The Residential Status of Working Age Adults Following Severe Traumatic Brain Injury

2018 ◽  
Vol 19 (3) ◽  
pp. 201-214
Author(s):  
Sandra Braaf ◽  
Ben Beck ◽  
Libby Callaway ◽  
Jennie Ponsford ◽  
Belinda J. Gabbe
Keyword(s):  
Traumatic Brain Injury ◽  
Nursing Home ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Random Effect ◽  
Poisson Model ◽  
Adjusted Relative Risk ◽  
Place Of Residence ◽  
Post Injury ◽  
Working Age

Objective: To describe place of residence and examine factors associated with place of residence following severe traumatic brain injury (TBI) in working age adults.Setting, participants, design: Retrospective cohort study (1 January 2007 to 31 December 2013) of adults (16–64 years) with severe TBI who survived to hospital discharge in Victoria, Australia.Main measures: Place of residence (dichotomised as ‘private residence’ and ‘other destination’) at 6, 12 and 24 months post injury. A modified Poisson model was fitted with a random effect for the participant.Results: There were 684 cases that were followed-up at one or more time points. At 24 months post injury, 87% (n = 537) adults with TBI were living at a private residence, of whom 66% did not require additional support. Cases were more likely to be living at a private residence at 24 months post injury compared to 6 months (adjusted relative risk = 1.08, 95% Confidence Interval, 1.04–1.11, p < .001). At 24 months post injury, 5% (n = 29) remained in rehabilitation and 4% (n = 23) lived in a nursing home.Conclusion: While the majority of cases were living at a private residence at 2 years post injury, 13% were residing in rehabilitation, a nursing home or other supported living. Longer follow-up is needed to understand if a transition to a private residence is possible for these groups.

scholarly journals Electrophysiological correlates of thalamocortical function in acute severe traumatic brain injury

2021 ◽  
Author(s):  
William H. Curley ◽  
Yelena G. Bodien ◽  
David W. Zhou ◽  
Mary M. Conte ◽  
Andrea S. Foulkes ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Resting State ◽  
Chronic Phase ◽  
Post Injury ◽  
Network Function ◽  
Power Spectral ◽  
Level Of Consciousness ◽  
Thalamocortical Network

Few reliable biomarkers of consciousness exist for patients with acute severe brain injury. Tools assaying the neural networks that modulate consciousness may allow for tracking of recovery. The mesocircuit model, and its instantiation as the ABCD framework, classifies resting-state EEG power spectral densities into categories reflecting widely separated levels of thalamocortical network function and correlates with outcome in post-cardiac arrest coma. We applied the ABCD framework to acute severe traumatic brain injury and tested four hypotheses: 1) EEG channel-level ABCD classifications are spatially heterogeneous and temporally variable; 2) ABCD classifications improve longitudinally, commensurate with the degree of behavioural recovery; 3) ABCD classifications correlate with behavioural level of consciousness; and 4) the Coma Recovery Scale-Revised arousal facilitation protocol improves EEG dynamics along the ABCD scale. In this longitudinal cohort study, we enrolled 20 patients with acute severe traumatic brain injury requiring intensive care and 16 healthy controls. Through visual inspection, channel-level spectra from resting-state EEG were classified based on spectral peaks within frequency bands defined by the ABCD framework: A = no peaks above delta (<4 Hz) range (complete thalamocortical disruption); B = theta (4-8 Hz) peak (severe thalamocortical disruption); C = theta and beta (13-24 Hz) peaks (moderate thalamocortical disruption); or D = alpha (8-13 Hz) and beta peaks (normal thalamocortical function). We assessed behavioural level of consciousness with the Coma Recovery Scale-Revised or neurological examination and, in 12 patients, performed repeat EEG and behavioural assessments at ≥6-months post-injury. Acutely, 95% of patients demonstrated D signals in at least one channel but exhibited heterogeneity in the proportion of different channel-level ABCD classifications (mean percent D signals: 37%, range: 0-90%). By contrast, healthy participants and patients at follow-up predominantly demonstrated signals corresponding to intact thalamocortical network function (mean percent D signals: 94%). In patients studied acutely, ABCD classifications improved after the Coma Recovery Scale-Revised arousal facilitation protocol (P<0.05), providing electrophysiological evidence for the effectiveness of this commonly performed technique. ABCD classification did not correspond with behavioural level of consciousness acutely, where patients demonstrated substantial within-session temporal variability in ABCD classifications. However, ABCD classification distinguished patients with and without command-following in the subacute-to-chronic phase of recovery (P<0.01). Patients also demonstrated significant longitudinal improvement in EEG dynamics along the ABCD scale (median change in D signals: 37%, P<0.05). These findings support the use of the ABCD framework to characterize channel-level EEG dynamics and track fluctuations in functional thalamocortical network integrity in spatial detail.

