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Neuropsychological and behavioral disorders, functional outcomes and quality of life in traumatic brain injury victims
INTRODUCTION: the assessment of neuropsychological and behavioral disorders outcomes, functional outcomes and quality of life in traumatic brain injury victims. It was also to evaluate initial means of care provided to these patients. Finally, to study correlations between neuropsychological and beh...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308941/ https://www.ncbi.nlm.nih.gov/pubmed/34367425 http://dx.doi.org/10.11604/pamj.2021.38.346.16120 |
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author | Sameh, Ghroubi Islem, Feki Samar, Alila Hedi, Chelly Mounir, Bouaziz Habib, Elleuch Mohamed |
author_facet | Sameh, Ghroubi Islem, Feki Samar, Alila Hedi, Chelly Mounir, Bouaziz Habib, Elleuch Mohamed |
author_sort | Sameh, Ghroubi |
collection | PubMed |
description | INTRODUCTION: the assessment of neuropsychological and behavioral disorders outcomes, functional outcomes and quality of life in traumatic brain injury victims. It was also to evaluate initial means of care provided to these patients. Finally, to study correlations between neuropsychological and behavioral disorders with demographic characteristics, injury severity, functional status and quality of life. METHODS: it was a cross-sectional study including 50 patients with traumatic brain injury conducted in the physical medicine and rehabilitation department of Sfax. Memory disorders were tested by the mini mental state and the Glaveston orientation and amnesia tests. Executive functions were evaluated by the dysexecutive function scale. The psychological profile was evaluated using the hospital anxiety and depression scale and behavioral disorders were tested by the agitated behavior scale. Glasgow outcome scale has allowed the assessment of traumatic brain injury severity in terms of disability. Otherwise, functional capacity was measured by functional independence measure scale. Finally, health-related quality of life was measured using a generic measure (short-form-36) and the QOLIBRI scales. RESULTS: abnormal executive functions were noted in 41 patients (82%) with a dysexcutive function average score of 33.20 ± 22.74. About psychological profile, depressive symptoms were found in 32 patients (64%). Moreover anxiety was noted in 20 patients (40%). Behavioral disorders such as aggressiveness and agitation were noted respectively in 32 (64%) and 8 patients (16%). The global social functional evolution was considered as unfavorable in 42% of the patients and favorable in 58%. Regarding to functional independence measure scale, 92% of the victims showed impairment. Memory impairment and abnormal executive functions were statistically correlated with traumatic brain injury severity. Elementary brain injury lesions shown on computed tomography were correlated with memory disorders especially for temporal, cortical brain contusion and diffuse axonal injury. Our study showed that patients with severe memory impairment, abnormal executive functions and depressive mood had significant functional. CONCLUSION: the executive function disorders, depressed mood and the memory disorders seemed to be the most frequent among neuropsychological disorders in traumatic brain injury. We noted that it is so important to evaluate neuropsychological disorders in traumatic brain injury because they were underestimated. We have already started this experience despite the lack of means in our department. The evaluation of the executive function in addition to the classic neuropsychological assessment is essential to propose efficient means of rehabilitation. |
format | Online Article Text |
id | pubmed-8308941 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-83089412021-08-06 Neuropsychological and behavioral disorders, functional outcomes and quality of life in traumatic brain injury victims Sameh, Ghroubi Islem, Feki Samar, Alila Hedi, Chelly Mounir, Bouaziz Habib, Elleuch Mohamed Pan Afr Med J Research INTRODUCTION: the assessment of neuropsychological and behavioral disorders outcomes, functional outcomes and quality of life in traumatic brain injury victims. It was also to evaluate initial means of care provided to these patients. Finally, to study correlations between neuropsychological and behavioral disorders with demographic characteristics, injury severity, functional status and quality of life. METHODS: it was a cross-sectional study including 50 patients with traumatic brain injury conducted in the physical medicine and rehabilitation department of Sfax. Memory disorders were tested by the mini mental state and the Glaveston orientation and amnesia tests. Executive functions were evaluated by the dysexecutive function scale. The psychological profile was evaluated using the hospital anxiety and depression scale and behavioral disorders were tested by the agitated behavior scale. Glasgow outcome scale has allowed the assessment of traumatic brain injury severity in terms of disability. Otherwise, functional capacity was measured by functional independence measure scale. Finally, health-related quality of life was measured using a generic measure (short-form-36) and the QOLIBRI scales. RESULTS: abnormal executive functions were noted in 41 patients (82%) with a dysexcutive function average score of 33.20 ± 22.74. About psychological profile, depressive symptoms were found in 32 patients (64%). Moreover anxiety was noted in 20 patients (40%). Behavioral disorders such as aggressiveness and agitation were noted respectively in 32 (64%) and 8 patients (16%). The global social functional evolution was considered as unfavorable in 42% of the patients and favorable in 58%. Regarding to functional independence measure scale, 92% of the victims showed impairment. Memory impairment and abnormal executive functions were statistically correlated with traumatic brain injury severity. Elementary brain injury lesions shown on computed tomography were correlated with memory disorders especially for temporal, cortical brain contusion and diffuse axonal injury. Our study showed that patients with severe memory impairment, abnormal executive functions and depressive mood had significant functional. CONCLUSION: the executive function disorders, depressed mood and the memory disorders seemed to be the most frequent among neuropsychological disorders in traumatic brain injury. We noted that it is so important to evaluate neuropsychological disorders in traumatic brain injury because they were underestimated. We have already started this experience despite the lack of means in our department. The evaluation of the executive function in addition to the classic neuropsychological assessment is essential to propose efficient means of rehabilitation. The African Field Epidemiology Network 2021-04-11 /pmc/articles/PMC8308941/ /pubmed/34367425 http://dx.doi.org/10.11604/pamj.2021.38.346.16120 Text en Copyright: Ghroubi Sameh et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Sameh, Ghroubi Islem, Feki Samar, Alila Hedi, Chelly Mounir, Bouaziz Habib, Elleuch Mohamed Neuropsychological and behavioral disorders, functional outcomes and quality of life in traumatic brain injury victims |
title | Neuropsychological and behavioral disorders, functional outcomes and quality of life in traumatic brain injury victims |
title_full | Neuropsychological and behavioral disorders, functional outcomes and quality of life in traumatic brain injury victims |
title_fullStr | Neuropsychological and behavioral disorders, functional outcomes and quality of life in traumatic brain injury victims |
title_full_unstemmed | Neuropsychological and behavioral disorders, functional outcomes and quality of life in traumatic brain injury victims |
title_short | Neuropsychological and behavioral disorders, functional outcomes and quality of life in traumatic brain injury victims |
title_sort | neuropsychological and behavioral disorders, functional outcomes and quality of life in traumatic brain injury victims |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308941/ https://www.ncbi.nlm.nih.gov/pubmed/34367425 http://dx.doi.org/10.11604/pamj.2021.38.346.16120 |
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