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Impacts of cognitive impairment for different levels and causes of traumatic brain injury, and education status in TBI patients

IMPACTOS DO COMPROMETIMENTO COGNITIVO PARA DIFERENTES NÍVEIS E CAUSAS DE TRAUMATISMO CRANIOENCEFÁLICO E GRAU DE INSTRUÇÃO EM PACIENTES LESADOS

ABSTRACT

Traumatic brain injury (TBI) is one of main causes of death and disability among many young and old populations in different countries.

Objective:

The aim of this study were to consider and predict the cognitive impairments according to different levels and causes of TBI, and education status.

Methods:

The study was performed using the Mini-Mental State Examination (MMSE) to estimate cognitive impairment in patients at a trauma center in Zahedan city. Individuals were considered eligible if 18 years of age or older. This investigation assessed a subset of patients from a 6-month pilot study.

Results:

The study participants comprised 66% males and 34% females. Patient mean age was 32.5 years and SD was 12.924 years. One-way analysis of variance between groups indicated cognitive impairment related to different levels and causes of TBI, and education status in patients. There was a significant difference in the dimensions of cognitive impairments for different levels and causes of TBI, and education status. A regression test showed that levels of traumatic brain injury (b=.615, p=.001) and education status (b=.426, p=.001) predicted cognitive impairment.

Conclusion:

Different levels of TBI and education status were useful for predicting cognitive impairment in patients. Severe TBI and no education were associated with worse cognitive performance and higher disability. These data are essential in terms of helping patients understand their needs. Therefore, the factors identified can help plan effective rehabilitation programs.

Key words:
cognitive impairment; traumatic brain injury (TBI); education status; TBI patients

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