Journal of Korean Neurosurgical Society

  • 제55권1호
  • /
  • Pages.18-25
  • /
  • 2014
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Prognostic Factors of Neurocognitive and Functional Outcomes in Junior and Senior Elderly Patients with Traumatic Brain Injury Undergoing Disability Evaluation or Appointed Disability Evaluation

  • Jung, Young-Jin (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Kim, Oh-Lyong (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Kim, Min-Su (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Cheon, Eun-Jin (Department of Psychiatry, College of Medicine, Yeungnam University) ;
  • Bai, Dai-Seg (Department of Psychiatry, College of Medicine, Yeungnam University)
  • 투고 : 2013.02.16
  • 심사 : 2013.12.16
  • 발행 : 2014.01.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective : This study explored the relationships among demographic (DVs) and clinical variables (CVs), neurocognitive (NOs) and functional outcome (FO) that could be used as prognostic factors for old aged patients with traumatic brain injury (TBI) undergoing or appointed disability evaluation (DE) after treatment. Methods : A total of 162 subjects with TBI above the age of 55 years undergoing DE or appointed to do so after treatments were selected. The patients were divided into two subgroups according to age : a junior elderly group 55 to 64 years old and a senior elderly group over the age of 65. NOs and FO were evaluated using the Seoul Neuropsychological Screening Battery and Clinical Dementia Rating scale. Results : Gender, age, and education level were shown to significantly impact the recovery of NOs after TBI. Other DVs and CVs such as area of residency, occupation, type of injury, or loss of consciousness were not found to significantly affect the recovery of NOs after TBI. Analysis of the relationships among DVs, CVs and NOs demonstrated that gender, age, and education level contributed to the variance of NOs. In FO, loss of consciousness (LOC) was included to prognostic factor. Conclusion : Gender, age and education level significantly influence the NOs of elderly patients with TBI. LOC may also serve as a meaningful prognostic factor in FO. Unlike younger adult patients with TBI, old aged patients with TBI did not show global faking-bad or malingering attitudes to DE for compensation, but assume that they could faking their performance in a test set available visual feedback.

