The Study of Cognitive Rehabilitation Effectiveness for Mild Traumatic Brain Injury (SCORE)
Phase IV Study of Cognitive Rehabilitation Effectiveness for Mild Traumatic Brain Injury
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This is a prospective, randomized, control treatment trial of cognitive rehabilitation for OEF/OIF Service Members with a history of mild traumatic brain injury (mTBI) and persistent (3-24 months post-injury) cognitive complaints. Subjects will be recruited from consecutive patient referrals to the TBI Service at SAMMC-North. Patients who meet eligibility criteria and consent to participate in the treatment trial will be randomly assigned to one of four, 6-week treatment arms of the study: 1. Psychoeducational control group; 2. Non-therapist directed, computerized cognitive rehabilitation; 3. Therapist-directed individualized cognitive rehabilitation; and 4. Integrated interdisciplinary cognitive rehabilitation combined with cognitive-behavioral psychotherapy. (Components of the treatment arms are described in detail in section 4.6; Research Design and Methods.) All subjects enrolled in the study will receive the standard of care in management of chronic post-concussive symptoms, consistent with the VA/DoD Clinical Practice Guidelines for the Management of Concussion/mild TBI (Barth et al., 2009), regardless of treatment assignment. The standard of care includes provision of patient education materials (adapted from existing studies to address more persistent rather than acute symptom management), regular scheduled follow-up with a medical provider every three weeks, and symptom-based treatment of post-concussive complaints (e.g., medication trials for headache and co-occurring psychiatric disorders, physical therapy for vestibular complaints, case management, and supportive counseling with social work for soldiers assigned to the Warriors-in-Transition Battalion). Study participants who are assigned to treatment arms 2, 3, or 4 will additionally receive manualized cognitive rehabilitation therapies during the 6-week treatment phase of the study. Cognitive rehabilitation treatment intensity (i.e., number of hours of treatment per week) will be matched for individuals assigned to treatment arms 2, 3, or 4. Participants assigned to the control treatment group (treatment arm 1) will be offered individualized cognitive rehabilitation therapy if their cognitive complaints do not abate following the completion of the six-week treatment trial.
Study participants will be evaluated prior to the initiation of treatment, as well as at 3-weeks, 6-weeks, 12-weeks, and 18-weeks following the start of treatment. Study evaluators will be blind to treatment assignment. Pre-treatment baseline assessments and peri-/post-treatment outcome assessments will include demographic information, injury-related variables, self-report inventories, performance on neuropsychological testing, and functional status (e.g., work status; healthcare utilization). Detailed descriptions of the data to be collected including primary and secondary outcome measures, as well as co-variate measures can be found in section 4.8: Instrumentation.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
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Texas
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San Antonio, Texas, Forenede Stater, 78234
- Brooke Army Medical Center
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Diagnosis of mTBI as defined in the VA/DoD Clinical Practice Guidelines for the Management of Concussion/mild TBI (Barth et al., 2009) which occurred during deployment in support of OEF/OIF within 3-24 months of study enrollment;
- Presence of cognitive complaints (NSI score of 3 or higher on any of the four cognitive symptoms)
- Ability to understand and communicate in English.
Exclusion Criteria:
- Medical/psychiatric/neurologic co-morbidities of: blindness/low vision; uncontrolled seizure disorder; psychosis; history of moderate, severe TBI or penetrating BI; or Spinal Cord Injury with no use of upper extremities;
- Active participation in intensive (> 5 appointments per week) treatment for amputation, orthopedic trauma, burns, substance abuse, or post-traumatic stress disorder which would preclude full participation in an intensive cognitive rehabilitation program; or
- Daily use of narcotic pain medication(s).
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Faktoriel opgave
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Andet: Standard of Care for mTBI Provider Arm
Arm 1: Psychoeducational Control Group.
Individuals assigned to arm 1 will receive psychoeducational materials specifically adapted for persistent management of symptoms and routine follow-up with medical providers (every three weeks).
Additionally, subjects assigned to this group will receive medical care (e.g., psychopharmacological management of depression) and/or referral for symptom management (e.g., vestibular rehabilitation) of non-cognitive complaints, consistent with the current standard of care treatment model for managing post-concussive symptoms (see Figure below adapted with permission from authors; Brenner et al., 2009).
