The Influence of Agitation on Recovery from Traumatic Brain Injury
Categories: Cognition - Thinking and Emotional Skills
Do individuals with traumatic brain injuries who experience agitation have predictable end results following rehabilitation?
Past Studies have estimated that as many as one-third of individuals with traumatic brain injury experience agitation during their recovery. Agitation refers to extreme behavior, including restlessness, big mood swings, aggressiveness, and taking action without thinking about what one is doing first. Agitation can begin during the early stages of brain injury recovery, when an individual is not fully conscious or when cognition (thinking skills) is impaired. Past researchers have suspected that agitation may interfere with the rehabilitation process and result in less than desired outcomes for recovery. Individuals with traumatic brain injury and agitation are more likely to be discharged to facilities that can provide constant supervision than to home. Research about agitation has been limited.
This Study included 340 individuals with traumatic brain injury who were consecutively admitted to one inpatient traumatic brain injury rehabilitation unit. The majority of the participants were white, male, and had received moderate to severe brain
Who May Be Affected By These Findings
Individuals with traumatic brain injury and their loved ones, healthcare providers, researchers
The researchers found that impaired cognitive functioning at admission to inpatient rehabilitation was linked with both the occurrence of agitation and longer lengths of rehabilitation stay. The researchers believe that agitation and impaired cognition are related and influence each other, with impaired cognition having a greater effect on outcomes. The researchers express concern about the use of medications that reduce agitation, but also cause sleepiness and decreased cognitive functioning, thus creating a potentially negative outcome. They suggest that the treatment of agitation should begin with an examination of the treatment of cognitive impairments. These researchers did not address or control the use of
Individuals with traumatic brain injuries who experienced agitation for more than 26 days while in inpatient rehabilitation were more likely to spend
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Find This Study
Bogner, J.A., Corrigan, J.D., Fugate, L., Mysiw, W.J., & Clinchot, D. (2001). Role of agitation in