Analysis of related factors of postconcussional syndrome after mild traumatic brain injury
HE Jianxun1 MENG Qinglong1 DUAN Guanghui1 GU Shuli1 MO Yanhong1 HE Ruifang2 WEI Hongtao1
1.Department of Neurology, the Affiliated Hospital of Northwest University for Nationalities, Gansu Province, Lanzhou 730000, China;
2.Department of Psychosomatic Diseases, the Affiliated Hospital of Northwest University for Nationalities, Gansu Province, Lanzhou 730000, China
Abstract：Objective To analyze the related factors of postconcussional syndrome after mild craniocerebral injury, in order to provide clinical basis for the prevention and treatment of postconcussion syndrome. Methods Clinical data of 48 patients with postconcussional syndrome after mild head injury (case group) and 30 asymptomatic patients (control group) after mild head injury for three months were collected from the Affiliated Hospital of Northwest University for Nationalities from August 2016 to June 2019. Univariate analysis and logistic regression analysis were used to screen the influencing factors of postconcussion syndrome after mild head injury. Results In the case group, the proportion of occupational instability, the proportion of injury caused by violence, the proportion of life stress, the proportion of patients with physical disease before injury, and the proportion of no compensation or litigation after injury were all higher than those in the control group, and the differences were statistically significant (P ＜ 0.05). Multivariate logistic regression analysis showed that occupational stability, other causes of injury, and compensation or litigation were protective factors of postconcussion syndrome after mild head injury (OR ＜ 1, P ＜ 0.05). Conclusion The cause of injury, compensation or litigation, and occupation may be the important influencing factors of postconcussion syndrome after mild brain injury.
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