Traumatic Brain Injury: A Trauma Surgeon's Perspective

2012 ◽  
Vol 22 (3) ◽  
pp. 82-89
Author(s):  
Oscar D. Guillamondegui
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Multidisciplinary Approach ◽  
Trauma Team ◽  
The United States ◽  
Long Term Outcomes ◽  
Term Care ◽  
Injured Brain ◽  
The Moment

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.

Long-term outcomes after mild traumatic brain injury

2014 ◽  
Vol 219 (4) ◽  
pp. e144-e145
Author(s):  
Elizabeth Shinn ◽  
Amy Pate ◽  
Frederique Pinto ◽  
Akella Chendrasekhar
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Long Term Outcomes

scholarly journals Combat-related Mild Traumatic Brain Injury: Association between Baseline Diffusion-Tensor Imaging Findings and Long-term Outcomes

Radiology ◽  
2016 ◽  
Vol 280 (1) ◽  
pp. 212-219 ◽  
Author(s):  
Jeffrey B. Ware ◽  
Rosette C. Biester ◽  
Elizabeth Whipple ◽  
Keith M. Robinson ◽  
Richard J. Ross ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Diffusion Tensor Imaging ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Diffusion Tensor ◽  
Imaging Findings ◽  
Long Term Outcomes

Young Adults With Traumatic Brain Injury in Long-Term Care Homes: A Population-Based Study

2010 ◽  
Vol 11 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Angela Colantonio ◽  
Dana Howse ◽  
Jigisha Patel
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Long Term Care ◽  
Secondary Data ◽  
Population Based ◽  
Care Homes ◽  
Care Needs ◽  
Cross Sectional ◽  
Term Care

AbstractThe aim of this research was to identify the number and characteristics of adults under the age of 65 with a diagnosis of traumatic brain injury (TBI) living in long-term care homes (nursing homes, homes for the aged and charitable homes) in Ontario, Canada. Methods: The study used a cross-sectional design. Secondary data analysis of a comprehensive provincial database of long-term care homes was conducted. Results: Of the 399 residents coded as having a TBI, 154 were < 65 years of age. Virtually all residents were limited in personal care and required assistance for eating (94.2%), toileting (92.2%) and dressing (99.4%). A large percentage also required care for challenging behaviours, while care needs due to substance abuse was common among 12.3% of TBI residents. Conclusion: As similar research in Australia has found, young persons in long-term care homes in Ontario, Canada, have high level personal health needs, however the appropriateness of this environment is questionable.

scholarly journals Impact of Secondary ADHD on Long-Term Outcomes After Early Childhood Traumatic Brain Injury

2020 ◽  
Vol 35 (3) ◽  
pp. E271-E279 ◽  
Author(s):  
Megan E. Narad ◽  
Jacqlyn Riemersma ◽  
Shari L. Wade ◽  
Julia Smith-Paine ◽  
Paige Morrison ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Early Childhood ◽  
Brain Injury ◽  
Long Term Outcomes

scholarly journals Heart Rate Variability and Mild Traumatic Brain Injury: Case Study and Review of Literature

Neurology ◽  
2019 ◽  
Vol 93 (14 Supplement 1) ◽  
pp. S2.2-S2
Author(s):  
Harrison Seltzer ◽  
Karim Elghawy ◽  
Robert Baker
Keyword(s):  
Traumatic Brain Injury ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Training Session ◽  
The United States ◽  
Smart Device ◽  
Cross Country

ObjectiveUse biofeedback measures to manage a patient's long term recovery from concussion.BackgroundSports-related mild traumatic brain injury (MTBI) is estimated to affect 3.8 million people in the United States. Identifying quantitative measures of recovery has become a point of interest in treatment. Heart Rate Variability (HRV), the average fluctuation in the interval between heartbeats, shows promise as a noninvasive biomarker.Design/MethodsCase report following cardiovascular recovery of a 15 year old cross country runner 4 months post-injury. Average heart rate and maximum heart rate per training session were collected from the patient's smart device.ResultsA 15-year-old Caucasian male cross-country runner hit the back of his head during a soccer game suffering an MTBI. The patient rested from the activity for 1 week then returned to training. Two months after the injury the patient complained of persistent shortness of breath, fatigue, and increased heart rate while running. According to the patient, his average BPM while running prior to the injury was in the 160s. The patient's smart device post-concussion reports a spike into the 180s. 3 months post-concussion the patient was instructed to keep his heart rate below 170 during training. In the following month, the patient's condition improved gradually with a return to baseline activity.ConclusionsHRV is a promising point of investigation for the management of post-concussive symptoms. Further research is necessary to elucidate the long term effects of concussion on heart rate variability.

scholarly journals PET-detectable tau pathology correlates with long-term neuropsychiatric outcomes in patients with traumatic brain injury

Brain ◽  
2019 ◽  
Vol 142 (10) ◽  
pp. 3265-3279 ◽  
Author(s):  
Keisuke Takahata ◽  
Yasuyuki Kimura ◽  
Naruhiko Sahara ◽  
Shunsuke Koga ◽  
Hitoshi Shimada ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
White Matter ◽  
Late Onset ◽  
Neuropsychiatric Symptoms ◽  
Tau Pathology ◽  
Long Term Outcomes

Is tau load associated with long-term outcomes of TBI? By using PET to assess tau deposits in patients with chronic TBI, Takahata et al. reveal elevated tau load compared to age-matched controls, and show that the abundance of tau in white matter is associated with late-onset neuropsychiatric symptoms.

Long-term Outcomes After Traumatic Brain Injury

2006 ◽  
Vol 21 (5) ◽  
pp. 435
Author(s):  
Gale Whiteneck ◽  
Melissa Sendroy-Terrill ◽  
Joseph Coll ◽  
C. A. Brooks
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Long Term Outcomes
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