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rehabilitation AND brain trauma

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https://www.readbyqxmd.com/read/29652735/nursing-sensitive-outcomes-after-severe-traumatic-brain-injury-a-nationwide-study
#1
Lene Odgaard, Lena Aadal, Marianne Eskildsen, Ingrid Poulsen
BACKGROUND: Complications such as infections and conditions after immobilization are frequent after severe traumatic brain injury (TBI) due to compromised bodily functions. Traditionally, bodily functions are core elements in nursing, and therefore nurses in the rehabilitation departments are pivotal in the prevention of complications. Hence, the frequency of complications is an indicator of nursing care quality, which can be included in nursing-sensitive outcome indicators. To do so, it is necessary to know the frequency of the selected complications...
April 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29566689/brain-injury-rehabilitation-after-road-trauma-in-new-south-wales-australia-insights-from-a-data-linkage-study
#2
Jane Wu, Steven G Faux, Christopher J Poulos, Ian Harris
BACKGROUND: Population-based patterns of care studies are important for trauma care but conducting them is expensive and resource-intensive. Linkage of routinely collected administrative health data may provide an efficient alternative. The aims of this study are to describe the rehabilitation pathway for trauma survivors and to analyse the brain injury rehabilitation outcomes in the two care settings (specialist brain injury and non-specialist general rehabilitation units). METHODS: This is an observational study using routinely collected registry data (New South Wales Trauma Registry linked with the Australasian Rehabilitation Outcomes Centre Inpatient Dataset)...
March 23, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29557888/probabilistic-matching-of-deidentified-data-from-a-trauma-registry-and-a-traumatic-brain-injury-model-system-center-a-follow-up-validation-study
#3
Raj G Kumar, Zhensheng Wang, Matthew R Kesinger, Mark Newman, Toan T Huynh, Janet P Niemeier, Jason L Sperry, Amy K Wagner
In a previous study, individuals from a single Traumatic Brain Injury Model Systems and trauma center were matched using a novel probabilistic matching algorithm. The Traumatic Brain Injury Model Systems is a multicenter prospective cohort study containing more than 14,000 participants with traumatic brain injury, following them from inpatient rehabilitation to the community over the remainder of their lifetime. The National Trauma Databank is the largest aggregation of trauma data in the United States, including more than 6 million records...
April 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29517704/injury-of-leg-somatotopy-of-corticospinal-tract-at-corona-radiata-by-ventriculoperitoneal-shunt-a-case-report
#4
Sung Ho Jang, Younghyeon Kwon
RATIONALE: A 45-year-old right-handed female patient suffered head trauma after being hit by a truck that ran into a house. PATIENT CONCERNS: The patient lost consciousness for 1 hour and experienced posttraumatic amnesia for 1 month after the accident. DIAGNOSES: She underwent conservative management for a subdural hematoma in the left frontotemporal lobes and intracerebral hematoma in the left frontal lobe. INTERVENTIONS: The patient's Glasgow Coma Scale score was 11...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29499004/trauma-informed-care-is-the-best-clinical-practice-in-rehabilitation-nursing
#5
Laneita Freeman Williamson, Donald D Kautz
PURPOSE: This clinical article explores how trauma-informed care (TIC) can be used by rehabilitation nurses with patients who have experienced pervasive adverse childhood experiences (ACEs). METHOD (INTERVENTION STRATEGIES): This clinical article gives suggestions for using the five guiding principles of TIC: safety, trustworthiness, choice, collaboration, and empowerment, as the best clinical practice. CONCLUSION: Implementing TIC promotes successful rehabilitation, improves patient outcomes, and reduces costs...
