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：

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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。