One-year follow-up of mild traumatic brain injury: cognition, disability and life satisfaction of patients seeking consultation

J Rehabil Med. 2007 May;39(5):405-11. doi: 10.2340/16501977-0057.


Objective: To investigate cognitive function, symptoms, disabilities and life satisfaction of patients with mild traumatic brain injury who accepted consultation one year post-trauma.

Design: Prospective study.

Patients: Sixty-nine patients (16 accepted the consultation offered, 53 declined).

Methods: At follow-up, the patients answered questionnaires about symptoms, disabilities (RHFUQ) and life satisfaction (LiSat-11). The patients who underwent consultation and their healthy control subjects were administered a neuropsychological evaluation.

Results: In the group undergoing consultation, the number of cognitive tests with outcomes below cut-off limits (-1.5 SD) was statistically significantly higher compared with a control group (21 tests in 11 patients vs 8 tests in 7 control subjects; p=0.025). The number of patients with one or more disability was statistically significantly higher among patients with consultation than without (94% and 34%, respectively; p<0.001). Total RHFUQ score was statistically significantly higher for the group with consultation than without (5.9 +/- 3.7 and 1.1 +/- 2.3, respectively, p<0.001). The group with consultation exhibited a lower level of life satisfaction (41.5 +/- 10.4 vs 45.8 +/- 13.8 for the non-consulting group; p=0.057).

Conclusion: The high frequency of occurrence of disabilities and lower cognitive functioning, together with the lower level of life satisfaction, appear to characterize patients choosing consultation 1 year post-injury. This highlights the importance of offering consultation for persons suffering mild head injuries.

Publication types

  • Comparative Study

MeSH terms

  • Brain Concussion / complications
  • Brain Concussion / diagnosis
  • Brain Concussion / psychology
  • Brain Injuries / complications*
  • Brain Injuries / diagnosis
  • Brain Injuries / psychology
  • Cognition Disorders / diagnosis
  • Cognition Disorders / etiology*
  • Craniocerebral Trauma / complications*
  • Craniocerebral Trauma / diagnosis
  • Craniocerebral Trauma / psychology
  • Disability Evaluation
  • Follow-Up Studies
  • Humans
  • Neuropsychological Tests
  • Personal Satisfaction
  • Post-Concussion Syndrome / diagnosis
  • Post-Concussion Syndrome / psychology
  • Prospective Studies
  • Surveys and Questionnaires