키워드

참고문헌

  1. Albert M, Duffy FH, Naeser M : Nonlinear changes in cognition with age and their neuropsychologic correlates. Can J Psychol 41 : 141-157, 1987
  2. Carroll LJ, Cassidy JD, Peloso PM, Borg J, von Holst H, Holm L, et al. : Prognosis for mild traumatic brain injury : results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med (43 Suppl) : 84-105, 2004
  3. Chesnust RM, Ghajar J, Maas AIR, Marion DW, Servadei R, Teasdale GM, et al. : Early indicators of prognosis in severe traumatic brain injury in Brain Trauma Foundation, American Association of Neurological Surgeons (eds) : Management and Prognosis of Severe Traumatic Brain Injury. New York : Brain Trauma Foundaion, 2000, pp1-116
  4. Choi SH, Na DL, Lee BH, Hahm DS, Jeong JH, Yoon SJ, et al. : Estimating the validity of the Korean version of expanded clinical dementia rating (CDR) scale. J Korean Neurol Assoc 19 : 585-591, 2001
  5. Choi SW, Koh HS, Yeom JY, Kim SH, Song SH, Kim Y : Clinical analysis of the risk factors and prognostic factors of delayed deterioration following mild head injury. J Korean Neurosurg Soc 28 : 1316-1323, 1999
  6. Depreitere B, Meyfroidt G, Roosen G, Ceuppens J, Grandas FG : Traumatic brain injury in the elderly : a significant phenomenon. Acta Neurochir Suppl 114 : 289-294, 2012 https://doi.org/10.1007/978-3-7091-0956-4_56
  7. Farace E, Alves WM : Do women fare worse? A metaanalysis of gender differences in outcome after traumatic brain injury. Neurosurg Focus 8 : e6, 2000
  8. Fillenbaum GG, Peterson B, Morris JC : Estimating the validity of the clinical Dementia Rating Scale : the CERAD experience. Consortium to Establish a Registry for Alzheimer's Disease. Aging (Milano) 8 : 379-385, 1996
  9. Hyde JS, Linn MC : Gender differences in verbal ability : a meta-analysis. Psychological Bulletin 104 : 53-69, 1988 https://doi.org/10.1037/0033-2909.104.1.53
  10. Jeon IC, Kim OL, Kim MS, Kim SH, Chang CH, Bai DS : The effect of premorbid demographic factors on the recovery of neurocognitive function in traumatic brain injury patients. J Korean Neurosurg Soc 44 : 295-302, 2008 https://doi.org/10.3340/jkns.2008.44.5.295
  11. Jeung YH : The Life Expectancy and Health-Adjusted Life Expectancy of Koreans The life expectancy and health-adjusted life expectancy of Koreans. Health and Welfare Forum 193 : 5-18, 2012
  12. Kang YU, Na DL : Seoul neuropsychological screening battery. Incheon : Human Brain Research & Consulting Co, 2003
  13. Kim E : Elderly in Silver JM, McAllister TW, Yudofsky SC (eds) : Textbook of Traumatic Brain Injury. Arlington : American Psychiatric Publishing, Inc., 2005, pp495-508
  14. Lezak MD, Howieson DB, Bigler ED, Tranel D : Neuropsychological Assessment, ed 5. New York : Oxford University Press, 2012, pp354-361
  15. Morris JC : The Clinical Dementia Rating (CDR) : current version and scoring rules. Neurology 43 : 2412-2414, 1993
  16. MRC CRASH Trial Collaborators, Perel P, Arango M, Clayton T, Edwards P, Komolafe E, et al. : Predicting outcome after traumatic brain injury : practical prognostic models based on large cohort of international patients. BMJ 336 : 425-429, 2008 https://doi.org/10.1136/bmj.39461.643438.25
  17. Murray GD, Teasdale GM, Braakman R, Cohadon F, Dearden M, Iannotti F, et al. : The European Brain Injury Consortium survey of head injuries. Acta Neurochir (Wien) 141 : 223-236, 1999 https://doi.org/10.1007/s007010050292
  18. O'Neill S, Brady RR, Kerssens JJ, Parks RW : Mortality associated with traumatic injuries in the elderly : a population based study. Arch Gerontol Geriatr 54 : e426-e430, 2012 https://doi.org/10.1016/j.archger.2012.01.007
  19. Park YS, Kim HJ, Whang K, Pyen JS, Hu C, Hong SK : Clinical characteristics and prognosis of mild head injury in the elderly. J Korean Neurosurg Soc 31 : 564-568, 2002
  20. Shin TH, Gong CB, Kim MS, Kim JS, Bai DS, Kim OL : Development of a cognitive level explanation model in brain injury : comparisons between disability and non-disability evaluation groups. J Korean Neurosurg Soc 48 : 506-517, 2010 https://doi.org/10.3340/jkns.2010.48.6.506
  21. Statistics Korea : Press materials : Statistics of old ages at 2011. Seoul : Statistics Korea, 2012
  22. Teasdale G, Jennett B : Assessment of coma and impaired consciousness. A practical scale. Lancet 2 : 81-84, 1974
  23. van Velzen JM, van Bennekom CA, Edelaar MJ, Sluiter JK, Frings-Dresen MH : Prognostic factors of return to work after acquired brain injury : a systematic review. Brain Inj 23 : 385-395, 2009 https://doi.org/10.1080/02699050902838165
  24. Wilson RS, Hebert LE, Scherr PA, Barnes LL, Mendes de Leon CF, Evans DA : Educational attainment and cognitive decline in old age. Neurology 72 : 460-465, 2009 https://doi.org/10.1212/01.wnl.0000341782.71418.6c

피인용 문헌

  1. Comparison of Functional Outcomes Between Elderly and Young Patients With Traumatic Brain Injury in a Subacute Rehabilitation Unit vol.35, pp.2, 2014, https://doi.org/10.1097/tgr.0000000000000224