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在住院患者脑损伤康复期间影响创伤后失忆症康复的因素:回顾性队列研究

Rathi Ratha Krishnan^1,2,3, Yuhan Yang^2,4, Emily Yee^1,5

¹Institute of Rehabilitation Excellence (IREx), Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore.

Life (Basel, Switzerland)

|February 27, 2026

概括

年龄较大和住院时间较长增加了创伤性脑损伤 (TBI) 后长期创伤后失忆症 (PTA) 的风险. 较短的逗留时间和年轻的年龄与更好的结果和更快的PTA出现有关.

科学领域:

神经科学是一个神经科学.
创伤外科手术创伤外科
康复医学康复医学康复医学

背景情况:

在创伤性脑损伤 (TBI) 中,较长时间的创伤后记忆丧失 (PTA) 与不良的功能结果,认知缺陷和持久残疾有关.
了解影响PTA持续时间的因素对于改善患者预后至关重要.

研究的目的:

调查与PTA持续时间和成人TBI患者出现相关的人口统计学,急性TBI和康复因素.
确定长期PTA的预测因素,以告知临床管理和康复策略.

主要方法:

追溯队列研究分析了2022年4月至2023年5月的成人TBI患者记录.
收集的数据包括社会人口统计,TBI严重程度和康复指标 (例如,功能独立度量 - FIM).
相关变量是PTA持续时间 (≤30天 vs. >30天) 和PTA出现.

主要成果:

年龄较大 (≥55岁) 显著增加了长期PTA的可能性 (5.6倍).
较长的急性停留时间 (ALOS) 是一个强有力的预测因素,每增加一天,延长PTA的几率增加1.15.
较低的入院FIM分数 (≤40) 与长期PTA的风险增加3.35倍有关.

结论:

在TBI发病时的年龄较大和延长的ALOS是长期PTA的重要风险因素.
较高的入院FIM分数,年龄较小和ALOS较短与PTA持续时间的减少有关.
这些发现强调了年龄和急性护理持续时间在TBI恢复中的重要性.

关键词:

韦斯特米德创伤后记忆丧失量表.测量功能独立性的措施.老年人的医疗服务在住院患者的治疗中.后创伤性记忆丧失症在创伤后的记忆丧失症康复康复康复康复康复康复创伤性脑损伤是一种创伤性脑损伤

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