March 2018: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/29466920/trajectory-of-functional-independent-measurements-during-first-5-years-following-moderate-and-severe-traumatic-brain-injury
#6
Juan Lu, Cecilie Roe, Solrun Sigurdardottir, Nada Andelic, Marit Vindal Forslund
A better understanding of long-term functional recovery process for patients with traumatic brain injury (TBI) facilitates effective rehabilitations. The objective of this study was to classify and characterize patients with moderate-to-severe TBI based on their functional trajectories up to 5-years following injury. The study included 121 patients with moderate-to-severe TBIs (ICD-10: S06.0-S06.9), aged 16-55 years and admitted at Trauma Referral Hospital within 24-hours of injury between 2005 and 2007. Demographics and injury characteristics were documented at the admission, and functional status was recorded at 3 months, 1 and 5 years post injury using Functional Independence Measure motor (FIM-M) and cognitive (FIM-C) subscales...
February 21, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29450484/neurological-manifestations-among-us-government-personnel-reporting-directional-audible-and-sensory-phenomena-in-havana-cuba
#7
Randel L Swanson, Stephen Hampton, Judith Green-McKenzie, Ramon Diaz-Arrastia, M Sean Grady, Ragini Verma, Rosette Biester, Diana Duda, Ronald L Wolf, Douglas H Smith
Importance: From late 2016 through August 2017, US government personnel serving on diplomatic assignment in Havana, Cuba, reported neurological symptoms associated with exposure to auditory and sensory phenomena. Objective: To describe the neurological manifestations that followed exposure to an unknown energy source associated with auditory and sensory phenomena. Design, Setting, and Participants: Preliminary results from a retrospective case series of US government personnel in Havana, Cuba...
February 15, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29428344/the-effects-of-timing-and-intensity-of-neurorehabilitation-on-functional-outcome-after-traumatic-brain-injury-a-systematic-review-meta-analysis
#8
REVIEW
Marsh Königs, Eva A Beurskens, Lian Snoep, Erik J A Scherder, Jaap Oosterlaan
OBJECTIVE: To systematically review evidence on the effects of timing and intensity of neurorehabilitation on the functional recovery of patients with moderate to severe traumatic brain injury (TBI) and aggregate the available evidence using meta-analytic methods. DATA SOURCES: Pubmed, Embase, PsycINFO and Cochrane Database. DATA SELECTION: Electronic databases were searched for prospective controlled clinical trials assessing the effect of timing or intensity of multidisciplinary neurorehabilitation programs on functional outcome of patients with moderate or severe TBI...
February 8, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29420102/family-appraisal-of-paediatric-acquired-brain-injury-a-social-work-clinical-intervention-trial
#9
Lyndal Hickey, Vicki Anderson, Stephen Hearps, Brigid Jordan
OBJECTIVE: To compare the efficacy of a new intervention 'Family Forward' with 'Usual Care' social work practice in optimising family appraisal of a child's acquired brain injury to ensure better adaptation during the inpatient rehabilitation phase of care and early transition home. RESEARCH DESIGN: Single site, prospective, sequential comparison group design. METHODS AND PROCEDURES: Families were recruited on admission to an inpatient rehabilitation service based at a tertiary paediatric hospital...