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Provider based visits every three weeks and informational handout given to patient in regulation with current standard of care procedures.
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Eksperimentel: Computer Based Therapy Group
Arm 2: Non-therapist directed computerized cognitive rehabilitation.
Individuals assigned to treatment arm 2 will receive ten hours of in-clinic, computerized treatment per week throughout the 6-week treatment trial.
Participants will be scheduled for 2 hours per day, proctored by clinic staff (certified recreation therapist or neuropsychology technician) who will be responsible for recording daily performance, providing positive reinforcement of participation, and effort.
Computer programs selected for this treatment trial include both skill-specific training (e.g., attention processes) and general cognitive activation.
These computer programs are commercially available and advertised as "brain fitness" or "brain training."
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Provider based visits every three weeks and informational handout given to patient in regulation with current standard of care procedures.
POSIT
Andre navne:
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Eksperimentel: Cognitive Rehab Group
Arm 3: Therapist-directed individualized cognitive rehabilitation.
Individuals assigned to treatment arm 3 will receive 10 hours of individual and group cognitive rehabilitation treatment (including homework assignments) per week conducted by credentialed speech therapists and occupational therapists.
The treatment components will include five hours of weekly individual therapy (one-hour sessions; two hours focused on compensatory strategies and three hours focused on restorative strategies), two hours of weekly group therapy (one hour sessions focused on compensatory strategies), and three hours of weekly computer-based "homework" proctored by clinic staff who will be responsible for recording performance, and providing positive reinforcement of participation and effort.
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Provider based visits every three weeks and informational handout given to patient in regulation with current standard of care procedures.
APT-III, Other standard individual and group interventions.
Andre navne:
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Eksperimentel: Cognitive and Psychological Based Rehab
Arm 4: Integrated interdisciplinary cognitive rehabilitation combined with cognitive-behavioral psychotherapy.
Individuals assigned to treatment arm 4 will receive 10 hours of individual and group treatment per week conducted by credentialed therapists and doctoral-level psychologists.
The treatment components will include four hours of weekly 1 hr individual therapy sessions; 2 hrs of cognitive rehabilitation, 1 hr of cognitive rehab & 1 hr of individual psychotherapy targeting anxiety/combat stress symptoms including relaxation training & exposure therapy and cognitive-behavioral principles, 3 hrs of weekly group therapy & three hours of weekly "homework" including 30-mins relaxation training, 30-mins cognitive-behavioral psychotherapy homework, and 2 hrs of computerized cognitive rehabilitation exercises proctored by clinic staff.
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Provider based visits every three weeks and informational handout given to patient in regulation with current standard of care procedures.
APT-III, Other standard individual and group interventions.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Emotional Functioning
Tidsramme: Baseline
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Symptom Checklist-90-Revised (SCL-90-R) Global Severity Index and 9 subscales: Somatization; Obsessive-Compulsive; Interpersonal Sensitivity; Depression; Anxiety; Hostility; Phobic Anxiety; Paranoid Ideation, and Psychoticism |
Baseline
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Cognitive Efficiency
Tidsramme: Baseline
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Paced Auditory Serial Addition Test (PASAT)
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Baseline
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Functional Behaviors
Tidsramme: Baseline
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Key Behaviors Change Inventory (KBCI) Total score Inattention- raw & T-score Impulsivity- raw & T-score Unawareness of Problems - raw & T-score Apathy - raw & T-score Interpersonal Difficulties - raw & T-score Communication Problems - raw & T-score Somatic Difficulties - raw & T-score Emotional Adjustment - raw & T-score 64 individual items
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Baseline
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Emotional Functioning
Tidsramme: 3 Weeks
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Symptom Checklist-90-Revised (SCL-90-R) Global Severity Index and 9 subscales: Somatization; Obsessive-Compulsive; Interpersonal Sensitivity; Depression; Anxiety; Hostility; Phobic Anxiety; Paranoid Ideation, and Psychoticism |
3 Weeks
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Emotional Functioning
