Author Affiliations: Center for Traumatic Brain Injury Research, Kessler Foundation, East Hanover, and Department of Physical Medicine and Rehabilitation, Rutgers, New Jersey Medical School, Newark, New Jersey (Drs Krch and Lequerica); Department of Psychology, Virginia Commonwealth University, Richmond, Virginia (Dr Arango-Lasprilla); and Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, Ohio (Dr Corrigan).
J Head Trauma Rehabil. 2024;39(5):E399-E406. doi: 10.1097/HTR.0000000000000939. Epub 2024 Sep 10.
To examine whether exposure to high-risk events causing injury to the head or neck has an effect on neurobehavioral symptoms in the absence of an alteration of consciousness in Spanish-speakers.
Web-based survey.
Seven hundred forty-eight individuals from Spain and Latin America, aged 18 to 65 years, with 10 years or more of education. Thirty-nine participants failed quality checks and were excluded. Seven hundred nine participants were included in the analyses.
Cross-sectional study. Subconcussive exposure was defined as endorsing exposure to one or more high-risk scenarios in the absence of any alteration of consciousness. Three injury groups were derived: No Head Injury, Subconcussive Exposure, and traumatic brain injury (TBI). The Subconcussive Exposure group was further divided into Single and Multiple Exposures. Two analyses were conducted: the effect of lifetime exposure to injury (No Head Injury, Subconcussive Exposure, TBI) on neurobehavioral symptoms; the effect of Subconcussive Exposure Frequency (No Head Injury, Single Exposure, Multiple Exposures) on neurobehavioral symptoms.
Spanish Ohio State University Traumatic Brain Injury Identification Method Self-Administered-Brief (OSU TBI-ID SAB); Neurobehavioral Symptom Inventory (NSI).
There was a significant effect for Injury group on the NSI partial eta-squared (η p2 = 0.053) and a significant effect of Exposure Frequency group on the NSI (η p2 = 0.40). Individuals with subconcussive exposures reported significantly more neurobehavioral symptoms than those with no history of head injury and significantly less symptoms than those with TBI. Individuals with multiple subconcussive exposures reported significantly more neurobehavioral symptoms than those with single and no exposure.
This research expands the utility of the OSU-TBI-ID SAB as a lifetime TBI history assessment tool to one capable of evaluating subconcussive exposure dosing effects in Spanish-speakers. Such an index may facilitate establishment of subconcussive exposure prevalence rates worldwide, leading to improved understanding of the chronic effects of high-risk exposures.
研究在西班牙裔人群中，头部或颈部受伤高危事件暴露是否会导致神经行为症状，而不考虑意识改变。
基于网络的调查。
来自西班牙和拉丁美洲的 748 名年龄在 18 至 65 岁之间、接受过 10 年或以上教育的参与者。39 名参与者未通过质量检查被排除。709 名参与者被纳入分析。
横断面研究。亚临床性暴露定义为在没有任何意识改变的情况下，报告接触过一个或多个高风险场景。得出了三个损伤组：无头部损伤、亚临床性暴露和创伤性脑损伤（TBI）。亚临床性暴露组进一步分为单次暴露和多次暴露。进行了两项分析：一生中暴露于损伤（无头部损伤、亚临床性暴露、TBI）对神经行为症状的影响；亚临床性暴露频率（无头部损伤、单次暴露、多次暴露）对神经行为症状的影响。
西班牙俄亥俄州立大学创伤性脑损伤识别方法自我管理简短版（OSU TBI-ID SAB）；神经行为症状清单（NSI）。
损伤组对 NSI 偏 eta 平方（η p2 = 0.053）有显著影响，暴露频率组对 NSI 有显著影响（η p2 = 0.40）。有亚临床性暴露的个体报告的神经行为症状明显多于无头部损伤史的个体，明显少于 TBI 个体。有多次亚临床性暴露的个体报告的神经行为症状明显多于单次和无暴露的个体。
这项研究扩展了 OSU-TBI-ID SAB 作为一种评估一生中 TBI 史的工具的效用，使其能够评估西班牙语人群中亚临床性暴露的剂量效应。这样的指标可以促进在全球范围内建立亚临床性暴露的流行率，从而更好地了解高危暴露的慢性影响。
