Abstract
OBJECTIVE:
To describe the 1-year course of symptoms following mild traumatic brain injury (MTBI) sustained in a motor vehicle collision as well as patterns of care-seeking.
DESIGN:
One-year follow-up of a population-based inception cohort.
SETTING:
The province of Saskatchewan, Canada, with a population of about 1,000,000 inhabitants.
PARTICIPANTS:
Persons (N=1716) sustaining an MTBI during a car collision between November 1997 and December 1999.
INTERVENTIONS:
Not applicable.
MAIN OUTCOME MEASURES:
We report the prevalence of sleep disturbances, tiredness, dizziness, forgetfulness, vision problems, hearing problems, headache, neck pain, mid back pain, and low back pain at 6 weeks and 3, 6, 9, and 12 months postcollision. At the same time points, we report self-reported care-seeking from registered health care professionals.
RESULTS:
A total of 1716 adults suffered MTBI after a motor vehicle collision over the 2-year inception period. Six weeks after the collision, 75% reported having more than 3 symptoms and 30% had clinically significant pain in more than 3 body sites. Over time, the prevalence of symptoms and pain decreased but they were still common after 1 year. Almost all participants sought care for their symptoms at all time points, most commonly from a physician. Care-seeking from physiotherapists, chiropractors, and massage therapists was also very common, and most participants sought care from 2 or 3 providers at all follow-up points.
CONCLUSIONS:
Up to 1 year after sustaining an MTBI during a motor vehicle collision, multiple symptoms and pain in several anatomical sites are common. Care-seeking from multiple providers continues throughout the first year postinjury.
Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
KEYWORDS:
Brain concussion, Cohort studies, Health care seeking behaviour, Rehabilitation
- PMID:
- 24581914
- [PubMed - in process]
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