Traumatic Brain Injury With Brief Loss of Consciousness Clinical Trial
Official title:
Effect of Multidisciplinary Treatment in Patients With Mild Traumatic Brain Injury - a Randomized Controlled Trial
The aim of the study is to compare a multidisciplinary examination and follow up by
rehabilitation program with a multidisciplinary examination, good advice and follow up by the
family doctor.
Further on we will examine if there were differing clinical characteristics between patients
who attended a planned follow-up session and those that failed to and Prognostic factors in
mild traumatic brain injury patients after discharge from hospital.
2 months after an acute mild traumatic brain injury (TBI) defined as Glasgow Coma Scale
between 13 and 15. The patient will get a clinical examination by a specialist in
rehabilitation medicine. Patient who wish or need a further follow up, are out of work or
school, will be included and randomized to either a multidisciplinary follow up or primary
care follow by their family doctor.
Both groups will got a multidisciplinary examination. The multidisciplinary team will work
out a rehabilitation program and a report back to their family doctor.
Patient who got a multidisciplinary follow up will then get individual appointments and they
will follow an educational program for 4 days. The topics are physical and psychical problems
after TBI and problems in daily living and return to work. We will teach a way to accept and
deal with their problems. A cognitive behavioural treatment or a psycho educative approach
will be central in the treatment. The follow up period will be until 2 years if needed.
For booth groups we will make a registration of sick leave for 5 years. The Extended Glasgow
Outcome Scale (GOS- E), Hospital Anxiety and Depression Scale (HAD), Rivermead post
concussion symptoms questionnaire and Patient Global Impression of Change (PGIC) after 6 and
12 months.
Department of Economics at the University of Bergen will make cost-benefit analysis.
Further on we will examine if there were differing clinical characteristics between patients
who attended a planned follow-up session and those that failed to, if sick leave or return to
work could make a difference and Prognostic factors in mild traumatic brain injury patients
after discharge from hospital. We also include demographic data, CT findings and clinical
data based on information from the medical records, pain drawings and numeric rating scale
for pain, Quality of Life and Subjective Health Complaints inventory. We got data about days
on sick leave, diagnosis for sick leave and income for the first year before and after the
injury from The Norwegian Labour and Welfare Service (NAV) through a third accredited agency
Statistics Norway. From Statistics Norway we got additional information about education level
and income.
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