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Disability in young people and adults one year after head injury: prospective cohort study

Thornhill, S., Teasdale, G.M., Murray, G.D., McEwen, J., Roy, C., and Penny, K.I. (2000) Disability in young people and adults one year after head injury: prospective cohort study. British Medical Journal, 320 . pp. 1631-1635. ISSN 0959-535X (doi:10.1136/bmj.320.7250.1631)

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Publisher's URL: http://dx.doi.org/10.1136/bmj.320.7250.1631

Abstract

OBJECTIVE: To determine the frequency of disability in young people and adults admitted to hospital with a head injury and to estimate the annual incidence in the community. DESIGN: Prospective, hospital based cohort study, with one year follow up of sample stratified by coma score. SETTING: Five acute hospitals in Glasgow. SUBJECTS: 2962 patients (aged 14 years or more) with head injury; 549 (71%) of the 769 patients selected for follow up participated. MAIN OUTCOME MEASURES: Glasgow outcome scale and problem orientated questionnaire. RESULTS: Survival with moderate or severe disability was common after mild head injury (47%, 95% confidence interval 42% to 52%) and similar to that after moderate (45%, 35% to 56%) or severe injury (48%, 36% to 60%). By extrapolation from the population identified (90% of whom had mild injuries), it was estimated that annually in Glasgow (population 909 498) 1400 young people and adults are still disabled one year after head injury. CONCLUSION: The incidence of disability in young people and adults admitted with a head injury is higher than expected. This reflects the high rate of sequelae previously unrecognised in the large number of patients admitted to hospital with an apparently mild head injury.

Item Type:Article
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Teasdale, Prof Graham and McEwen, Prof James and Murray, Ms Gillian and Roy, Dr Christopher
Authors: Thornhill, S., Teasdale, G.M., Murray, G.D., McEwen, J., Roy, C., and Penny, K.I.
Subjects:R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
College/School:College of Medical Veterinary and Life Sciences
Journal Name:British Medical Journal
Journal Abbr.:BMJ
Publisher:BMJ Publishing Group
ISSN:0959-535X
ISSN (Online):1756-1833
Copyright Holders:© BMJ Publishing Group
First Published:First published in the BMJ 320:1631-1635
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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