Post Concussion Syndrome Detection in Post Traumatic Brain Injury Patients

Introduction: Some post-trauma brain injury patients who were treated and declared to be discharged or continued at home experienced a collection of somatic, cognitive, and psychosocial symptoms. This study was conducted to determine the initial condition of the patient when admitted to the hospital with the incidence of post-concussion syndrome. Method: This study uses a prospective cohort approach. In this study identified functional changes in patients such as cognitive disorders and sleep disturbances with respect to severity. Cognitive impairment was measured using the Mini-Mental State Examination (MMSE) and sleep disturbance was measured using the Insomnia Severity Index (ISI). The sample were 49 patients of traumatic brain injury in the emergency department of PKU Muhammadiyah Gombong Hospital. Results: The Age (p=0.000), GCS initial score (p=0.023), hospital admission diagnosis (p=0.000) and length of stay (p=0.000) had a relationship with the cognitive status of post-trauma brain injury patients. While the initial GCS score (p = 0.000) and the initial diagnosis of hospital admission (p = 0.001) had a relationship with sleep disturbances in post-trauma brain injury patients. Conclusions: Age, initial GCS score, hospital admission diagnosis and length of stay have a relationship with cognitive level in post-trauma brain injury patients. Initial GCS scores and early diagnosis of hospital admission have a relationship with sleep disturbances in post-trauma brain injury patients. These factors can be used as an initial identification when a patient enters the hospital emergency room and a consideration for the type of treatment and therapy given.