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Master Thesis

Dépistage des symptômes du syndrome post-traumatique des traumatisés crâniens légers en médecine générale

Abstract : In France, 80% of traumatic brain injuries are diagnosed as mild. The evolution of the condition is generally favorable with disappearing symptoms within 3 months. 15 to 25% of patients exhibit resilient symptoms called post-traumatic syndrom. These symptoms can be segregated in three categories: somatic, cognitive and emotional or behavioral. The aim of our study was to describe the prevalence of these symptoms and to evaluate intensity in a target population. An observational analytical study has been conducted, of cohort, multicentric with prospective gathering of data. 93 patients were included from November 1st 2012 until June 30th 2013 in the emergency medical services of hospitals Bichat-Claude Bernard, Beaujon and Kremlin-Bicêtre. A first evaluation of each of the 93 patients has been conducted between the 8th and the 15th day after the brain injury. 71 patients have been reassessed after 6 months. The main causes of concerns at D8-D15 were tiredness (65.59%), sleep disorder (49.46%), irritability (47.31%) and headaches (40.86%). After 6 months, the reported symptoms were tiredness (49.29%), sleep disorder (45.07%), irritability (35.21%) and noise intolerance (35.21%). 40 patients (54.8%) exhibited at least 3 complaints. Almost 47% of patients had consulted their general practitioner for these symptoms within 6 months after the injury, and more than 15% had consulted more than once. The general practitioner plays a prominent part in both the screening of the symptoms of the post-traumatic syndrome and the reinsurance and information of patients. This part is instrumental to reduce their unrest.
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Master Thesis
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Annabelle Mahe. Dépistage des symptômes du syndrome post-traumatique des traumatisés crâniens légers en médecine générale. Médecine humaine et pathologie. 2016. ⟨dumas-01623809⟩



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