de Leon Marita B, Kirsch Ned L, Maio Ronald F, Tan-Schriner Cheribeth U, Millis Scott R, Frederiksen Shirley, Tanner Clare L, Breer M Lynn
Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48109-5742, USA.
Arch Phys Med Rehabil. 2009 Jun;90(6):956-65. doi: 10.1016/j.apmr.2008.12.016.
To compare reports of fatigue 12 months after minor trauma by participants with mild head injury (MHI) with those with other injury, and identify injury and baseline predictors of fatigue.
An inception cohort study of participants with MHI and other nonhead injuries recruited from and interviewed at the emergency department (ED), with a follow-up telephone interview at 12 months.
Level II community hospital ED.
Participants (n=58) with MHI and loss of consciousness (LOC) of 30 minutes or less and/or posttraumatic amnesia (PTA) less than 24 hours, 173 with MHI but no PTA/LOC, and 128 with other mild nonhead injuries.
age 18 years or older, within 24 hours of injury, Glasgow Coma Scale score of 13 or higher, and discharge from the ED.
Not applicable.
Medical Outcomes Study 36-Item Short-Form Health Survey Vitality subscale.
Significant predictors of fatigue severity at 12 months were baseline fatigue, having seen a counselor for a mental health issue, medical disability, marital status, and in some stage of litigation. Injury type was not a significant predictor.
Fatigue severity 12 months after injury is associated with baseline characteristics and not MHI. Clinicians should be cautious about attributing persisting fatigue to MHI without comprehensive consideration of other possible etiologic factors.
比较轻度颅脑损伤（MHI）参与者与其他损伤参与者在轻度创伤后12个月时的疲劳报告，并确定疲劳的损伤及基线预测因素。
一项起始队列研究，从急诊科招募患有MHI和其他非头部损伤的参与者并进行访谈，在12个月时进行随访电话访谈。
二级社区医院急诊科。
58名患有MHI且意识丧失（LOC）30分钟或更短时间和/或创伤后遗忘（PTA）少于24小时的参与者，173名患有MHI但无PTA/LOC的参与者，以及128名患有其他轻度非头部损伤的参与者。
年龄18岁或以上，受伤后24小时内，格拉斯哥昏迷量表评分为13或更高，且从急诊科出院。
不适用。
医学结局研究36项简短健康调查活力子量表。
12个月时疲劳严重程度的显著预测因素为基线疲劳、因心理健康问题看过咨询师、医疗残疾、婚姻状况以及处于诉讼的某个阶段。损伤类型不是显著预测因素。
损伤后12个月的疲劳严重程度与基线特征相关，而非与MHI相关。临床医生在未全面考虑其他可能的病因因素的情况下，不应轻易将持续疲劳归因于MHI。
