Evidence map›Paper›PMID 35639189›Full record

ArticleActa neurochirurgica2022

Return to work after mild traumatic brain injury: association with positive CT and MRI findings.

Antti Huovinen, Ivan Marinkovic, Harri Isokuortti, Antti Korvenoja, Kaisa Mäki, Taina Nybo, Rahul Raj, Susanna Melkas

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Acta neurochirurgica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Antti HuovinenNeurology, University of Helsinki and Helsinki University Hospital (Mr Huovinen, Drs Marinkovic, Isokuortti and Melkas), Haartmaninkatu 4, P.O. Box 340, N00029, Helsinki, HUS, Finland. antti.huovinen@helsinki.fi.ORCID http://orcid.org/0000-0001-9964-8218
Ivan MarinkovicNeurology, University of Helsinki and Helsinki University Hospital (Mr Huovinen, Drs Marinkovic, Isokuortti and Melkas), Haartmaninkatu 4, P.O. Box 340, N00029, Helsinki, HUS, Finland.
Harri IsokuorttiNeurology, University of Helsinki and Helsinki University Hospital (Mr Huovinen, Drs Marinkovic, Isokuortti and Melkas), Haartmaninkatu 4, P.O. Box 340, N00029, Helsinki, HUS, Finland.
Antti KorvenojaHUS Medical Imaging Center, Radiology, University of Helsinki and Helsinki University Hospital (Dr Korvenoja), Haartmaninkatu 4, P.O. Box 340, N00029, Helsinki, HUS, Finland.
Kaisa MäkiNeuropsychology, University of Helsinki and Helsinki University Hospital (Ms Mäki and Dr Nybo), Haartmaninkatu 4, P.O. Box 340, N00029, Helsinki, HUS, Finland.
Taina NyboNeuropsychology, University of Helsinki and Helsinki University Hospital (Ms Mäki and Dr Nybo), Haartmaninkatu 4, P.O. Box 340, N00029, Helsinki, HUS, Finland.
Rahul RajNeurosurgery, University of Helsinki and Helsinki University Hospital (Dr. Raj), Topeliuksenkatu 5, P.O. Box 266, N00029, Helsinki, HUS, Finland.
Susanna MelkasNeurology, University of Helsinki and Helsinki University Hospital (Mr Huovinen, Drs Marinkovic, Isokuortti and Melkas), Haartmaninkatu 4, P.O. Box 340, N00029, Helsinki, HUS, Finland.
University of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReturn to work (RTW) might be delayed in patients with complicated mild traumatic brain injury (MTBI), i.e., MTBI patients with associated traumatic intracranial lesions. However, the effect of different types of lesions on RTW has not studied before. We investigated whether traumatic intracranial lesions detected by CT and MRI are associated with return to work and post-concussion symptoms in patients with MTBI.

methodsWe prospectively followed up 113 adult patients with MTBI that underwent a brain MRI within 3-17 days after injury. Return to work was assessed with one-day accuracy up to one year after injury. Rivermead Post-Concussion Symptoms Questionnaire (RPQ) and Glasgow Outcome Scale Extended (GOS-E) were conducted one month after injury. A Kaplan-Meier log-rank analysis was performed to analyze the differences in RTW.

resultsFull RTW-% one year after injury was 98%. There were 38 patients with complicated MTBI, who had delayed median RTW compared to uncomplicated MTBI group (17 vs. 6 days), and more post-concussion symptoms (median RPQ 12.0 vs. 6.5). Further, RTW was more delayed in patients with multiple types of traumatic intracranial lesions visible in MRI (31 days, n = 19) and when lesions were detected in the primary CT (31 days, n = 24). There were no significant differences in GOS-E.

conclusionsThe imaging results that were most clearly associated with delayed RTW were positive primary CT and multiple types of lesions in MRI. RTW-% of patients with MTBI was excellent and a single intracranial lesion does not seem to be a predictive factor of disability to work.

Indexed as

Brain ConcussionPost-Concussion SyndromeAdultHumansMagnetic Resonance ImagingReturn to WorkTomography, X-Ray ComputedFunctional recoveryMild traumatic brain injuryPost-concussion symptomsReturn to workTraumatic intracranial lesions

Identifiers

PMID35639189
PMCPMC9233630
OpenAlexW4281907323

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.