scholarly journals A Detailed Overview of Long-Term Outcomes in Severe Traumatic Brain Injury Eight Years Post-injury

2019 ◽  
Vol 10 ◽  
Author(s):  
Alexis Ruet ◽  
Eléonore Bayen ◽  
Claire Jourdan ◽  
Idir Ghout ◽  
Layidé Meaude ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Long Term Outcomes ◽  
Post Injury

BRAIN DEATH DIAGNOSIS IN SEVERE TRAUMATIC BRAIN INJURY (TBI)

Vestnik ◽  
2021 ◽  
pp. 102-106
Author(s):  
Е.К. Дюсембеков ◽  
А.Р. Халимов ◽  
Л.Н. Танашева ◽  
И.Т. Курмаев ◽  
А.С. Жайлаубаева ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Brain Death ◽  
Clinical Examination ◽  
Severe Traumatic Brain Injury ◽  
Facial Injuries ◽  
Brain Death Diagnosis ◽  
Concomitant Injury ◽  
Working Age ◽  
Definition Of

Проведено клинико-неврологическое и инструментальное исследование смерти мозга у 23 пациентов с тяжелой черепно-мозговой травмой за 2020 год. Результаты исследования показали, что летальность в первые 72 часа была в 14 случаях - 60,9%. Досуточная летальность составила 9 случаев - 39,1 %. Пациенты трудоспособного возраста составили 83%. В большинстве случаев клиническая картина смерти мозга осложнялась наличием травм лица, спонтанными или индуцированными автоматизмами, ушибом легких при сочетанной травме. В данной статье описаны виды клинических исследований, используемых в диагностике смерти мозга, в сложных случаях дополнительных подтверждающих тестов. Research has been done of 23 patients with а severe traumatic brain injury (TBI) in 2020. Outcomes of our research have indicated mortality in the first 72 hours was in 14 cases - 60,9%.And the first day lethality was 9 cases - 39,1%. The significant quantity of working age patients amounts to 83%. Generally, brain death in any patient with catastrophic brain injury and a bedside exam consistent with brain death complicated by facial injuries, spontaneous or induced automatism, lungs contusion with concomitant injury. The article describes types of clinical examination, used in the definition of brain death. In complicated cases, supplementary confirm tests.

Procedural discourse performance in adults with severe traumatic brain injury at 3 and 6 months post injury

Brain Injury ◽  
2017 ◽  
Vol 32 (2) ◽  
pp. 167-181 ◽  
Author(s):  
Elin Stubbs ◽  
Leanne Togher ◽  
Belinda Kenny ◽  
Davida Fromm ◽  
Margaret Forbes ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Post Injury ◽  
Procedural Discourse

Cognitive beliefs following severe traumatic brain injury: Association with post-injury employment status

1991 ◽  
Vol 6 (3) ◽  
pp. 204-204
Author(s):  
A. A. Lubusko ◽  
A. D. Moore ◽  
S. Michael ◽  
D. D. Gill ◽  
B. Susan ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Employment Status ◽  
Post Injury ◽  
Cognitive Beliefs
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