Mild traumatic brain injury in New Zealand: factors influencing post-concussion symptom recovery time in a specialised concussion service.

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dc.citation.issue2
dc.citation.volume10
dc.contributor.authorForrest RHJ
dc.contributor.authorHenry JD
dc.contributor.authorMcGarry PJ
dc.contributor.authorMarshall RN
dc.coverage.spatialAustralia
dc.date.accessioned2024-06-12T02:42:44Z
dc.date.available2024-06-12T02:42:44Z
dc.date.issued2018-06-28
dc.description.abstractINTRODUCTION: By 2020, traumatic brain injuries (TBIs) are predicted to become the third largest cause of disease burden globally; 90% of these being mild traumatic brain injury (mTBI). Some patients will develop post-concussion syndrome. AIM: To determine whether the time between sustaining a mTBI and the initial assessment by a specialised concussion service, along with the post-concussion symptoms reported at the assessment, affected recovery time. METHODS: A retrospective medical record review of clients who had completed the Rivermead Post-Concussion Questionnaire (RPQ) at their initial assessment and were discharged from a large metropolitan concussion service in New Zealand was undertaken over a 6-month period in 2014 (n = 107). Using correlations, General Linear Mixed-effects Models (GLMM) and linear regressions, we explored associations between factors including ethnicity, gender and accident type, along with individual RPQ symptom scores and cluster scores, with time from injury to initial assessment by the specialised concussion service and initial assessment to discharge. RESULTS: Time from injury to initial assessment by a specialist concussion service was correlated with proportionally more psychological symptoms present at initial assessments (r = 0.222, P = 0.024); in particular, feeling depressed or tearful (r = 0.292, P = 0.003). Time to discharge was correlated with individual RPQ symptom proportions present at initial assessment for headaches (r = -0.238, P = 0.015), sensitivity to noise (r = 0.220, P = 0.026), feeling depressed or tearful (r = 0.193, P = 0.051) and feeling frustrated or impatient (r = 0.252, P = 0.003), along with the psychological cluster proportion (r = 0.235, P = 0.017) and the total RPQ score (r = 0.425, P < 0.001). CONCLUSION: Prompt diagnosis and treatment of mTBI may minimise the severity of post-concussion symptoms, especially symptoms associated with mental health and wellbeing.
dc.description.confidentialfalse
dc.edition.edition2018
dc.format.pagination159-166
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/30068471
dc.identifier.citationForrest RHJ, Henry JD, McGarry PJ, Marshall RN. (2018). Mild traumatic brain injury in New Zealand: factors influencing post-concussion symptom recovery time in a specialised concussion service.. J Prim Health Care. 10. 2. (pp. 159-166).
dc.identifier.doi10.1071/HC17071
dc.identifier.eissn1172-6156
dc.identifier.elements-typejournal-article
dc.identifier.issn1172-6164
dc.identifier.piiHC17071
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/69806
dc.languageeng
dc.publisherCSIRO Publishing
dc.relation.isPartOfJ Prim Health Care
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAge Factors
dc.subjectAged
dc.subjectBrain Concussion
dc.subjectEthnicity
dc.subjectFemale
dc.subjectHumans
dc.subjectLinear Models
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectNew Zealand
dc.subjectPost-Concussion Syndrome
dc.subjectRetrospective Studies
dc.subjectSex Factors
dc.subjectTime-to-Treatment
dc.subjectYoung Adult
dc.titleMild traumatic brain injury in New Zealand: factors influencing post-concussion symptom recovery time in a specialised concussion service.
dc.typeJournal article
pubs.elements-id486508
pubs.organisational-groupCollege of Health
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