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Overview of Traumatic Brain Injury Patients at a Tertiary Trauma Centre

Published online by Cambridge University Press:  02 December 2014

Elaine de Guise ,
Mitra Feyz ,
Joanne LeBlanc ,
Sylvain-Luc Richard  and
Julie Lamoureux
Elaine de Guise
Affiliation:
Traumatic Brain Injury Program, McGill University Health Centre, Montreal, General Hospital (MUHC-MGH), Montreal, Quebec, Canada
Mitra Feyz
Affiliation:
Traumatic Brain Injury Program, McGill University Health Centre, Montreal, General Hospital (MUHC-MGH), Montreal, Quebec, Canada
Joanne LeBlanc
Affiliation:
Traumatic Brain Injury Program, McGill University Health Centre, Montreal, General Hospital (MUHC-MGH), Montreal, Quebec, Canada
Sylvain-Luc Richard
Affiliation:
Traumatic Brain Injury Program, McGill University Health Centre, Montreal, General Hospital (MUHC-MGH), Montreal, Quebec, Canada
Julie Lamoureux
Affiliation:
Traumatic Brain Injury Program, McGill University Health Centre, Montreal, General Hospital (MUHC-MGH), Montreal, Quebec, Canada
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Abstract:

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Objective:

The goal of this study was to provide a general descriptive and cognitive portrait of a population with traumatic brain injury (TBI) at the time of their acute care stay.

Material and methods:

Three hundred and forty-eight TBI patients were assessed. The following data were collected for each patient: age, level of education, duration of post-traumatic amnesia, Galveston Orientation Amnesia Test score, Glasgow Coma Scale score, results of cerebral imaging, Neurobehavioral Rating Scale score, the Functional Independence Measure cognitive score and the Glasgow Outcome Scale score.

Results:

The clinical profile of the population revealed a mean age of 40.2 (±18.7) and a mean of 11.5 (±3.6) years of education. Most patients presented with frontal (57.6%) and temporal (40%) lesions. Sixty-two percent had post-traumatic amnesia of less than 24 hours. Seventy percent presented with mild TBI, 14% with moderate and 15% with severe TBI. The cognitive deficits most frequently observed on the Neurobehavioral Rating Scale were in the areas of attention, memory and mental flexibility as well as slowness and mental fatigability. Most patients had good cognitive outcome on the Functional Independence Measure and scores of 2 and 3 were frequent on the GOS. Forty-five percent of the patients returned home after discharge, 51.7% were referred to in or out patient rehabilitation and 3.2% were transferred to long-term care facilities.

Conclusion:

Because of the specialized mandate of acute care institutions, the information provided here concerning characteristics of our TBI population is essential for more efficient decision-making and planning/programming with regards to care and service delivery.

Résumé:

RÉSUMÉ:But:

Le but de cette étude est de présenter le tableau initial tant au plan descriptif que cognitif des traumatisés crâniens (TCs) lors de leur séjour dans un centre de soins actifs.

Matériel et méthodes:

348 TCs ont été évalués. Les données suivantes ont été colligées pour chaque patient : l’âge, le niveau d’instruction, la durée de l’amnésie post-traumatique, le score au test d’orientation et d’amnésie de Galveston, le score à l’échelle de Coma de Glasgow (GCS), les résultats de l’imagerie cérébrale, le score à l’échelle neurocomportementale révisée (NRS), le score cognitif de la mesure d’indépendance fonctionnelle et le score à l’échelle de devenir (issue) de Glasgow (GOS).

Résultats:

La moyenne d’âge des patients était de 40,2 ans (± 18,7) et ils avaient en moyenne 11,5 années (± 3,6) d’instruction. La plupart des patients avaient une lesion frontale (57,6%) ou temporale (40%). Soixante-deux pour cent ont eu une amnésie post-traumatique de moins de 24 heures. Soixantedix pour cent avaient subi un traumatisme crânien léger, 14% un traumatisme modéré et 15% un traumatisme sévère. Les déficits cognitifs les plus fréquemment observés selon le NRS étaient ceux de l’attention, de la mémoire et de la flexibilité mentale ainsi qu’un ralentissement psychomoteur et de la fatigabilité. La plupart des patients ont eu un bon rendement avec des scores de 2 et 3 au GOS. Quarante-cinq pour cent des patients sont retournés à la maison après leur congé de l’hôpital, 51,7% ont été référés en réadaptation (interne ou externe) et 3,2% ont été transférés dans un centre de soins de longue durée.

Conclusion:

Comme le mandat des centres de soins actifs est spécifique, les caractéristiques de notre série de TCs pourraient aider à la prise de décision et à la planification des soins et des services offerts à cette population.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 32 , Issue 2 , May 2005 , pp. 186 - 193
Copyright
Copyright © The Canadian Journal of Neurological 2005

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