concussion
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria are: patients with mild traumatic brain injury (mTBI) aged 18 years or older. Mild TBI is defined by a Glasgow Coma Scale score of 13-15 and/or loss of consciousness
Exclusion criteria
Exclusion criteria: Exclusion criteria for mTBI are: neurological or psychiatric co-morbidity, admission for prior TBI, drug or alcohol abuse, and mental retardation. For the orthopedic controls and healthy controls exclusion criteria are: neurological or psychiatric co-morbidity, previous TBI, drug or alcohol abuse, and mental retardation. Exclusion criteria for the MRI-study are implanted ferromagnetic devices or objects, pregnancy or claustrophobia. Language barriers or illiteracy, prohibiting understanding and completion of questionnaires are general exclusion criteria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Post-traumatic complaints (measured using the head injury symptom checklist (HISC) at 6 months post-injury). - Glasgow Outcome Scale Extended (GOSE) at 6 months post-injury. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters: - Blood cytokine levels at the ED and at 4-6 weeks post-injury. - Blood biomarker levels (proteins of cell injury) at the ED. - Salivary cortisol levels at the ED. - Hair cortisol levels at 4-6 weeks post-injury. - Heartrate variability at the ED. - EEG at the ED, and at 4-6 weeks post-injury. - Brain network connectivity at 4-6 weeks post-injury. - HISC at 2 weeks post-injury. - Anxiety/depression at 2 weeks post-injury (Hospital Anxiety and Depression Scale (HADS)). - Coping (Utrechtse Coping List (UCL) at 2 weeks post-injury). - Personality characteristics (Big Five Inventory (BFI) at 2 weeks post-injury). Other parameters: - Baseline parameters (age, sex, educational level, pre-injury working status, injury characteristics, CT-abnormalities, acute complaints). - Pre-injury mental health state and stress. - Lifestyle factors (alcohol and caffeine consumption, tobacco use, exercise). | — |
Countries
Netherlands