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Latest & greatest articles for traumatic brain injury
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Early, specialist vocational rehabilitation to facilitate return to work after traumaticbraininjury: the FRESH feasibility RCT Early, specialist vocational rehabilitation to facilitate return to work after traumaticbraininjury: the FRESH feasibility RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website (...) Anglia, Norwich, UK 4 Centre for Trauma Sciences, Queen Mary University of London, London, UK 5 Academic Department of Rehabilitation Medicine, School of Medicine, University of Leeds, Leeds, UK 6 Community Head Injury Service, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK 7 Department of Physiotherapy, University of Málaga, Málaga, Spain 8 Lancashire Teaching Hospitals Trust, Preston, UK 9 Health Sciences Research Centre, University of Salford, Salford, UK * Corresponding author Email
Revisited: A Systematic Review of Therapeutic Hypothermia for Adult Patients Following TraumaticBrainInjury Therapeutic hypothermia has been of topical interest for many years and with the publication of two international, multicenter randomized controlled trials, the evidence base now needs updating. The aim of this systematic review of randomized controlled trials is to assess the efficacy of therapeutic hypothermia in adult traumaticbraininjury focusing on mortality, poor outcomes (...) , and new pneumonia.The following databases were searched from January 1, 2011, to January 26, 2018: Cochrane Central Register of Controlled Trial, MEDLINE, PubMed, and EMBASE.Only foreign articles published in the English language were included. Only articles that were randomized controlled trials investigating adult traumaticbraininjury sustained following an acute, closed head injury were included. Two authors independently assessed at each stage.Quality was assessed using the Cochrane
Characterization of children hospitalized with traumaticbraininjuries after building falls Unintentional falls cause a substantial proportion of pediatric traumaticbraininjury (TBI), with building falls carrying particularly high risk for morbidity and mortality. The cohort of children sustaining building fall-related TBI has not been well-examined. We sought to characterize children hospitalized with building fall-related TBIs and evaluate if specific factors distinguished these children (...) by International Classification of Diseases, Clinical Modification, Ninth revision (ICD9-CM) diagnosis codes. Urban versus non-urban status was determined using PHIS-assigned Rural-Urban Commuting Area codes. Injury severity (i.e. Injury Severity Score (ISS) and head Abbreviated Injury Scale (AIS) score) were calculated. Head AIS scores were dichotomized into minor/moderate (1-2) and serious/severe (3-6) for analysis. Frequencies, descriptive statistics, Chi-square analysis, and Mann-Whitney U analysis
Hyperbaric Oxygen Therapy for TraumaticBrainInjury and/or PTSD Management Briefs eBrief-no143 -- Hyperbaric Oxygen Therapy for TBI and PTSD Enter search terms Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Management Briefs eBrief-no143 -- Hyperbaric Oxygen Therapy for TBI and PTSD Health Services Research & Development Management eBrief no. 143 » Issue 143 April 2018 The report is a product of the VA/HSR&D Evidence (...) Synthesis Program. Evidence Brief: Hyperbaric Oxygen Therapy for TraumaticBrainInjury and/or PTSD Following certain types of injuries, our bodies may demand more oxygen than is available in the normal air we breathe to supply our cells with the fuel necessary for healing processes (i.e., metabolism, cellular growth and repair). Hyperbaric oxygen therapy (HBOT) is designed to increase the supply of oxygen to our blood and tissues. In normal air, the oxygen level is only around 21%; HBOT delivers 100
Unpicking the Gordian knot: a systems approach to traumaticbraininjury care in low-income and middle-income countries 29607105 2018 11 14 2059-7908 3 2 2018 BMJ global health BMJ Glob Health Unpicking the Gordian knot: a systems approach to traumaticbraininjury care in low-income and middle-income countries. e000768 10.1136/bmjgh-2018-000768 Bashford Tom T 0000-0003-0228-9779 NIHR Global Health Research Group for Neurotrauma, University of Cambridge, Cambridge, UK. Engineering Design Centre
The association of premorbid neuropsychological conditions with pediatric mild traumaticbraininjury/concussion recovery time and symptom severity: a systematic review protocol. The question of this review is: What is the association of premorbid neuropsychological conditions with mild traumaticbraininjury/concussion recovery time and symptom severity in children?