Tidsramme: 6 Weeks
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Symptom Checklist-90-Revised (SCL-90-R) Global Severity Index and 9 subscales: Somatization; Obsessive-Compulsive; Interpersonal Sensitivity; Depression; Anxiety; Hostility; Phobic Anxiety; Paranoid Ideation, and Psychoticism |
6 Weeks
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Emotional Functioning
Tidsramme: 12 Weeks
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Symptom Checklist-90-Revised (SCL-90-R) Global Severity Index and 9 subscales: Somatization; Obsessive-Compulsive; Interpersonal Sensitivity; Depression; Anxiety; Hostility; Phobic Anxiety; Paranoid Ideation, and Psychoticism |
12 Weeks
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Emotional Functioning
Tidsramme: 18 Weeks
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Symptom Checklist-90-Revised (SCL-90-R) Global Severity Index and 9 subscales: Somatization; Obsessive-Compulsive; Interpersonal Sensitivity; Depression; Anxiety; Hostility; Phobic Anxiety; Paranoid Ideation, and Psychoticism |
18 Weeks
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Cognitive Efficiency
Tidsramme: 3 Weeks
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Paced Auditory Serial Addition Test (PASAT)
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3 Weeks
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Cognitive Efficiency
Tidsramme: 6 Weeks
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Paced Auditory Serial Addition Test (PASAT)
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6 Weeks
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Cognitive Efficiency
Tidsramme: 12 Weeks
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Paced Auditory Serial Addition Test (PASAT)
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12 Weeks
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Cognitive Efficiency
Tidsramme: 18 Weeks
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Paced Auditory Serial Addition Test (PASAT)
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18 Weeks
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Functional Behaviors
Tidsramme: 3 Weeks
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Key Behaviors Change Inventory (KBCI) Total score Inattention- raw & T-score Impulsivity- raw & T-score Unawareness of Problems - raw & T-score Apathy - raw & T-score Interpersonal Difficulties - raw & T-score Communication Problems - raw & T-score Somatic Difficulties - raw & T-score Emotional Adjustment - raw & T-score 64 individual items
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3 Weeks
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Functional Behaviors
Tidsramme: 6 Weeks
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Key Behaviors Change Inventory (KBCI) Total score Inattention- raw & T-score Impulsivity- raw & T-score Unawareness of Problems - raw & T-score Apathy - raw & T-score Interpersonal Difficulties - raw & T-score Communication Problems - raw & T-score Somatic Difficulties - raw & T-score Emotional Adjustment - raw & T-score 64 individual items
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6 Weeks
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Functional Behaviors
Tidsramme: 12 Weeks
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Key Behaviors Change Inventory (KBCI) Total score Inattention- raw & T-score Impulsivity- raw & T-score Unawareness of Problems - raw & T-score Apathy - raw & T-score Interpersonal Difficulties - raw & T-score Communication Problems - raw & T-score Somatic Difficulties - raw & T-score Emotional Adjustment - raw & T-score 64 individual items
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12 Weeks
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Functional Behaviors
Tidsramme: 18 Weeks
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Key Behaviors Change Inventory (KBCI) Total score Inattention- raw & T-score Impulsivity- raw & T-score Unawareness of Problems - raw & T-score Apathy - raw & T-score Interpersonal Difficulties - raw & T-score Communication Problems - raw & T-score Somatic Difficulties - raw & T-score Emotional Adjustment - raw & T-score 64 individual items
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18 Weeks
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Fatigue
Tidsramme: Baseline
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Fatigue Severity Scale (FSS) Total Raw scale 9 individual items
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Baseline
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Post-Concussive Symptoms
Tidsramme: Baseline
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Neurobehavioral Symptom Inventory Total Raw scale 22 individual items
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Baseline
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Self Reported Quality of Life
Tidsramme: Baseline
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World Health Organization Brief Quality of Life Scale (WHO-QOL-BREF) Total transformed score Total score for each of the 5 subscale domains: Overall Functioning Physical Capacity Psychological Social Relationships Environment |
