Depression after traumatic brain injury (tbi) a 0ne years fellow up by conversation and review article and literature search

Introduction: Depression is not uncommon after trauma or surgery. The psychological strain of ill health, need for surgery, and financial implications of ill health all contribute to an episode of depression, or aggravate an existing diagnosis of depression. There is a known but poorly understood link between open heart surgery and depression, where many open heart surgery patients experience profound depression followingsurgery.This is predominantly due to SIRS following cardio-pulmonary bypass surgery. Pazooki, D. Granhed, H.January, 2018. Many different factors contribute to depression after TBI, with great individual variability.The end-point of depression is suicide, which is usually impulsive and extremely difficult to predict and prevent.Aggregate European datasuggests that 235 per 100,000 people sustain a TBI severe enough to warrant hospitalization annually. Aim: The aim of this study was to provide a comprehensive review of existing literature covering depression secondary to TBI.We included publications that provided a clear description of study participants and that used standardized tools and recognized approaches to identify depression. Methods: Our search included examination of results in 3 three databases: PubMed Medline, the PsycINFO database of psychological and psychiatric literature and Embase. Further, we included telephone conversations with TBI patients, including patients who returned toSahlgrenska hospitalfollowing TBI, From February 2013 to December 2014. Result: In our study 0,74% of our patients after six months post TBI are referred to psychiatry and 2,96% of our patients after six months post TBI are referred to psychologist. Conclusion: Depression is a very common experience after TBI. However, with the right support and information, and over time, some people can improve or learn to manage their depression on a day-to-day basis.