Baseline predictors of fatigue 1 year after mild head injury
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
2009, vol. 90, issue 6, pp 956
Objective: 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. Design: An inception COh0l1 study of participants with MHI and other nonhead injtuies recruited from and interviewed at the emergency department (ED), with a follow-up telephone interview at 12 months. Setting: Level II community hospital ED. Participants: 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 PT A1LOC. and 128 with other mild nOllhead injuries. Inclusion clitelia: age 18 years or older, within 24 hours of injury, Glasgow Coma Scale score of 13 or higher, and discharge from the ED. Interventions: Not applicable. Main Outcome Measure: Medical Outcomes Study 36?? Item Short-FoInl Health Survey Vitality subscale. Results: 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. Conclusions: Fatigue severity 12 months after injury is associated with baseline characteristics and not MHL Clinicians should be cautious about attributing persisting fatigue to MHI without comprehensive consideration of other possible etiologi?? factors. Key Words: Fatigue; Rehabilitation.
deLeon M.B., Kirsch N.L., Maio, R.F., Tan-Schriner C.U., Millis S.R.
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