Baseline
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Neuropsychological Status
Tidsramme: Baseline
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Neuropsychological Global Composite Score Average normative t-score of: [CVLT-2 sum trials 1-5, D-KEFS Verbal Fluency total score, Trail Making Test - part B only, WAIS-IV Processing Speed, Working, CVLT- 2 Trial 1, CVLT-2 Trial 2, CVLT- 2 Trial 3, CVLT-2 Trial 4, CVLT-2 Trial 5, CVLT-2 Total Trials 1-5, CVLT-2 Total Trials 1-5 (T-score), CVLT-2 List B, SDFR, SDCR, LDFR, LDCR, total perseverations,total intrusions CVLT-2 LD recognition hits CVLT-2 LD recognition FP errors Trails part A, Trails part B, Trails part A, Trails part B, WAIS-IV Processing Speed Index, WAIS-IV Symbol Search
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Baseline
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Self Reported Alcohol Use Behaviors
Tidsramme: Baseline
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Alcohol Use Disorders Identification Test (AUDIT) Summary Socre; 10 individual items
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Baseline
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Post-Traumatic Stress Symptomatology
Tidsramme: 18 Weeks
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Post-Traumatic Stress Checklist-Military Form (PCL-M) Total Raw Socre 17 items
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18 Weeks
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Self Reported Headache Disability
Tidsramme: Baseline
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Headache Impact Test-6 (HIT-6) Total Weighted Score
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Baseline
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Health Related (Cognition) Locus of Control
Tidsramme: Baseline
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Multidimensional Health Locus of Control Scale (MHLCS-Form C) Internal subscale-total raw Chance subscale-total raw Powerful others subscale-total raw Doctors subscale-total raw Other people subscale-total raw
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Baseline
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Perceived Self-Efficacy (Cognition)
Tidsramme: Baseline
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Self-Efficacy for Symptom Management Scale SEsx total SEsocial subscale SEemotional subscale SEcognitvie subscale 13 individual items
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Baseline
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Attribution of Cognitive Symptoms
Tidsramme: Baseline
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Cognitive Symptom Attribution Scale 7 individual items
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Baseline
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Therapist-Rated Patient Engagement in Treatment
Tidsramme: Week 6 of treatment
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Rehabilitation Intensity of Therapy Scale (RITS) Weekly average rating (weeks 1-6)
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Week 6 of treatment
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Post-Concussive Symptoms
Tidsramme: 6 Weeks
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Neurobehavioral Symptom Inventory (NSI) Total Raw scale 22 individual items
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6 Weeks
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Post-Concussive Symptoms
Tidsramme: 12 weeks
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Neurobehavioral Symptom Inventory (NSI) Total Raw scale 22 individual items
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12 weeks
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Post-Concussive Symptoms
Tidsramme: 18 weeks
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Neurobehavioral Symptom Inventory (NSI) Total Raw scale 22 individual items
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18 weeks
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Fatigue
Tidsramme: 6 weeks
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Fatigue Severity Scale (FSS) Total Raw scale 9 individual items
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6 weeks
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Fatigue
Tidsramme: 12 Weeks
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Fatigue Severity Scale (FSS) Total Raw scale 9 individual items
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12 Weeks
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Fatigue
Tidsramme: 18 Weeks
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Fatigue Severity Scale (FSS) Total Raw scale 9 individual items
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18 Weeks
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Change in Healthcare Utilization
Tidsramme: 30 days prior to Baseline and 6 months post Baseline
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Summed total number of appointments 30 days prior to study enrollment and summed total number of appointments for 30 days between 5 and 6 months post-treatment.