February 8, 2018: Developmental Neurorehabilitation
https://www.readbyqxmd.com/read/29390458/recovery-of-injured-broca-s-portion-of-arcuate-fasciculus-in-the-dominant-hemisphere-in-a-patient-with-traumatic-brain-injury
#10
Sung Ho Jang, Ji Wan Ha, Hyun Young Kim, You Sung Seo
RATIONALE: Recovery of injured AF in patients with traumatic brain injury (TBI) has not been reported. In this study, we report on a patient with TBI who recovered from an injury to Broca's portion of AF in the dominant hemisphere, diagnosed by diffusion tensor tractography (DTT). PATIENT CONCERNS: A 28-year-old right-handed male patient suffered head trauma resulting from sliding while riding a motorcycle. DIAGNOSES: He was diagnosed with a traumatic contusional hemorrhage in the left frontal lobe, subarachnoid hemorrhage, and subdural hemorrhage in the left fronto-temporal lobe...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390431/limb-kinetic-apraxia-in-a-patient-with-mild-traumatic-brain-injury-a-case-report
#11
Sung Ho Jang, Jeong Pyo Seo
RATIONALE: We report on a patient who developed limb-kinetic apraxia (LKA) due to an injured corticofugal tract (CFT) from the secondary motor area following mild traumatic brain injury (TBI), demonstrated on diffusion tensor tractography (DTT). PATIENT CONCERNS: She was struck in the right leg by a sedan at a crosswalk and fell to the ground. She lost consciousness and experienced post-traumatic amnesia for approximately ten minutes. She was obliged to wear a cast for a left humerus fracture for two months, and she found she could not move her left hand quickly with intention after removal of the cast; consequently her left hand was almost non-functional...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29214853/psychometric-properties-of-the-satisfaction-with-life-scale-in-people-with-traumatic-brain-spinal-cord-or-burn-injury-a-national-institute-on-disability-independent-living-and-rehabilitation-research-model-system-study
#12
Dagmar Amtmann, Fraser D Bocell, Alyssa Bamer, Allen W Heinemann, Jeanne M Hoffman, Shannon B Juengst, Marta Rosenberg, Jeffery C Schneider, Shelley Wiechman, Kara McMullen
This study evaluated the measurement properties of the Satisfaction With Life Scale (SWLS) in a sample of 17,897 people with spinal cord injury (48%, n = 8,566), traumatic brain injury (44%, n = 7,941), and burn injury (8%, n = 1,390), 1 year following injury. We examined measurement invariance across the groups, unidimensionality, local independence, reliability from a classical test and item response theory (IRT) framework, and fit to a unidimensional IRT model. The results support unidimensionality and local independence of the SWLS...
February 1, 2017: Assessment
https://www.readbyqxmd.com/read/29201849/concurrent-surgery-of-craniectomy-and-splenectomy-as-initial-treatment-in-severe-traumatic-head-injury-a-case-report
#13
Hyeong Rae Lee, Nam Kyu You, Sook Jin Seo, Mi Sun Choi
It is not a common case for neurosurgery department and the other departments to perform joint operation at the same time. Patients with severe head injury are a condition in which vital signs are unstable due to severe brain swelling and increased intracranial pressure, and emergency surgery is required. A 44-year-old man visited the trauma center with a motorcycle accident. The Glasgow Coma Scale score at the time of emergency department was 3 points, and the pupil was fixed at 6 mm on both sides. His medical history was unknown...
October 2017: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/29182378/early-changes-in-cerebral-autoregulation-among-youth-hospitalized-after-sports-related-traumatic-brain-injury
#14
Monica S Vavilala, Carly K Farr, Arraya Watanitanon, Bs Crystalyn Clark-Bell, Theerada Chandee, Anne Moore, William Armstead
OBJECTIVE: To examine early cerebral haemodynamic changes among youth hospitalized with sports-related traumatic brain injury (TBI). STUDY DESIGN: Youth 0-18 years admitted to a level one trauma centre with sports-related TBI were enrolled. Daily measures included clinical symptoms and Glasgow Coma Scale (GCS) score. Using Transcranial Doppler (TCD) ultrasonography and tilt testing, we measured middle cerebral artery flow velocity (Vmca) and cerebral autoregulation index (ARI)...
2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29171499/-treatment-of-spasticity-after-traumatic-brain-injury-in-children-the-role-of-botulinum-toxin-therapy
#15
O A Klochkova, A L Kurenkov, N A Mamontova
Traumatic brain injury (TBI) is one of the main reasons of death and disability in children and adolescents in Russia and abroad. Spasticity is a frequent outcome of the TBI that influences on the rehabilitation prognosis, degree of movement disorders and quality of life after trauma. Early spasticity correction and complex rehabilitation lead to the optimal recovery and prevent secondary complications. This review presents the current data about the prognostic role of the spasticity in children after TBI, methods of its correction and their scientific evidence...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/29157846/definition-of-traumatic-brain-injury-neurosurgery-trauma-orthopedics-neuroimaging-psychology-and-psychiatry-in-mild-traumatic-brain-injury
#16
REVIEW
Mubashir Pervez, Ryan S Kitagawa, Tiffany R Chang
Traumatic brain injury (TBI) disrupts the normal function of the brain. This condition can adversely affect a person's quality of life with cognitive, behavioral, emotional, and physical symptoms that limit interpersonal, social, and occupational functioning. Although many systems exist, the simplest classification includes mild, moderate, and severe TBI depending on the nature of injury and the impact on the patient's clinical status. Patients with TBI require prompt evaluation and multidisciplinary management...
