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[article] | Titre : |
Accuracy of Self-reported Length of Coma and Posttraumatic Amnesia in Persons With Medically Verified Traumatic Brain Injury |
| Type de document : |
Article |
| Auteurs : |
Mark Sherer ; Angelle M. Sander ; Kacey Little Maestas |
| Article en page(s) : |
p. 652-658 |
| Langues : |
Anglais (eng) |
| 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/a [...] |
in Archives of Physical Medicine and Rehabilitation > 2015/4 (2015) . - p. 652-658
[article] Accuracy of Self-reported Length of Coma and Posttraumatic Amnesia in Persons With Medically Verified Traumatic Brain Injury [Article] / Mark Sherer ; Angelle M. Sander ; Kacey Little Maestas . - p. 652-658. Langues : Anglais ( eng) in Archives of Physical Medicine and Rehabilitation > 2015/4 (2015) . - p. 652-658 | 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/a [...] |
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Ajouter le résultat dans votre panier Faire une suggestion Affiner la recherche15. Comas et personnes âgées : étiologie, évaluation et prise en charge [en fiches : urgences] in Soins gérontologie, Vol. 22, n° 123 (Janvier/février 2017)
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L'après-coma : comment revenir à la vie ? (2014)
Le coma : un saut vers l'inconnu (2010)