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30 days prior to Baseline and 6 months post Baseline
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Self Reported Quality of Life
Tidsramme: 6 weeks
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World Health Organization Brief Quality of Life Scale (WHO-QOL-BREF) Total transformed score Total score for each of the 5 subscale domains: Overall Functioning Physical Capacity Psychological Social Relationships Environment |
6 weeks
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Self Reported Quality of Life
Tidsramme: 12 weeks
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World Health Organization Brief Quality of Life Scale (WHO-QOL-BREF) Total transformed score Total score for each of the 5 subscale domains: Overall Functioning Physical Capacity Psychological Social Relationships Environment |
12 weeks
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Self Reported Quality of Life
Tidsramme: 18 weeks
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World Health Organization Brief Quality of Life Scale (WHO-QOL-BREF) Total transformed score Total score for each of the 5 subscale domains: Overall Functioning Physical Capacity Psychological Social Relationships Environment |
18 weeks
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Neuropsychological Status
Tidsramme: 6 Weeks
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Neuropsychological Global Composite Score Average normative t-score of: [CVLT-2 sum trials 1-5, D-KEFS Verbal Fluency total score, Trail Making Test - part B only, WAIS-IV Processing Speed, Working, CVLT- 2 Trial 1, CVLT-2 Trial 2, CVLT- 2 Trial 3, CVLT-2 Trial 4, CVLT-2 Trial 5, CVLT-2 Total Trials 1-5, CVLT-2 Total Trials 1-5 (T-score), CVLT-2 List B, SDFR, SDCR, LDFR, LDCR, total perseverations,total intrusions CVLT-2 LD recognition hits CVLT-2 LD recognition FP errors Trails part A, Trails part B, Trails part A, Trails part B, WAIS-IV Processing Speed Index, WAIS-IV Symbol Search
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6 Weeks
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Neuropsychological Status
Tidsramme: 12 Weeks
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Neuropsychological Global Composite Score Average normative t-score of: [CVLT-2 sum trials 1-5, D-KEFS Verbal Fluency total score, Trail Making Test - part B only, WAIS-IV Processing Speed, Working, CVLT- 2 Trial 1, CVLT-2 Trial 2, CVLT- 2 Trial 3, CVLT-2 Trial 4, CVLT-2 Trial 5, CVLT-2 Total Trials 1-5, CVLT-2 Total Trials 1-5 (T-score), CVLT-2 List B, SDFR, SDCR, LDFR, LDCR, total perseverations,total intrusions CVLT-2 LD recognition hits CVLT-2 LD recognition FP errors Trails part A, Trails part B, Trails part A, Trails part B, WAIS-IV Processing Speed Index, WAIS-IV Symbol Search
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12 Weeks
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Neuropsychological Status
Tidsramme: 18 Weeks
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Neuropsychological Global Composite Score Average normative t-score of: [CVLT-2 sum trials 1-5, D-KEFS Verbal Fluency total score, Trail Making Test - part B only, WAIS-IV Processing Speed, Working, CVLT- 2 Trial 1, CVLT-2 Trial 2, CVLT- 2 Trial 3, CVLT-2 Trial 4, CVLT-2 Trial 5, CVLT-2 Total Trials 1-5, CVLT-2 Total Trials 1-5 (T-score), CVLT-2 List B, SDFR, SDCR, LDFR, LDCR, total perseverations,total intrusions CVLT-2 LD recognition hits CVLT-2 LD recognition FP errors Trails part A, Trails part B, Trails part A, Trails part B, WAIS-IV Processing Speed Index, WAIS-IV Symbol Search
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18 Weeks
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Self Reported Alcohol Use Behaviors
Tidsramme: 6 weeks
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Alcohol Use Disorders Identification Test (AUDIT) Summary Socre; 10 individual items
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6 weeks
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Self Reported Alcohol Use Behaviors
Tidsramme: 12 weeks
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Alcohol Use Disorders Identification Test (AUDIT) Summary Socre; 10 individual items
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12 weeks
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Self Reported Alcohol Use Behaviors
Tidsramme: 18 weeks
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Alcohol Use Disorders Identification Test (AUDIT) Summary Socre; 10 individual items
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18 weeks
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Post-Traumatic Stress Symptomatology
Tidsramme: 6 weeks
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Post-Traumatic Stress Checklist-Military Form (PCL-M) Total Raw Socre 17 items
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6 weeks
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Post-Traumatic Stress Symptomatology
Tidsramme: Baseline
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Post-Traumatic Stress Checkilist-Military Form (PCL-M) Total Raw Socre 17 items
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Baseline
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Post-Traumatic Stress Symptomatology
Tidsramme: 12 Weeks
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Post-Traumatic Stress Checklist-Military Form (PCL-M) Total Raw Socre 17 items
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12 Weeks
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Self Reported Headache Disability
Tidsramme: 6 weeks
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Headache Impact Test-6 (HIT-6) Total Weighted Score
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6 weeks
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Self Reported Headache Disability
Tidsramme: 12 weeks
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Headache Impact Test-6 (HIT-6) Total Weighted Score
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12 weeks
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Self Reported Headache Disability
Tidsramme: 18 Weeks
