Brain Injury ( IF 1.5 ) Pub Date : 2020-08-24 , DOI: 10.1080/02699052.2020.1810316 Thomas Crichton 1 , Rajiv Singh 1, 2 , Kessewa Abosi-Appeadu 3 , Gary Dennis 1, 4
Study Objectives
To identify the prevalence of excessive daytime sleepiness (EDS) in a prospectively recruited patient population with traumatic brain injury (TBI) of mixed severity. Furthermore, the study aimed to assess the relationship between patient factors and EDS.
Method
One-hundred and eighteen patients with TBI were assessed in a neurorehabilitation clinic after discharge from the emergency department. Enrolled participants were evaluated using several TBI-related outcome measures, 6–8 weeks after injury.
Results
EDS (defined using the Epworth Sleepiness Scale ≥10) occurred in 48 of 118 (41.7%) patients in this study. Anxiety; depression; change in ability to work; employment status; global outcome (GOSE); social and functional outcome (RHFUQ); and symptom severity (RPCS) were associated with EDS in a univariate analysis. Anxiety was the only factor associated with EDS in the multivariate analysis (OR: 0.28 [95% CI: 0.09–0.90], P = .032).
Conclusion
EDS is common after TBI in a community setting and is associated with several factors, which likely interact to contribute toward worse outcome. Anxiety is a factor that, if routinely assessed and considered during patient care choices, may assist in favorable sleep-related outcome during and after post-TBI recovery.
中文翻译:
脑外伤后白天过度嗜睡。
研究目标
在前瞻性招募的混合严重程度脑外伤(TBI)的患者人群中确定白天过度嗜睡(EDS)的患病率。此外,该研究旨在评估患者因素与EDS之间的关系。
方法
从急诊科出院后,在神经康复诊所对一百零八名TBI患者进行了评估。在受伤后6-8周,使用几种TBI相关的结局指标对入组的参与者进行了评估。
结果
在本研究中,有118例患者中有48例(41.7%)发生了EDS(使用Epworth嗜睡量表≥10定义)。焦虑; 萧条; 工作能力的改变;就业状况; 全球结果(GOSE);社会和功能结局(RHFUQ);单因素分析显示,症状严重程度(RPCS)与EDS相关。在多变量分析中,焦虑是与EDS相关的唯一因素(OR:0.28 [95%CI:0.09–0.90],P = .032 )。
结论
EDS在TBI后的社区环境中很常见,并且与多种因素有关,这些因素可能相互作用而导致更糟的结果。焦虑是一个因素,如果在选择患者护理期间进行常规评估和考虑,则可能有助于在TBI恢复期间和之后有利的睡眠相关结局。