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Báo cáo y học: " No impact of early intervention on late outcome after minimal, mild and moderate head injury"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: No impact of early intervention on late outcome after minimal, mild and moderate head injury | Heskestad et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 10 http www.sjtrem.eom content 18 1 10 SCANDINAVIAN JOURNAL OF t emergency medicine ORIGINAL RESEARCH Open Access No impact of early intervention on late outcome after minimal mild and moderate head injury o Z- ư . I_I Z- I- I . - -J 1 2 I 1 . I I A 4- . V I Z S. z 3 4 D I I D S S 1 c I k f I_I r I mt 2 Oz r f I m M 3 5 I z V I U J l .izi Z J fm V k3 5 Ben HesKestad Knut Waterloo noald Baardsen EiriK Helseth Bertil nomner lor Ingebrigtsen Abstract Objectives To evaluate the effect of an educational intervention on outcome after minimal mild and moderate head injury. Methods Three hundred and twenty six patients underwent stratified randomization to an intervention group n 163 or a control group n 163 . Every second patient was allocated to the intervention group. Participants in this group were offered a cognitive oriented consultation two weeks after the injury while subjects allocated to the control group were not. Both groups were invited to follow up 3 and 12 months after injury. Results A total of 50 15 patients completed the study intervention group n 22 13 control group n 28 17 not significant . There were no statistically significant differences between the intervention group and the control group. Conclusions There was no effect on outcomes from an early educational intervention two weeks after head injury. Introduction Minimal mild and moderate head injuries are common and many patients suffer from post-concussion symptoms after the head injury. Headaches vertigo irritability fatigue depression and daytime sleepiness are frequent symptoms but others can be listed. Although post-concussional symptoms usually resolve within days or weeks mild head injury may have a persistent longterm impact comprising physical cognitive and emotional sequela for several months or years post injury 1-11 . A number of treatments including medication for headache bed rest and .