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Latest & greatest articles for traumatic brain injury
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on traumatic brain injury or other clinical topics then use Trip today.
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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
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
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?
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
Cognitive rehabilitation for adults with traumaticbraininjury to improve occupational outcomes. Cognitive impairment in people with traumaticbraininjury (TBI) could affect multiple facets of their daily functioning. Cognitive rehabilitation brings about clinically significant improvement in certain cognitive skills. However, it is uncertain if these improved cognitive skills lead to betterments in other key aspects of daily living. We evaluated whether cognitive rehabilitation for people (...) with TBI improves return to work, independence in daily activities, community integration and quality of life.To evaluate the effects of cognitive rehabilitation on return to work, independence in daily activities, community integration (occupational outcomes) and quality of life in people with traumaticbraininjury, and to determine which cognitive rehabilitation strategy better achieves these outcomes.We searched CENTRAL (the Cochrane Library; 2017, Issue 3), MEDLINE (OvidSP), Embase (OvidSP
The use of oculomotor, vestibular, and reaction time tests to assess mild traumaticbraininjury (mTBI) over time The objective of this work is to examine the outcomes of a set of objective measures for evaluating individuals with minor traumaticbraininjury (mTBI) over the sub-acute time period. These methods involve tests of oculomotor, vestibular, and reaction time functions. This work expands upon published work examining these test results at the time of presentation.This study (...) is a prospective age- and sex-matched controlled study.The subject group was composed of 106 individuals with mTBI and 300 age- and sex-matched controls without a history of mTBI. All individuals agreeing to participate in the study underwent a battery of oculomotor, vestibular, and reaction time tests (OVRT). Those subjects with mTBI underwent these tests at presentation (within 6 days of injury) and 1 and 2weeks post injury. These outcomes were compared to each other over time as well as to results from
Portable neuromodulation stimulator for traumaticbraininjury Portable neuromodulation stimulator for traumaticbraininjury | Innovation Observatory toggle menu Menu Search View All Filter by Speciality Filter by Year Filter by Category This search function provides links to outputs produced by NIHR Innovation Observatory. These are briefing notes or reports on new or repurposed technologies. This search will not return all technologies currently in development as these outputs are produced (...) as required for our stakeholders. > > > Portable neuromodulation stimulator for traumaticbraininjury Portable neuromodulation stimulator for traumaticbraininjury March 2017 The Portable Neuromodulation Stimulator or PoNS™, developed by Helius Medical Technologies, is a non-invasive device that is designed to deliver neurostimulation through the tongue to treat balance disorders caused by mild to moderate TraumaticBrainInjury (mTBI). The device is intended to be used as part of targeted functional
Acupuncture Increases the Excitability of the Cortico-Spinal System in Patients with Chronic Disorders of Consciousness Following TraumaticBrainInjury. To evaluate the immediate effect of acupuncture on cortico spinal tract (CST) activity in patients with chronic disorders of consciousness (DOC) after traumaticbraininjury (TBI) by measuring motor-evoked potential (MEP) using transcranial magnetic stimulation (TMS).Changes in several variables in the acupuncture session were compared (...) with those in the control session without acupuncture in the same patients.Chubu Medical Center for Prolonged TraumaticBrain Dysfunction, Gifu, Japan.Fourteen patients (mean age ± standard deviation, 39 ± 17 years; 12 men) with chronic DOC (5 in a vegetative state and 9 in a minimally conscious state) following severe TBI.Acupuncture treatment was performed at GV 26, Ex-HN 3, bilateral LI 4, and ST 36 for 10 minutes.Main outcome measure was MEP amplitude. MEP amplitude, measured by using TMS
The effect of tranexamic acid in traumaticbraininjury: A randomized controlled trial. Traumaticbraininjury (TBI) is a leading cause of death and disability. Intracranial hemorrhage (ICH) secondary to TBI is associated with a high risk of coagulopathy which leads to increasing risk of hemorrhage growth and higher mortality rate. Therefore, antifibrinolytic agents such as tranexamic acid (TA) might reduce traumatic ICH. The aim of the present study was to investigate the extent of ICH growth (...) after TA administration in TBI patients.This single-blind randomized controlled trial was conducted on patients with traumatic ICH (with less than 30 ml) referring to the emergency department of Vali-Asr Hospital, Arak, Iran in 2014. Patients, based on the inclusion and exclusion criteria, were divided into intervention and control groups (40 patients each). All patients received a conservative treatment for ICH, as well as either intravenous TA or placebo. The extent of ICH growth as the primary
[Clinical practice guidelines for the rehabilitation of adults having sustained a moderate to severe traumaticbraininjury: development process and recommendations] Guide de pratique clinique pour la réadaptation des adultes ayant subi un traumatisme craniocérébral modéré-grave [Clinical practice guidelines for the rehabilitation of adults having sustained a moderate to severe traumaticbraininjury: development process and recommendations] Guide de pratique clinique pour la réadaptation des (...) adultes ayant subi un traumatisme craniocérébral modéré-grave [Clinical practice guidelines for the rehabilitation of adults having sustained a moderate to severe traumaticbraininjury: development process and recommendations] Truchon C Citation Truchon C. Guide de pratique clinique pour la réadaptation des adultes ayant subi un traumatisme craniocérébral modéré-grave. [Clinical practice guidelines for the rehabilitation of adults having sustained a moderate to severe traumaticbraininjury
Understanding Treatment of Mild TraumaticBrainInjury in the Military Health System Traumaticbraininjury (TBI) is considered a signature injury of modern warfare, though TBIs can also result from training accidents, falls, sports, and motor vehicle accidents. Among service members diagnosed with a TBI, the majority of cases are mild TBIs (mTBIs), also known as concussions. Many of these service members receive care through the Military Health System, but the amount, type, and quality of care
Early Enteral Combined with Parenteral Nutrition Treatment for Severe TraumaticBrainInjury: Effects on Immune Function, Nutritional Status and Outcomes(△). Objective To compare the conjoint effect of enteral nutrition (EN) and parenteral nutrition (PN) with single EN or PN on immune function, nutritional status, complications and clinical outcomes of patients with severe traumaticbraininjury (STBI). Methods A prospective randomized control trial was carried out from January 2009 to May 2012 (...) <0.05, P<0.01), and the death rate (χ2=7.50, 16.37; P<0.05, P<0.01) than those of EN or PN group. Conclusion Early EN+PN treatment could promote the recovery of the immune function, enhance nutritional status, decrease complications and improve the clinical outcomes in patients with severe traumaticbraininjury.