Soo Jeong Han, Jee Hyun Suh, Ja Young Lee, Soo Jin Kim
{"title":"创伤性脑损伤后的谵妄：根据脑损伤的位置和大小进行预测。","authors":"Soo Jeong Han, Jee Hyun Suh, Ja Young Lee, Soo Jin Kim","doi":"10.5535/arm.23008","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To examine (1) the location of brain lesion that would predict post-traumatic delirium and (2) the association between volume of brain lesion and occurrence of delirium in patients with traumatic brain injury (TBI).</p><p><strong>Methods: </strong>A retrospective study was conducted by reviewing medical records of 68 TBI patients, categorized into two groups: the delirious group (n=38) and non-delirious group (n=30). The location and volume of TBI were investigated with the 3D Slicer software.</p><p><strong>Results: </strong>The TBI region in the delirious group mainly involved the frontal or temporal lobe (p=0.038). All 36 delirious patients had brain injury on the right side (p=0.046). The volume of hemorrhage in the delirious group was larger by about 95 mL compared to the non-delirious group, but this difference was not statistically significant (p=0.382).</p><p><strong>Conclusion: </strong>Patients with delirium after TBI had significantly different injury site and side, but not lesion size compared to patients without delirium.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 3","pages":"214-221"},"PeriodicalIF":2.1000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/84/arm-23008.PMC10326395.pdf","citationCount":"0","resultStr":"{\"title\":\"Delirium After Traumatic Brain Injury: Prediction by Location and Size of Brain Lesion.\",\"authors\":\"Soo Jeong Han, Jee Hyun Suh, Ja Young Lee, Soo Jin Kim\",\"doi\":\"10.5535/arm.23008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To examine (1) the location of brain lesion that would predict post-traumatic delirium and (2) the association between volume of brain lesion and occurrence of delirium in patients with traumatic brain injury (TBI).</p><p><strong>Methods: </strong>A retrospective study was conducted by reviewing medical records of 68 TBI patients, categorized into two groups: the delirious group (n=38) and non-delirious group (n=30). The location and volume of TBI were investigated with the 3D Slicer software.</p><p><strong>Results: </strong>The TBI region in the delirious group mainly involved the frontal or temporal lobe (p=0.038). All 36 delirious patients had brain injury on the right side (p=0.046). The volume of hemorrhage in the delirious group was larger by about 95 mL compared to the non-delirious group, but this difference was not statistically significant (p=0.382).</p><p><strong>Conclusion: </strong>Patients with delirium after TBI had significantly different injury site and side, but not lesion size compared to patients without delirium.</p>\",\"PeriodicalId\":47738,\"journal\":{\"name\":\"Annals of Rehabilitation Medicine-ARM\",\"volume\":\"47 3\",\"pages\":\"214-221\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/84/arm-23008.PMC10326395.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Rehabilitation Medicine-ARM\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5535/arm.23008\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/6/7 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Rehabilitation Medicine-ARM","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5535/arm.23008","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/6/7 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
Delirium After Traumatic Brain Injury: Prediction by Location and Size of Brain Lesion.
Objective: To examine (1) the location of brain lesion that would predict post-traumatic delirium and (2) the association between volume of brain lesion and occurrence of delirium in patients with traumatic brain injury (TBI).
Methods: A retrospective study was conducted by reviewing medical records of 68 TBI patients, categorized into two groups: the delirious group (n=38) and non-delirious group (n=30). The location and volume of TBI were investigated with the 3D Slicer software.
Results: The TBI region in the delirious group mainly involved the frontal or temporal lobe (p=0.038). All 36 delirious patients had brain injury on the right side (p=0.046). The volume of hemorrhage in the delirious group was larger by about 95 mL compared to the non-delirious group, but this difference was not statistically significant (p=0.382).
Conclusion: Patients with delirium after TBI had significantly different injury site and side, but not lesion size compared to patients without delirium.
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