Injury (2015) |
| Auteurs : | Mark Sherer ; Angelle M. Sander ; Kacey Little Maestas |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/4, 2015) |
| Article en page(s) : | p. 652-658 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Amnésie ; Autorapport ; Coma ; Rééducation et réadaptation |
| Mots-clés: | Amnesia ; Brain injuries ; traumatic ; Lésions traumatiques de l'encéphale ; Self Report ; Trauma Severity Indices ; Indices de gravité des traumatismes |
| Résumé : |
Objective To determine the accuracy of self-reported length of coma and posttraumatic amnesia (PTA) in persons with medically verified traumatic brain injury (TBI) and to investigate factors that affect self-report of length of coma and PTA duration. Design Prospective cohort study. Setting Specialized rehabilitation center with inpatient and outpatient programs. Participants Persons (N=242) with medically verified TBI who were identified from a registry of persons who had previously participated in TBI-related research. Intervention Not applicable. Main Outcome Measures Self-reported length of coma and self-reported PTA duration. Results Review of medical records revealed that the mean medically documented length of coma and PTA duration was 6.9+12 and 19.2+22 days, respectively, and the mean self-reported length of coma and PTA duration was 16.7+22 and 106+194 days, respectively. The average discrepancy between self-report and medical record for length of coma and PTA duration was 8.2+21 and 64+176 days, respectively. Multivariable regression models revealed that time since injury, performance on cognitive tests, and medical record values were associated with self-reported values for both length of coma and PTA duration. Conclusions In this investigation, persons with medically verified TBI showed poor accuracy in their self-report of length of coma and PTA duration. Discrepancies were large enough to affect injury severity classification. Caution should be exercised when considering self-report of length of coma and PTA duration. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314012398 |
Bibliothèques HE Vinci
