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Age differences in outcome after mild traumatic brain injury: results from the HeadSMART study.

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Title: Age differences in outcome after mild traumatic brain injury: results from the HeadSMART study.
Authors: Richey, Lisa N., Rao, Vani, Roy, Durga, Narapareddy, Bharat R., Wigh, Shreya, Bechtold, Kathleen T., Sair, Haris I., Van Meter, Timothy E., Falk, Hayley, Leoutsakos, Jeannie-Marie, Yan, Haijuan, Lyketsos, Constantine G., Korley, Frederick K., Peters, Matthew E.
Source: International Review of Psychiatry. Feb2020, Vol. 32 Issue 1, p22-30. 9p.
Subjects: Diagnosis of mental depression, Brain concussion diagnosis, Age distribution, Brain injuries, Convalescence, Hospital emergency services, Questionnaires, Risk assessment, Logistic regression analysis, Acute diseases, Odds ratio
Abstract: This study longitudinally examined age differences across multiple outcome domains in individuals diagnosed with acute mild traumatic brain injury (mTBI). A sample of 447 adults meeting VA/DoD criteria for mTBI was dichotomized by age into older (≥65 years; n = 88) and younger (<65 years; n = 359) sub-groups. All participants presented to the emergency department within 24 hours of sustaining a head injury, and outcomes were assessed at 1-, 3-, and 6-month intervals. Depressive symptoms were assessed using the Patient Health Questionnaire–9 (PHQ-9), post-concussive symptoms (PCS) were ascertained with the Rivermead Post-Concussion Questionnaire (RPQ), and functional recovery from the Extended Glasgow Outcome Scale (GOSE). Mixed effects logistic regression models showed that the rate of change over time in odds of functional improvement and symptom alleviation did not significantly differ between age groups (p = 0.200–0.088). Contrary to expectation, older adults showed equivalent outcome trajectories to younger persons across time. This is a compelling finding when viewed in light of the majority opinion that older adults are at risk for significantly worse outcomes. Future work is needed to identify the protective factors inherent to sub-groups of older individuals such as this. [ABSTRACT FROM AUTHOR]
Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Age differences in outcome after mild traumatic brain injury: results from the HeadSMART study.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22International+Review+of+Psychiatry%22&quot;&gt;International Review of Psychiatry&lt;/searchLink&gt;. Feb2020, Vol. 32 Issue 1, p22-30. 9p.
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  Data: This study longitudinally examined age differences across multiple outcome domains in individuals diagnosed with acute mild traumatic brain injury (mTBI). A sample of 447 adults meeting VA/DoD criteria for mTBI was dichotomized by age into older (≥65 years; n = 88) and younger (&lt;65 years; n = 359) sub-groups. All participants presented to the emergency department within 24 hours of sustaining a head injury, and outcomes were assessed at 1-, 3-, and 6-month intervals. Depressive symptoms were assessed using the Patient Health Questionnaire–9 (PHQ-9), post-concussive symptoms (PCS) were ascertained with the Rivermead Post-Concussion Questionnaire (RPQ), and functional recovery from the Extended Glasgow Outcome Scale (GOSE). Mixed effects logistic regression models showed that the rate of change over time in odds of functional improvement and symptom alleviation did not significantly differ between age groups (p = 0.200–0.088). Contrary to expectation, older adults showed equivalent outcome trajectories to younger persons across time. This is a compelling finding when viewed in light of the majority opinion that older adults are at risk for significantly worse outcomes. Future work is needed to identify the protective factors inherent to sub-groups of older individuals such as this. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of International Review of Psychiatry is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540261.2019.1657076
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      – Code: eng
        Text: English
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      – SubjectFull: Diagnosis of mental depression
        Type: general
      – SubjectFull: Brain concussion diagnosis
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Brain injuries
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      – SubjectFull: Convalescence
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      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Risk assessment
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      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Acute diseases
        Type: general
      – SubjectFull: Odds ratio
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      – TitleFull: Age differences in outcome after mild traumatic brain injury: results from the HeadSMART study.
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              Text: Feb2020
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