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Introduction of the Abbreviated Westmead Post-Traumatic Amnesia Scale and Impact on Length of Stay.
Watson, C E; Clous, E A; Jaeger, M; D'Amours, S K.
Afiliação
  • Watson CE; 1 Occupational Therapy Department, Liverpool Hospital, Liverpool, NSW, Australia.
  • Clous EA; 2 Trauma Department, Liverpool Hospital, Liverpool, NSW, Australia.
  • Jaeger M; 3 Trauma Unit, Department of Surgery, Academisch Medisch Centrum, Amsterdam, The Netherlands.
  • D'Amours SK; 4 Neurosurgery Department, Liverpool Hospital, Liverpool, NSW, Australia.
Scand J Surg ; 106(4): 356-360, 2017 Dec.
Article em En | MEDLINE | ID: mdl-28385102
ABSTRACT
BACKGROUND AND

AIMS:

Mild traumatic brain injury is a common presentation to Emergency Departments. Early identification of patients with cognitive deficits and provision of discharge advice are important. The Abbreviated Westmead Post-traumatic Amnesia Scale provides an early and efficient assessment of post-traumatic amnesia for patients with mild traumatic brain injuries, compared with the previously used assessment, the Modified Oxford Post-traumatic Scale. MATERIAL AND

METHODS:

This retrospective cohort study reviewed 270 patients with mild traumatic brain injury assessed for post-traumatic amnesia over a 2-year period between February 2011 and February 2013. It identified those assessed with Abbreviated Westmead Post-traumatic Amnesia Scale versus Modified Oxford Post-traumatic Scale, the outcomes of these post-traumatic amnesia assessments, the hospital length of stay for patients, and their readmission rates.

RESULTS:

The Abbreviated Westmead Post-traumatic Amnesia Scale was used in 91% of patient cases (and the Modified Oxford Post-traumatic Scale in 7%), and of those assessed with the Abbreviated Westmead Post-traumatic Amnesia Scale, 94% cleared post-traumatic amnesia testing within 4 h. Of those assessed with the Abbreviated Westmead Post-traumatic Amnesia Scale, 56% had a shorter length of stay than had they been assessed with the Modified Oxford Post-traumatic Scale, resulting in 295 bed-days saved. Verbal and written discharge advice was provided to those assessed for post-traumatic amnesia to assist their recovery. In all, 1% of patients were readmitted for monitoring of mild post-concussion symptoms.

CONCLUSION:

The Abbreviated Westmead Post-traumatic Amnesia Scale provides an effective and timely assessment of post-traumatic amnesia for patients presenting to the Emergency Department with mild traumatic brain injury compared with the previously used assessment tool. It helps identify patients with cognitive impairment and the need for admission and further investigation, resulting in appropriate access to care. It also results in a decreased length of stay and decreased hospital admissions, with subsequent cost savings to the hospital.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Gravidade de Doença / Concussão Encefálica / Amnésia / Tempo de Internação Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Scand J Surg Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Austrália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Gravidade de Doença / Concussão Encefálica / Amnésia / Tempo de Internação Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Scand J Surg Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Austrália
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