Factors related to cognitive dysfunction after traumatic brain injury
10.3760/cma.j.issn.0254-1424.2020.06.004
- VernacularTitle:颅脑损伤患者认知障碍相关因素分析
- Author:
Jingsong MU
1
;
Chaomin NI
;
Ming WU
;
Wenxiang FAN
;
Fengjuan XU
;
Li WANG
;
Zheng LIU
;
Liling LIU
Author Information
1. 中国科学技术大学附属第一医院(安徽省立医院)康复医学科，合肥 230001
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2020;42(6):500-504
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the factors related to cognitive dysfunction after traumatic brain injury.Methods:A total of 55 patients with traumatic brain injury were analyzed retrospectively. The clinical information about the patients, including age, gender, paralyzed side, course of the disease, type of injury, degree of injury, treatment, speech function (grades of Boston aphasia severity), swallowing function (7-level evaluation method), limb motor function (Brunnstrom stages of the upper limb, hand and lower limb), complications (tracheotomy, lung infection, urinary tract infection, pressure sores, electrolyte imbalance and hypoproteinemia), whether the patient received rehabilitation therapy, and D-dimer and coagulation examination results were recorded. Univariate analysis and ordered multi-class logistic regression analysis were conducted to screen the related factors using Rancho Los Amigos cognitive function grades as the dependent variable.Results:The results of the univariate analysis showed that consciousness, aphasia severity, swallowing ability, Brunnstrom stages, having received a tracheotomy, urinary tract infection, hypoproteinemia, fibrinogen and D-dimer all significantly predicted Rancho Los Amigos cognitive function grades. The logistic regression analysis showed that disordered consciousness, aphasia severity, Brunnstrom stage of the upper limbs, and urinary tract infection were significant predictors.Conclusions:Disordered consciousness, aphasia severity, Brunnstrom stage of the upper limbs, and urinary tract infection are factors related to cognitive dysfunction after traumatic brain injury.
