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SEX DIFFERENCES IN SYMPTOMS, DISABILITY AND LIFE SATISFACTION THREE YEARS AFTER MILD TRAUMATIC BRAIN INJURY: A POPULATION-BASED COHORT STUDY
Umea Univ, Dept Surg & Perioperat Sci, Div Surg, SE-90185 Umea, Sweden.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Umea Univ, Dept Surg & Perioperat Sci, Div Surg, SE-90185 Umea, Sweden.
Umea Univ Hosp, Emergency & Disaster Med Ctr, S-90185 Umea, Sweden.
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2013 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 45, no 8, p. 749-757Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate sex differences in symptoms, structure of symptoms, disability and life satisfaction 3 years after mild traumatic brain injury. Secondary aims were to find risk factors for adverse outcome. Design: Population-based cohort study. Patients: The cohort comprised 137,000 inhabitants at risk in a defined population served by a single hospital in northern Sweden. Patients attending the emergency department following a mild traumatic brain injury in 2001 were included. Methods: Of 214 patients aged 18-64 years, 163 answered a questionnaire on symptoms, disability, and life-satisfaction 3 years post-injury. The instruments were analysed with descriptive statistics. A principal component analysis of the Rivermead Post-Concussion Symptoms Questionnaire was conducted. Risk factors were identified using logistic regression. Results: Post-concussion syndrome was found in 50% of the women and 30% of the men. Disability was found in 52% of the women and 37% of the men, and 57% of the women and 56% of the men were satisfied with their lives. For both genders, high frequency of symptoms was a risk factor for disability and low life satisfaction. Back pain was a risk factor for disability. Living alone was a risk factor for low levels of life satisfaction. The principal component analysis revealed differences between the sexes. Conclusion: There are sex differences in outcome 3 years after mild traumatic brain injury. Women and men should be analysed separately.

Place, publisher, year, edition, pages
2013. Vol. 45, no 8, p. 749-757
Keywords [en]
Follow-up studies, Minor head injury, Odds ratio, Post-concussion syndrome, Principal component analysis, Quality of life, Sex differences, Traumatic brain injury
National Category
Health Sciences Neurology
Identifiers
URN: urn:nbn:se:miun:diva-20661DOI: 10.2340/16501977-1215ISI: 000326357500009Scopus ID: 2-s2.0-84883607652OAI: oai:DiVA.org:miun-20661DiVA, id: diva2:678631
Available from: 2013-12-12 Created: 2013-12-11 Last updated: 2017-12-06Bibliographically approved

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Sojka, Peter

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