Table 7.
The Effect of Growth Hormone Therapy on Verbal and Working Memory of Patients after Traumatic Brain Injury (TBI)
Author | Design | Severity | No. of patients with treatment | No. of patients without treatment | Treatment beginning and length (months) | WAIS III. Verbal comprehension | Digit span | CVLT | Verbal episodic memory | Rey-Auditory verbal learning | p value in the treated group from baseline | p value between treated and untreated groups |
---|---|---|---|---|---|---|---|---|---|---|---|---|
High et al.30 | RCT | Moderate-to-severe. GCS: 5.8 (SD: 3.4) | 12 | 11 | Chronic, 12 | X | X | X | In CVLT: <0.05 | |||
Dubiel et al.29 | RCT | All severities GOSE score: 3-17 | 16 | 18 | Acute, 6 | X | X | n.s. | ||||
Reimunde et al.31 | Cohort study | No GCS assessed | 11 | 8 | Chronic, 3+cognitive therapy | X | X | In the numbers <0.05 |
n.s. | |||
Mossberg et al.34 | Open label study | Moderate-severe | 15 | Chronic, 12 | X | n.s. | ||||||
Moreau et al.33 | Cohort study | All severities GCS: 8.1 (SD: 5.1) | 23 | 27 | Chronic, 12 | X | X | <0.05 | >0.05 | |||
Maric et al.38 | Case series | Moderate-to-severe. GCS: 8-10 | 4 | 2 | Chronic, 6 | X | X | Improvement |
Verbal and working memory were assessed by the Wechsler Adult Intelligence Scale (WAIS), the California Verbal Learning Test (CVLT), and the Rey Auditory-Verbal Learning test. Acute treatment was started within 1 month after TBI. Statistical significance is indicated at p < 0.05.
RCT, randomized controlled trial; n.s., non-significant; GCS, Glasgow Coma Scale; SD, standard deviation; GOSE, Glasgow Outcome Score-Extended.