Demographic evaluation of Post-Concussion Syndrome in referrals to Bandar Abbas Forensic Medical Center, South of Iran from March 2020 to August 2021
DOI:
https://doi.org/10.22317/jcms.v8i2.1157Keywords:
Post-Concussion Syndrome (PCS), Mild traumatic brain injury (MTBI), SymptomsAbstract
Objectives: The aim of the present study is the demographicassessment of PCS in referrals to forensic medical centersin Bandar Abbas.
Methods: This cross-sectional and descriptive study was performed on 72 patients with mild brain trauma who were referred to Bandar Abbas forensic medical center. PCS was confirmed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. Information on age, sex, mechanism of trauma, the time interval between the first visit to the forensic medical center, level of consciousness, number of hospitals stays days, number of days in ICU, and symptoms at initial referral were recorded in the designed form.
Results: The mean age of patients was 30.81 ± 13.39 years. There was a significant difference in sex and mechanisms of trauma (P < 0.001). The average time interval of the first referral to forensic medical center was 9.44 ± 18.37 days.87.5% were hospitalized and only 9.7% were hospitalized at ICU. The consciousness level of all patients was in the range of 12 to 15 (mild range).Among symptoms, headache (87.5%) and dizziness (81.9%) were the most significant prevalent symptoms. 70.8% of patients had no symptoms one month after the accident but 12.5% still had symptoms and only 9.7% still had symptoms of concussion after3 months.
Conclusion: According to the results, PCS mostly happened in the male gender and the main mechanism of trauma was an accident. Headache and dizziness were the main symptoms. Only a small percentage of patients have symptoms after one month and three months, post-injury.
References
Hadanny A, Efrati S. Treatment of persistent post-concussion syndrome due to mild traumatic brain injury: current status and future directions. Expert Rev Neurother. 2016;16(8):875-87.
Evans RW. The postconcussion syndrome and the sequelae of mild head injury. Neurol Clin. 1992;10(4):815-47.
Foy K, Murphy KC. Post-concussion syndrome. Br J Hosp Med (Lond). 2009;70(8):440-3.
Meares S, Shores EA, Taylor AJ, Batchelor J, Bryant RA, Baguley IJ, et al. The prospective course of postconcussion syndrome: the role of mild traumatic brain injury. Neuropsychology. 2011;25(4):454-65.
Ponsford J, Cameron P, Fitzgerald M, Grant M, Mikocka-Walus A, Schonberger M. Predictors of postconcussive symptoms 3 months after mild traumatic brain injury. Neuropsychology. 2012;26(3):304-13.
Edna TH, Cappelen J. Late post-concussional symptoms in traumatic head injury. An analysis of frequency and risk factors. Acta Neurochir (Wien). 1987;86(1-2):12-7.
Diagnostic A. statistical manual of mental disorders. Washington. DC: American Psychiatric Association. 1994;4.
Organization WH. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines: World Health Organization; 1992.
Binder LM. A review of mild head trauma. Part II: Clinical implications. J Clin Exp Neuropsychol. 1997;19(3):432-57.
King NS, Kirwilliam S. Permanent post-concussion symptoms after mild head injury. Brain Inj. 2011;25(5):462-70.
Sterr A, Herron KA, Hayward C, Montaldi D. Are mild head injuries as mild as we think? Neurobehavioral concomitants of chronic post-concussion syndrome. BMC Neurol. 2006;6:7.
Wang Y, Chan RC, Deng Y. Examination of postconcussion-like symptoms in healthy university students: relationships to subjective and objective neuropsychological function performance. Arch Clin Neuropsychol. 2006;21(4):339-47.
Zakzanis KK, Yeung E. Base rates of post-concussive symptoms in a nonconcussed multicultural sample. Arch Clin Neuropsychol. 2011;26(5):461-5.
Dean PJ, O’Neill D, Sterr A. Post-concussion syndrome: prevalence after mild traumatic brain injury in comparison with a sample without head injury. Brain Inj. 2012;26(1):14-26.
Balakrishnan B, Rus RM, Chan KH, Martin AG, Awang MS. Prevalence of Postconcussion Syndrome after Mild Traumatic Brain Injury in Young Adults from a Single Neurosurgical Center in East Coast of Malaysia. Asian J Neurosurg. 2019;14(1):201-5.
Varner C, Thompson C, de Wit K, Borgundvaag B, Houston R, McLeod S. Predictors of persistent concussion symptoms in adults with acute mild traumatic brain injury presenting to the emergency department. CJEM. 2021;23(3):365-73.
Beauchamp F, Boucher V, Neveu X, Ouellet V, Archambault P, Berthelot S, et al. Post-concussion symptoms in sports-related mild traumatic brain injury compared to non-sports-related mild traumatic brain injury. CJEM. 2021;23(2):223-31.
van der Vlegel M, Polinder S, Toet H, Panneman MJM, Haagsma JA. Prevalence of Post-Concussion-Like Symptoms in the General Injury Population and the Association with Health-Related Quality of Life, Health Care Use, and Return to Work. J Clin Med. 2021;10(4).
Ryan LM, Warden DL. Post concussion syndrome. Int Rev Psychiatry. 2003;15(4):310-6.
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