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Cited by 517

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

The Wessex Head Injury Matrix (WHIM) main scale: a preliminary report on a scale to assess and monitor patient recovery after severe head injury

Shiel, A, Horn, S A, Wilson, B A, Watson, M J, Campbell, M J, Mclellan, D L·2000·Clinical Rehabilitation

Abstract

Objective: To develop a behavioural assessment based on observations of patients recovering after severe head injury whereby data could be collected by observation and by testing everyday tasks. Design: A prospective observational study of a cohort of 88 consecutive hospital admissions with severe head injury. Setting: Two district general hospitals in the UK. Patients: Eighty-eight consecutive admissions with severe traumatic head injury. Ages ranged from 14 to 67 years, mean coma duration was 14 days and mean duration of post traumatic amnesia (PTA) was 56 days. Results: Fifty-eight items of behaviour were identified. Paired preference analysis was used to identify a sequence of recovery of these behaviours. The sequence began with arousal and led on to behaviours signalling recovery of social interaction and communication. Subsequent behaviours indicated increasing cognitive organization and return of orientation and memory. The behaviours on the scale are hierarchical and range from coma to emergence from PTA. Conclusions: A scale to assess patients and monitor cognitive recovery after severe head injury has been developed. While individual patients will show some departures from the sequence identified, the scale helps to make explicit the earliest stages of natural recovery patterns after head injury.

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Metadata

Authors
Shiel, A., Horn, S. A., Wilson, B. A., Watson, M. J., Campbell, M. J., & Mclellan, D. L.
Venue
Clinical Rehabilitation
Published
2000-08
Volume
14
Issue
4
Pages
408-416
ISSN
  • 0269-2155 (ISSN-L)
  • 1477-0873
OpenAlex
W2171165632
Cited by
517
References
9
FWCI
1.29
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Wessex Head Injury Matrix (WHIM) main scale: a preliminary report on a scale to assess and monitor patient recovery after severe head injury. https://app.cochat.ai/papers/10.1191/0269215500cr326oa
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Shiel, A., Horn, S. A., Wilson, B. A., Watson, M. J., Campbell, M. J., & Mclellan, D. L. (2000). The Wessex Head Injury Matrix (WHIM) main scale: a preliminary report on a scale to assess and monitor patient recovery after severe head injury. Clinical Rehabilitation. https://doi.org/10.1191/0269215500cr326oa

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.