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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 279 - 289 (11page)
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초록· 키워드
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Objective To identify predictors for depressive mood in geriatric patients after traumatic brain injury (TBI).Methods A retrospective review of patients’ medical charts was performed in TBI patients who were older than 60 years and referred to the Department of Rehabilitation Medicine at Severance Hospital in 2002–2016. The patients were classified into two groups based on the Geriatric Depression Scale (GDS): non-depressive group (0≤GDS≤16) and depressive group (17≤GDS≤30). Data was collected on demographic, socioeconomic, comorbidities, and trauma-related factors, as well as the pathophysiology of TBI, localization of lesion, post-traumatic complications, functional level, and cognitive and linguistic function. Significant variables from univariate analysis were analyzed using logistic regression.Results Forty-two patients were included, of whom 64.3% displayed a depressive mood. Patients in the depressive group had higher comorbidity scores (p=0.03), lower Functional Independence Measure (FIM) totals (p=0.03) and FIM motor (p=0.03) scores, higher modified Rankin Scale scores (p=0.04), and frequently had a bilateral or left side brain lesion (p=0.002). Higher comorbidity scores (odds ratio [OR], 1.764; 95% confidence interval [CI], 1.047–2.971), bilateral lesions (OR, 13.078; 95% CI, 1.786–95.780), and left side lesions (OR, 46.074; 95% CI, 3.175–668.502) were independently associated with a depressive mood in the multiple logistic regression analysis.Conclusion The risk of depressive mood in geriatric patients after TBI is associated with comorbidity, functional limitation, and the horizontal distribution of brain lesions. The most significant determining factors were comorbidity and the horizontal distribution of brain lesions. Early detection of risk factors is important to prevent and manage depressive mood in geriatric patients after TBI.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
[학술지(정기간
Alexopoulos GS / 1996 / Editorial: geriatric depression in primary care / Int J Geriatr Psychiatry 11 : 397 ~ 400
Bowen A / 1998 / Mood disorders following traumatic brain injury: identifying the extent of the problem and the people at risk / Brain Inj 12 : 177 ~ 190
Charlson M / 1994 / Validation of a combined comorbidity index / J Clin Epidemiol 47 : 1245 ~ 1251
Charlson ME / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies: development and validation / J Chronic Dis 40 : 373 ~ 383
Alexopoulos GS / 1996 / Editorial: geriatric depression in primary care / Int J Geriatr Psychiatry 11 : 397 ~ 400
Bowen A / 1998 / Mood disorders following traumatic brain injury: identifying the extent of the problem and the people at risk / Brain Inj 12 : 177 ~ 190
Charlson M / 1994 / Validation of a combined comorbidity index / J Clin Epidemiol 47 : 1245 ~ 1251
Charlson ME / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies: development and validation / J Chronic Dis 40 : 373 ~ 383
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