Evidence Brief: Hyperbaric Oxygen Therapy (HBOT) for TraumaticBrainInjury and/or Post-traumatic Stress Disorder Enter search terms Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Evidence Brief: Hyperbaric Oxygen Therapy (HBOT) for TraumaticBrainInjury and/or Post-traumatic Stress Disorder Health Services Research & Development Evidence Brief: Hyperbaric Oxygen Therapy (HBOT) for TraumaticBrainInjury and/or Post (...) on the use of hyperbaric oxygen therapy (HBOT) for the treatment of traumaticbraininjury (TBI), posttraumatic stress disorder (PTSD), or their cooccurrence. Findings from this evidence brief will be used to inform considerations of clinical use of HBOT in Veterans with TBI and/or PTSD. Key Questions KQ1: What are the potential benefits of HBOT for the treatment of TBI and/or PTSD? KQ2: What are the potential risks of using HBOT for the treatment of TBI and/or PTSD? KQ3: Do the benefits or risks of HBOT
Cognitive rehabilitation therapy for traumaticbraininjury (TBI) Cognitive rehabilitation therapy for traumaticbraininjury (TBI) Cognitive rehabilitation therapy for traumaticbraininjury (TBI) HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Cognitive rehabilitation therapy for traumaticbraininjury (TBI (...) ) Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Rationale: Cognitive rehabilitation therapy (CRT) is a treatment approach used for patients with traumaticbraininjury (TBI) that focuses on improving cognitive impairments on attention, memory and learning, affect and expression, problem solving, and executive function. Technology Description: CRT is most often used as part of a comprehensive, multidisciplinary program that also involves traditional speech and language therapy
Clinical Utility of the Patient Health Questionnaire-9 in the Assessment of Major Depression After Broad-Spectrum TraumaticBrainInjury To determine the predictive validity of the Patient Health Questionnaire-9 (PHQ-9) when screening for symptoms of depression after traumaticbrain injury.Retrospective analysis of data collected as part of routine clinical outpatient care over a period of 30 months.Regional rehabilitation facility.Persons (N=137) with mild to severe traumaticbraininjury who (...) treatment was the most consistent predictor of PHQ-9 elevations as well as final diagnoses of major depression.The PHQ-9 has adequate clinical utility as a screening instrument for depression in outpatients with traumaticbraininjury. Elevations on this instrument cannot, however, be automatically attributed to neuropathology, especially not in the context of premorbid psychiatric dysfunction. Clinicians should conduct more thorough follow-up assessment in those with highly elevated PHQ-9
Assessment of traumaticbraininjury, acute Assessment of traumaticbraininjury, acute - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Assessment of traumaticbraininjury, acute Last reviewed: February 2019 Last updated: November 2018 Important updates 20 Nov 2018 CDC recommends use of validated clinical decision rules to help decide need for imaging in children with concussion Large numbers of children present (...) with mild traumaticbraininjury (TBI, concussion) each year, prompting the US Centers for Disease Control and Prevention (CDC) to produce a new guideline based on a systematic review of the evidence on diagnosis, prognosis, and management. Lumba-Brown A, Yeates KO, Sarmiento K, et al. Centers for Disease Control and Prevention guideline on the diagnosis and management of mild traumaticbraininjury among children. JAMA Pediatr. 2018 Sep 4 [Epub ahead of print]. http://www.ncbi.nlm.nih.gov/pubmed
Fitness training for cardiorespiratory conditioning after traumaticbraininjury. Reduced cardiorespiratory fitness (cardiorespiratory deconditioning) is a common consequence of traumaticbraininjury (TBI). Fitness training may be implemented to address this impairment.The primary objective of this updated review was to evaluate whether fitness training improves cardiorespiratory fitness in people who have sustained a TBI. The secondary objectives were to evaluate whether fitness training (...) may be guided by pre-exercise screening checklists to ensure the person with traumaticbraininjury is safe to exercise, and set training parameters using guidelines established by the American College of Sports Medicine for people who have suffered a braininjury.