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Headache Impact Test-6 (HIT-6) Total Weighted Score
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18 Weeks
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Health Related (Cognition) Locus of Control
Tidsramme: 6 weeks
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Multidimensional Health Locus of Control Scale (MHLCS-Form C) Internal subscale-total raw Chance subscale-total raw Powerful others subscale-total raw Doctors subscale-total raw Other people subscale-total raw
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6 weeks
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Health Related (Cognition) Locus of Control
Tidsramme: 12 weeks
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Multidimensional Health Locus of Control Scale (MHLCS-Form C) Internal subscale-total raw Chance subscale-total raw Powerful others subscale-total raw Doctors subscale-total raw Other people subscale-total raw
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12 weeks
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Health Related (Cognition) Locus of Control
Tidsramme: 18 weeks
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Multidimensional Health Locus of Control Scale (MHLCS-Form C) Internal subscale-total raw Chance subscale-total raw Powerful others subscale-total raw Doctors subscale-total raw Other people subscale-total raw
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18 weeks
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Perceived Self-Efficacy (Cognition)
Tidsramme: 6 weeks
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Self-Efficacy for Symptom Management Scale SEsx total SEsocial subscale SEemotional subscale SEcognitvie subscale 13 individual items
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6 weeks
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Perceived Self-Efficacy (Cognition)
Tidsramme: 12 weeks
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Self-Efficacy for Symptom Management Scale SEsx total SEsocial subscale SEemotional subscale SEcognitvie subscale 13 individual items
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12 weeks
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Perceived Self-Efficacy (Cognition)
Tidsramme: 18 weeks
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Self-Efficacy for Symptom Management Scale SEsx total SEsocial subscale SEemotional subscale SEcognitvie subscale 13 individual items
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18 weeks
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Attribution of Cognitive Symptoms
Tidsramme: 6 weeks
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Cognitive Symptom Attribution Scale 7 individual items
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6 weeks
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Attribution of Cognitive Symptoms
Tidsramme: 12 weeks
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Cognitive Symptom Attribution Scale 7 individual items
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12 weeks
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Attribution of Cognitive Symptoms
Tidsramme: 18 weeks
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Cognitive Symptom Attribution Scale 7 individual items
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18 weeks
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Therapist-Rated Patient Engagement in Treatment
Tidsramme: Week 1 of Treatment
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Rehabilitation Intensity of Therapy Scale (RITS) Weekly average rating (weeks 1-6)
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Week 1 of Treatment
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Therapist-Rated Patient Engagement in Treatment
Tidsramme: Week 2 of treatment
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Rehabilitation Intensity of Therapy Scale (RITS) Weekly average rating (weeks 1-6)
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Week 2 of treatment
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Therapist-Rated Patient Engagement in Treatment
Tidsramme: Week 3 of treatment
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Rehabilitation Intensity of Therapy Scale (RITS) Weekly average rating (weeks 1-6)
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Week 3 of treatment
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Therapist-Rated Patient Engagement in Treatment
Tidsramme: Week 4 of treatment
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Rehabilitation Intensity of Therapy Scale (RITS) Weekly average rating (weeks 1-6)
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Week 4 of treatment
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Therapist-Rated Patient Engagement in Treatment
Tidsramme: Week 5 of treatment
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Rehabilitation Intensity of Therapy Scale (RITS) Weekly average rating (weeks 1-6)
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Week 5 of treatment
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Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Amy O Bowles, MD, BAMC
Publikationer og nyttige links
Generelle publikationer
- Vanderploeg RD, Cooper DB, Curtiss G, Kennedy JE, Tate DF, Bowles AO. Predicting treatment response to cognitive rehabilitation in military service members with mild traumatic brain injury. Rehabil Psychol. 2018 May;63(2):194-204. doi: 10.1037/rep0000215.
- Cooper DB, Bowles AO, Kennedy JE, Curtiss G, French LM, Tate DF, Vanderploeg RD. Cognitive Rehabilitation for Military Service Members With Mild Traumatic Brain Injury: A Randomized Clinical Trial. J Head Trauma Rehabil. 2017 May/Jun;32(3):E1-E15. doi: 10.1097/HTR.0000000000000254.
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Neurologiske manifestationer
- Neuroadfærdsmæssige manifestationer
- Kraniocerebralt traume
- Traumer, nervesystemet
- Bevidsthedsforstyrrelser
- Hovedskader, Lukket
- Sår, ikke-gennemtrængende
- Hjerneskader
- Sår og skader
- Hjerneskader, traumatiske
- Bevidstløshed
- Hjernerystelse
Andre undersøgelses-id-numre
- C.2010.199
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