February 2018: Neuroimaging Clinics of North America
https://www.readbyqxmd.com/read/29146230/race-insurance-status-and-traumatic-brain-injury-outcomes-before-and-after-enactment-of-the-affordable-care-act
#17
Eric W Moffet, Tiffany J Zens, Krista L Haines, Megan V Beems, Kaitlyn M McQuistion, Glen E Leverson, Suresh K Agarwal
BACKGROUND: The Affordable Care Act aims to improve patient outcomes. Race/ethnicity and insurance status impact outcomes after traumatic brain injury. We sought to gauge the Affordable Care Act's effect on outcomes after traumatic brain injury, as graded by race/ethnicity and insurance status. METHODS: The National Trauma Data Bank was utilized to identify traumatic brain injury patients before and after the Affordable Care Act. Patient outcomes comprised of hospital duration of stay, in-hospital mortality, discharge to rehabilitation, and surgical procedures...
February 2018: Surgery
https://www.readbyqxmd.com/read/29130805/rehabilitative-success-after-brain-trauma-by-augmenting-a-subtherapeutic-dose-of-environmental-enrichment-with-galantamine
#18
Patricia B de la Tremblaye, Jody L Wellcome, Benjamin Wells de Witt, Jeffrey P Cheng, Elizabeth R Skidmore, Corina O Bondi, Anthony E Kline
BACKGROUND: Environmental enrichment (EE) confers benefits after traumatic brain injury (TBI) when provided daily for > 6 hours, but not 2 or 4 hours, which more accurately reflects the daily amount of clinical rehabilitation. The lack of benefit with sub-therapeutic EE suggests that augmentation with galantamine (GAL), which enhances cognition after TBI, may be indicated to confer benefits. OBJECTIVE: To test the hypothesis that 2 and 4 hours of EE paired with GAL will provide benefits comparable to 24 hours of EE alone...
October 2017: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29125015/factors-associated-with-return-to-work-in-patients-with-long-term-disabilities-due-to-neurological-and-neuropsychiatric-disorders
#19
Maura Mitrushina, Robert Tomaszewski
The current study explores factors predicting return to work in a sample of patients with neurological and neuropsychiatric disorders who have attended a prevocational readiness and social skills training programme many years after trauma. Participants were community-dwelling adults with long-term disabilities (N = 67). Results of univariate analyses followed by multivariate logistic regression analysis revealed that both pre-injury (prior) and post-injury (current) factors influenced the likelihood of employment in our sample: prior employment, current employment readiness, current cognitive competence (particularly memory and executive functioning) and emotional adjustment...
November 10, 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/29095327/cerebral-venous-sinus-thrombosis-due-to-low-molecular-weight-heparin-induced-thrombocytopenia
#20
Ezequiel Gleichgerrcht, Ming Y Lim, Tanya N Turan
INTRODUCTION: Heparin-induced thrombocytopenia (HIT) is an immune-mediated complication of heparin exposure. A limited number of studies have reported cerebral venous sinus thrombosis (CVST) as the presenting thrombotic event induced by HIT, only one of which occurred with exposure to low-molecular-weight heparin (LMWH), with death as outcome. Here, we present a unique case of LMWH-induced HIT leading to CVST but resulting in good clinical outcome. CASE REPORT: A 52-year-old woman received subcutaneous LMWH for deep vein thrombosis prophylaxis while in rehabilitation following kyphoplasty for spinal fracture related to recent trauma...
November 2017: Neurologist
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