Purpose

Little is known about cognitive-communication skills post mild traumatic brain injury (mTBI). We aimed to determine how performance on cognitive-communication measures in the acute recovery period relates to early outcome following complicated mTBI.

Method

Results of language and communication skill measures, demographic and accident-related data, length of stay (LOS), Glasgow Outcome Scale-Extended (GOSE) scores and discharge destinations were retrospectively gathered for 128 admitted patients with complicated mTBI.

Results

More than half of the individuals required rehabilitation services post discharge from hospital with over a third needing in-patient rehabilitation. Patients with poorer skills in auditory comprehension, verbal reasoning, confrontation naming, verbal fluency and conversational discourse were more likely to require in-patient rehabilitation. Subjects with worse skills in naming, conversational discourse and letter-category verbal fluency had a greater chance of being referred to out-patient rehabilitation services. Thus patients with both auditory comprehension and oral expression deficits were more likely to require in-patient services whereas those who had oral expression deficits but no significant difficulty in auditory comprehension were more often referred to out-patient services. Also, worse conversational discourse skills and semantic-category naming ability were related to lower GOSE scores and the chance of a longer LOS was greater when letter-category naming was poorer.

Conclusion

The likelihood of individuals requiring rehabilitation services post mTBI was related to performance on several oral expression and auditory comprehension measures. It is therefore important to evaluate cognitive-communication skills early to determine rehabilitation needs.

中文翻译：

---

轻度脑外伤后的认知交流技巧和急性预后。

目的

关于轻度颅脑损伤（mTBI）后的认知交流技能知之甚少。我们旨在确定在复杂的mTBI之后的急性恢复期认知沟通措施的绩效与早期结果之间的关系。

方法

回顾性收集了128例患有mTBI的入院患者的语言和沟通技巧测量，人口统计和事故相关数据，住院时间（LOS），格拉斯哥扩展结局量表（GOSE）得分和出院目的地的结果。

结果

一半以上的人出院后需要康复服务，三分之一以上的人需要住院康复。听觉理解，口头推理，对立命名，口头流利度和对话能力较差的患者更有可能需要住院康复。在命名，对话话语和字母类别的语言流利性方面技能较差的受试者更有可能被转介至门诊康复服务。因此，既有听觉理解能力又有口语表达障碍的患者更有可能需要住院服务，而那些有听觉理解能力不足但听觉理解能力没有明显困难的患者则更多地被称为门诊服务。也，

结论

个人在mTBI之后需要康复服务的可能性与几种口头表达和听觉理解措施的表现有关。因此，重要的是尽早评估认知沟通技巧，以确定康复需求。