de Guise Elaine, Feyz Mitra, LeBlanc Joanne, Richard Sylvain-Luc, Lamoureux Julie
Traumatic Brain Injury Program, McGill University Health Centre, Montreal General Hospital, Montreal, Quebec, Canada.
Can J Neurol Sci. 2005 May;32(2):186-93. doi: 10.1017/s0317167100003954.
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.
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.
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.
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.
本研究的目的是对创伤性脑损伤（TBI）患者在急性护理期间的总体情况进行描述并了解其认知状况。
对348例TBI患者进行了评估。收集了每位患者的以下数据：年龄、教育程度、创伤后遗忘持续时间、加尔维斯顿定向遗忘测试分数、格拉斯哥昏迷量表分数、脑成像结果、神经行为评分量表分数、功能独立性测量认知分数和格拉斯哥预后量表分数。
该人群的临床特征显示平均年龄为40.2岁（±18.7），平均受教育年限为11.5年（±3.6）。大多数患者表现为额叶（57.6%）和颞叶（40%）损伤。62%的患者创伤后遗忘时间少于24小时。70%的患者为轻度TBI，14%为中度，15%为重度TBI。神经行为评分量表上最常观察到的认知缺陷在注意力、记忆、心理灵活性以及反应迟钝和精神疲劳方面。大多数患者在功能独立性测量中认知结果良好，格拉斯哥预后量表评分为2分和3分的情况很常见。45%的患者出院后回家，51.7%被转介到门诊或住院康复，3.2%被转至长期护理机构。
由于急性护理机构的特殊任务，此处提供的有关我们TBI人群特征的信息对于在护理和服务提供方面更有效地进行决策和规划/方案制定至关重要。
