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Impact of early intervention on outcome following mild head injury in adults

2002; BMJ; Volume: 73; Issue: 3 Linguagem: Inglês

10.1136/jnnp.73.3.239

1468-330X

Andres M. Salazar,

Intensive Care Unit Cognitive Disorders

patients. 2 The differential recovery in stress related symptoms between treatment groups in this study is further testimony to the importance of these symptoms to quality of life, as well as to their amenability to proper early management. Although the study was not strictly randomised, patients were alternately assigned to the two treatment groups from consecutive emergency room admissions, and the authors have otherwise shown comparability of the two groups. The differential dropout between treatment groups is unfortunate but not unexpected. Otherwise recovering patients might have been expected to be reluctant to subject themselves to repeated neuropsychological testing. A simple telephonic follow up might have provided critical information on stress symptoms for such patients and should be included in any future confirmatory studies. Future studies should also examine