Elevation of the head during intensive care management in people with severe traumaticbraininjury. Traumaticbraininjury (TBI) is a major public health problem and a fundamental cause of morbidity and mortality worldwide. The burden of TBI disproportionately affects low- and middle-income countries. Intracranial hypertension is the most frequent cause of death and disability in brain-injured people. Special interventions in the intensive care unit are required to minimise factors (...) contributing to secondary braininjury after trauma. Therapeutic positioning of the head (different degrees of head-of-bed elevation (HBE)) has been proposed as a low cost and simple way of preventing secondary braininjury in these people. The aim of this review is to evaluate the evidence related to the clinical effects of different backrest positions of the head on important clinical outcomes or, if unavailable, relevant surrogate outcomes.To assess the clinical and physiological effects of HBE during
Efficacy and harms of pharmacological interventions for neurobehavioral symptoms in post traumatic amnesia after traumaticbraininjury: a systematic review and meta-analysis protocol. The objective of this systematic review is to synthesize the best available evidence on the effectiveness and harms of pharmacotherapy as compared to all types of comparators for the management of neurobehavioral symptoms in post-traumatic amnesia in adults aged 16 years and over who have sustained a traumatic (...) braininjury. This review forms part of a larger project which aims to gather the evidence for the pharmacological treatment of neurobehavioral symptoms post traumaticbraininjury as a prelude to the development of a clinical guideline.
Interventions for managing skeletal muscle spasticity following traumaticbraininjury. Skeletal muscle spasticity is a major physical complication resulting from traumaticbraininjury (TBI), which can lead to muscle contracture, joint stiffness, reduced range of movement, broken skin and pain. Treatments for spasticity include a range of pharmacological and non-pharmacological interventions, often used in combination. Management of spasticity following TBI varies from other clinical (...) populations because of the added complexity of behavioural and cognitive issues associated with TBI.To assess the effects of interventions for managing skeletal muscle spasticity in people with TBI.In June 2017, we searched key databases including the Cochrane Injuries Group Specialised Register, CENTRAL, MEDLINE (Ovid), Embase (Ovid) and others, in addition to clinical trials registries and the reference lists of included studies.We included randomised controlled trials (RCTs) and cross-over RCTs
Functional Outcome After Intracranial Pressure Monitoring for Children With Severe TraumaticBrainInjury PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?
Hypothermia for traumaticbraininjury. Hypothermia has been used in the treatment of braininjury for many years. Encouraging results from small trials and laboratory studies led to renewed interest in the area and some larger trials.To determine the effect of mild hypothermia for traumaticbraininjury (TBI) on mortality, long-term functional outcomes and complications.We ran and incorporated studies from database searches to 21 March 2016. We searched the Cochrane Injuries Group's
Safety and effectiveness of pharmacotherapy for depression in adults who have sustained a traumaticbraininjury: a systematic review protocol. The objective of this systematic review is to synthesize the current evidence on the effectiveness and harms of pharmacotherapy in the management of depression in adults who have sustained a traumaticbraininjury.
Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric TraumaticBrainInjury Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric TraumaticBrainInjury | Murdoch Children's Research Institute Search form Search Search You are here Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric TraumaticBrainInjury for the management (...) of communication and swallowing disorders following paediatric traumaticbraininjury. Traumaticbraininjury (TBI) is a leading cause of disability, affecting approximately 765 to 2008 per 100 000 Australian children each year. Its effects are vast and include speech, language and swallowing disorders. To ensure a standard, best-evidence approach to the clinical care of children with communication and swallowing disorders following moderate or severe TBI, a multidisciplinary guideline committee has developed