scholarly journals 0637 Alternative Scoring Paradigms Of Rest-activity Consolidation (rac) In Moderate To Severe Traumatic Brain Injury (tbi) During Inpatient Rehabilitation

SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A253-A254
Author(s):  
Risa Richardson ◽  
Marc Silva ◽  
Karel Calero ◽  
Jamie Zeitzer
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Inpatient Rehabilitation ◽  
Rest Activity

scholarly journals Rest-Activity Cycle Disturbances in the Acute Phase of Moderate to Severe Traumatic Brain Injury

2013 ◽  
Vol 28 (5) ◽  
pp. 472-482 ◽  
Author(s):  
Catherine Duclos ◽  
Marie Dumont ◽  
Hélène Blais ◽  
Jean Paquet ◽  
Elyse Laflamme ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Acute Phase ◽  
Severe Traumatic Brain Injury ◽  
Activity Cycle ◽  
Rest Activity

scholarly journals Mortality Secondary to Unintentional Poisoning after Inpatient Rehabilitation among Individuals with Moderate to Severe Traumatic Brain Injury

2020 ◽  
Vol 37 (23) ◽  
pp. 2507-2516 ◽  
Author(s):  
Flora M. Hammond ◽  
Jessica Ketchum ◽  
Kristen Dams-O'Connor ◽  
John D. Corrigan ◽  
Cate Miller ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Inpatient Rehabilitation

Does Apolipoprotein E Play a Role in Outcome After Severe Traumatic Brain Injury?

2009 ◽  
Vol 10 (2) ◽  
pp. 162-168 ◽  
Author(s):  
Adeline Hodgkinson ◽  
Lauren Gillett ◽  
Grahame K. Simpson
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Brain Injuries ◽  
Injury Severity ◽  
Inpatient Rehabilitation ◽  
Adverse Outcomes ◽  
Ε4 Allele ◽  
Apoe Genotypes

AbstractThere is mixed evidence linking adverse outcomes after traumatic brain injury to the presence of the ε4 allele of the apolipoprotein gene (APOE). Further, there has been limited investigation of the role of APOE in populations who have sustained severe brain injuries. In this study, 100 individuals aged 16 to 65 years with a severe to extremely severe traumatic brain injury were recruited prospectively from an inpatient rehabilitation unit. APOE genotypes were determined, and demographic and clinical data were collected by blind assessors at 6 months postinjury. Sixty-nine participants who were divided into an acute (less than 12 months postinjury) and chronic (greater than 12 months) groups also completed neuropsychological assessments testing various domains of memory, attention and problem-solving at follow-up. No significant differences in injury severity, cognitive or functional outcome were found between individuals with the ε4 allele and those without at either time postinjury. This finding is consistent with other recent data that has questioned the role of APOE status as a factor in recovery from TBI.

scholarly journals Cost of inpatient rehabilitation for children with moderate to severe traumatic brain injury

2021 ◽  
Vol 50 (1) ◽  
pp. 26-32
Author(s):  
Jia Hui Teo ◽  
Shu-Ling Chong ◽  
LW Chiang ◽  
Zhi Min Ng
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Inpatient Rehabilitation ◽  
Outpatient Rehabilitation ◽  
Accidental Injury ◽  
Factors Associated ◽  
Traumatic Amnesia ◽  
Severity Of Injury ◽  
The Cost

ABSTRACT Aim: To evaluate the cost of inpatient rehabilitation for children with moderate to severe traumatic brain injury (TBI). Secondary aim was to identify factors associated with high inpatient rehabilitation cost. Method: Retrospective review of a tertiary hospital’s trauma registry was performed from 2011–2017. All patients aged 16 years or younger who sustained TBI with Glasgow Coma Scale ≤13 were included. Data on patient demographics, mechanism and severity of injury, hospital duration and inpatient rehabilitation cost were collected. We performed a regression analysis to identify factors associated with high rehabilitation cost. Results: There were a total of 51 patients. The median duration of inpatient rehabilitation was 13.5 days (interquartile range [IQR] 4–35), amounting to a median cost of SGD8,361 (IQR 3,543–25,232). Daily ward costs contributed the most to total inpatient rehabilitation cost. Those with severe TBI had longer duration of inpatient rehabilitation that resulted in higher cost of inpatient rehabilitation. Presence of polytrauma, medical complications, post-traumatic amnesia and TBI post-non-accidental injury (NAI) were associated with higher cost of inpatient rehabilitation. Conclusion: The cost of inpatient rehabilitation for paediatric patients post-TBI is significant in Singapore. Patients with TBI secondary to NAI had significantly higher cost of inpatient rehabilitation. Ways to reduce duration of hospitalisation post-TBI and early step-down care or outpatient rehabilitation should be explored to reduce cost. Keywords: Duration, paediatrics, rehabilitative medicine

Aspiration Pneumonia Following Severe Traumatic Brain Injury: Prevalence and Risk Factors for Long-Term Mortality

2011 ◽  
Vol 12 (3) ◽  
pp. 179-186 ◽  
Author(s):  
Alison A. Howle ◽  
Melissa T. Nott ◽  
Ian J. Baguley
Keyword(s):  
Risk Factors ◽  
Traumatic Brain Injury ◽  
Nursing Home ◽  
Brain Injury ◽  
Aspiration Pneumonia ◽  
Severe Traumatic Brain Injury ◽  
Functional Disability ◽  
Inpatient Rehabilitation ◽  
Endoscopic Gastrostomy

AbstractDysphagia and aspiration pneumonia are prevalent but infrequently studied complications following severe traumatic brain injury (TBI). Aspiration pneumonia is responsible for a significant number of long-term deaths in this population, however, the reported number of deaths attributed to aspiration pneumonia may be inaccurate. This multicentre inception cohort (n= 2545) study analysed consecutive discharges from 3 metropolitan inpatient brain injury rehabilitation units from January 1990 to October 2007 following inpatient rehabilitation following primary TBI. Subject data was linked to national death registries to determine cause of death where relevant. This study aimed to (a) evaluate the prevalence of aspiration pneumonia, percutaneous endoscopic gastrostomy (PEG) insertion and dysphagia following TBI, (b) identify the number of deaths ascribed to aspiration pneumonia, and (c) characterise associated risk factors for long-term aspiration pneumonia related deaths compared to all other causes of death. In-hospital PEG insertion occurred in 18.4% of the sample, two thirds of whom remained dysphagic at discharge. In-hospital aspiration pneumonia was recorded in 3.6% of the sample. Postdischarge, people with TBI were 79 times more likely to die from aspiration pneumonia than the general population. Risks were higher for subjects discharged to a nursing home, with severe ongoing functional disability, dysphagia at discharge, in those who had experienced in-hospital aspiration pneumonia or required PEG insertion. Early identification and risk management of dysphagia and aspiration pneumonia in TBI nursing home populations may maximise these individuals' quality and length of life.

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