What Variables Correlate With Different Clinical Outcomes of Abusive Head Injury?

Objective: The aim of this study was to analyze the outcome of decompressive craniectomy in patients of traumatic head injury done in MTI, DHQ teaching hospital.Materials and Methods: 189 patients with head injury were operated in a period of 15 months (April 2018-June 2019). Among 189 patients only 50 (32 men and 18 women) were treated with decompressive craniectomy (DC). We analyze only 50 cases that were treated with DC. Demographic details, GCS, time of DC and complications were recorded. Glasgow Outcome Scale was used as a measure of clinical outcome.Results: Out of 50 patients, 18 (36%) showed a complete recovery, mild disability was found in 10 (20%) patients. The percentage of severe disability was observed in 7 (14%) patients asexual condition existed in 5 (12%) patients and the mortality rate was 12% (6 patients). 4 (8%) patients did not report us back. We excluded them from our final result analysis. A good result was presented in 28 patients (56%). Age was found to have a statistically significant association with clinical outcomes (p = 0.002). Moreover, the patients experiencing DC within 18 hours had an improved result (p = 0.001). The better GCS score before surgery was associated with good results (p = 0.001).Conclusion: Decompressive craniectomy is associated with better clinical outcomes in patients with traumatic brain injury associated with refractory cerebral edema and elevated intracranial pressure.

Download Full-text

Commentary: What Variables Correlate With Different Clinical Outcomes of Abusive Head Injury?

Neurosurgery ◽

10.1093/neuros/nyaa153 ◽

2020 ◽

Vol 87 (4) ◽

pp. E497-E497

Author(s):

Robert C Rennert ◽

Michael L Levy

Keyword(s):

Head Injury ◽

Clinical Outcomes

Download Full-text

Early enteral nutrition supplemented with probiotics improved the clinical outcomes in severe head injury

Medicine ◽

10.1097/md.0000000000015426 ◽

2019 ◽

Vol 98 (17) ◽

pp. e15426 ◽

Cited By ~ 2

Author(s):

Li-Juan Yi ◽

Xu Tian ◽

Bing Shi ◽

Yuan-Ping Pi ◽

Wei-Qing Chen

Keyword(s):

Head Injury ◽

Enteral Nutrition ◽

Clinical Outcomes ◽

Severe Head Injury ◽

Early Enteral Nutrition

Download Full-text

Accreditation of predoctoral dental education: clinical outcomes assessment

Journal of Dental Education ◽

10.1002/j.0022-0337.1991.55.11.tb02592.x ◽

1991 ◽

Vol 55 (11) ◽

pp. 729-734

Author(s):

MA Boyd ◽

IC Bennett ◽

KC Bentley

Keyword(s):

Clinical Outcomes ◽

Dental Education ◽

Outcomes Assessment ◽

Clinical Outcomes Assessment

Download Full-text

Selecting Skills To Teach Communication Partners: Where Do I Start?

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac21.4.127 ◽

2012 ◽

Vol 21 (4) ◽

pp. 127-135 ◽

Cited By ~ 6

Author(s):

Cathy Binger ◽

Jennifer Kent-Walsh

Keyword(s):

Clinical Outcomes ◽

Intervention Program ◽

Communication Partners ◽

Multiple Challenges

Abstract Clinicians and researchers long have recognized that teaching communication partners how to provide AAC supports is essential to AAC success. One way to improve clinical outcomes is to select appropriate skills to teach communication partners. Although this sometimes seems like it should be a straightforward component of any intervention program, deciding which skills to teach partners can present multiple challenges. In this article, we will troubleshoot common issues and discuss how to select skills systematically, resulting in the desired effects for both communication partners and clients.

Download Full-text

Linguistic Interactions: A Therapeutic Consideration for Adults With Aphasia

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac17.3.93 ◽

2008 ◽

Vol 17 (3) ◽

pp. 93-98

Author(s):

Lynn E. Fox

Keyword(s):

Clinical Outcomes ◽

Social Contexts ◽

Interaction Models ◽

Social Communities ◽

Wernicke's Aphasia ◽

Communication Challenges ◽

Therapeutic Consideration ◽

Patterns Of Interaction ◽

Structural Language

Abstract Linguistic interaction models suggest that interrelationships arise between structural language components and between structural and pragmatic components when language is used in social contexts. The linguist, David Crystal (1986, 1987), has proposed that these relationships are central, not peripheral, to achieving desired clinical outcomes. For individuals with severe communication challenges, erratic or unpredictable relationships between structural and pragmatic components can result in atypical patterns of interaction between them and members of their social communities, which may create a perception of disablement. This paper presents a case study of a woman with fluent, Wernicke's aphasia that illustrates how attention to patterns of linguistic interaction may enhance AAC intervention for adults with aphasia.

Download Full-text

The Complexity of Health Disparities: More Than Just Black–White Differences

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00199 ◽

2021 ◽

pp. 1-10

Author(s):

Charles Ellis ◽

Molly Jacobs

Keyword(s):

Health Disparities ◽

Clinical Outcomes ◽

The United States ◽

Careful Examination ◽

White Americans ◽

Speech Language Pathology ◽

Death Rates ◽

The Social ◽

Health Related ◽

Language Pathology

Health disparities have once again moved to the forefront of America's consciousness with the recent significant observation of dramatically higher death rates among African Americans with COVID-19 when compared to White Americans. Health disparities have a long history in the United States, yet little consideration has been given to their impact on the clinical outcomes in the rehabilitative health professions such as speech-language pathology/audiology (SLP/A). Consequently, it is unclear how the absence of a careful examination of health disparities in fields like SLP/A impacts the clinical outcomes desired or achieved. The purpose of this tutorial is to examine the issue of health disparities in relationship to SLP/A. This tutorial includes operational definitions related to health disparities and a review of the social determinants of health that are the underlying cause of such disparities. The tutorial concludes with a discussion of potential directions for the study of health disparities in SLP/A to identify strategies to close the disparity gap in health-related outcomes that currently exists.

Download Full-text