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Title: A prospective analysis of olfactory impairment recovery after severe traumatic brain iInjury.
Epworth Authors: Drummond, Melanie
Olver, John
Other Authors: Douglas, Jacinta
Keywords: Olfactory Impairment
Traumatic Brain Injury
Posttraumatic Amnesia
University of Pennsylvania Smell Identification Test
Facial Fractures
Sensory Loss
Epworth Monash Rehabilitation Medicine Unit, Epworth HealthCare, Richmond, Victoria, Australia
Epworth Rehabilitation, Epworth HealthCare, Richmond, Victoria, Australia.
Issue Date: Feb-2017
Publisher: Wolters Kluwer
Citation: J Head Trauma Rehabil. 2017 Feb 10.
Abstract: OBJECTIVE: To investigate the natural progression of olfactory impairment (OI) in individuals with traumatic brain injury (TBI) at 6 months post injury. PARTICIPANTS: Forty-seven adults (mean age = 43.1 years, SD = 18.2), with predominantly severe TBI (mean posttraumatic amnesia [PTA] duration = 25.5 days, SD = 22.8). DESIGN: Consecutive admission longitudinal study. MAIN MEASURES: Participants were evaluated using the University of Pennsylvania Smell Identification Test (UPSIT) at resolution of PTA and at 6 months post-initial injury. Each participant was also interviewed to explore his or her experience of having an OI. Standard multiple regression was used to assess the ability of age, PTA duration, presence of facial fractures, and initial UPSIT score to predict olfactory performance at 6 months. RESULTS: Thirty-five participants (74%) continued to demonstrate OI at 6 months. Thirty-two participants (68%) showed some improvement, but only 12 of these individuals achieved scores within the normal range. The remaining 15 participants either produced a poorer performance (23%) or demonstrated no change (9%). Initial UPSIT score uniquely accounted for 73.5% of the variance in UPSIT performance at 6 months. CONCLUSIONS: Olfactory impairment persists in a substantial proportion of adults who experience it post-TBI and has the potential to impact a broad spectrum of everyday activities.
DOI: 10.1097/HTR.0000000000000283
PubMed URL:
ISSN: 0885-9701
Journal Title: The Journal of Head Trauma Rehabilitation
Type: Journal Article
Affiliated Organisations: College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia
NHMRC Clinical Centre of Research Excellence in Brain Recovery, School of Psychology, University of New South Wales, Sydney, New South Wales, Australia
Summer Foundation, Blackburn, Victoria, Australia.
Type of Clinical Study or Trial: Meta-Analysis
Appears in Collections:Head & Neck

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