scholarly journals Concussion Knowledge of Youth Sport Athletes, Coaches, and Parents: A Review

2018 ◽  
Vol 4 (1) ◽  
pp. 82-107 ◽  
Author(s):  
Sungwon Kim ◽  
Daniel P Connaughton ◽  
Robert F Leeman ◽  
Jong Hoon Lee
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Youth Sport ◽  
Return To Play ◽  
Research Articles ◽  
Public Attention ◽  
Youth Athletes ◽  
Concussion Knowledge ◽  
Definition Of ◽  
The U.S

Mild traumatic brain injury, commonly known as a concussion, has gained widespread public attention. Approximately 1.1 to 1.9 million children ≤18 years old suffer sport/recreation-related concussions in the U.S. annually. The purpose of this review was to assess research articles examining concussion knowledge of youth sport athletes, coaches and parents. Twenty-one articles published from 2009-2016 were selected. The results of this review suggest that most athletes, coaches, and parents had good knowledge regarding the definition of a concussion, common signs/symptoms, and complications from repeated concussions, while most stakeholders had moderate knowledge about the causes, prevalence, and return-to-play guidelines. However, the majority of respondents did not correctly identify the emotional signs/symptoms associated with concussions, and did not know that youth concussions should be managed more conservatively than adult concussions. Notable knowledge gaps were found among youth athletes and parents compared to coaches. Suggestions to improve these youth sport stakeholders’ concussion knowledge are provided.

scholarly journals Interrupted time Series Design to Evaluate ICD-9-CM to ICD-10-CM Coding Changes on Trends in Colorado Emergency Department visits Related to Traumatic Brain Injury

2020 ◽  
Author(s):  
Lauren Alexis De Crescenzo ◽  
Barbara Alison Gabella ◽  
Jewell Johnson
Keyword(s):  
Public Health ◽  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Interrupted Time Series ◽  
Emergency Department Visits ◽  
P Value ◽  
Icd 10 ◽  
The Usa ◽  
Definition Of

Abstract Background. The transition in 2015 to the Tenth Revision of the International Classification of Disease, Clinical Modification (ICD-10-CM) in the USA led public health professionals to propose a surveillance definition of traumatic brain injury (TBI) that uses ICD-10-CM codes. The proposed definition excludes “unspecified injury of the head,” previously included in the ICD-9-CM TBI definition. The purpose of this study was to evaluate this change in surveillance methods on monthly rates of TBI-related emergency department visits in Colorado from 2012 to 2017.Results. The monthly rate of TBI-related emergency department visits in the transition month to ICD-10-CM (October 2015) decreased 41 visits per 100,000 population (p-value <0.0001), compared to September 2015, and remained low through December 2017, due to the exclusion of “unspecified injury of head” (ICD-10-CM code S09.90) in the proposed TBI definition. Conclusion. This study highlights a challenge in creating a standardized set of TBI ICD-10-CM codes for public health surveillance that provides comparable yet clinically relevant estimates over time. The findings inform estimation of TBI magnitude based on ICD coded data and decisions about allocating TBI resources based on an estimated TBI magnitude.

A humanização à vítima de traumatismo crânioencefálico: uma revisão narrativa

2021 ◽  
Vol 5 (9) ◽  
pp. 20-26
Author(s):  
Nithya Deyelly Batista Neves Guidão ◽  
Danielle Galdino de Souza
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Prehospital Care ◽  
Sample Selection ◽  
Cranial Trauma ◽  
Integration Of Services ◽  
Care Practices ◽  
Definition Of ◽  
Definition Of Information

O estudo objetivou a compreender a influência da humanização durante a assistência de enfermagem ao paciente com Traumatismo Crânioencefálico. Trata-se de revisão narrativa, percorridas em seis etapas: (1) estabelecimento da hipótese e objetivos da revisão; (2) estabelecimento de critérios de inclusão e exclusão de artigos (seleção da amostra); (3) definição das informações a serem extraídas dos artigos selecionados (4) avaliação dos resultados (5) interpretação dos resultados (6) apresentação da revisão. Foram analisadas 7 artigos, os enfermeiros devem atuar demonstrando sempre o anseio pela busca de aperfeiçoamento em suas práticas assistenciais, e uma estratégia que beneficia a equipe, bem como também, promover a humanização, e a estruturação de um protocolo com base científica que auxilia nas atividades seguras e eficazes ao vínculo profissional-paciente. Conclui-se que a humanização tem influência direta na qualidade assistencial dos pacientes com TCE por meio de um ambiente confortável, com gestão de recursos, maior atividade de profissionais de várias especialidades capacitados para avaliar, diagnosticar e iniciar o tratamento de forma imediata, gerando a organização e integração dos serviços que atendam a demanda de usuários nos setores de urgência e emergência.Descritores: Humanização, Urgência e Emergência, Atendimento Pré-Hospitalar, Traumatismo Craniano. Humanization to the victim of traumatic brain injury: a narrative reviewAbstract: The study aimed to understand the influence of humanization during nursing care for patients with traumatic brain injury. It is a narrative review, carried out in six stages: (1) establishment of the hypothesis and objectives of the review; (2) establishment of inclusion and exclusion criteria for articles (sample selection); (3) definition of information to be extracted from selected articles (4) evaluation of results (5) interpretation of results (6) presentation of the review. Seven articles were analyzed, nurses should always demonstrate their desire to seek improvement in their care practices, and a strategy that benefits the team, as well as promoting humanization, and the structuring of a scientifically based protocol that helps in safe and effective activities to the professional-patient bond. It is concluded that humanization has a direct influence on the quality of care for patients with TBI through a comfortable environment, with resource management, greater activity of professionals from various specialties trained to evaluate, diagnose and start treatment immediately, generating the organization and integration of services that meet the demand of users in the urgency and emergency sectors.Descriptors: Humanization, Urgency and Emergency, Prehospital Care, Cranial Trauma. Humanización a la víctima de traumatismo craneoencefálico: una revisión narrativaResumen: El estudio tuvo como objetivo comprender la influencia de la humanización durante el cuidado de enfermería para pacientes con traumatismo craneoencefálico. Se trata de una revisión narrativa, realizada en seis etapas: (1) establecimiento de las hipótesis y objetivos de la revisión; (2) establecimiento de criterios de inclusión y exclusión de artículos (selección de muestra); (3) definición de la información que se extraerá de los artículos seleccionados (4) evaluación de los resultados (5) interpretación de los resultados (6) presentación de la revisión. Se analizaron siete artículos, los enfermeros siempre deben demostrar su deseo de buscar la mejora en sus prácticas de cuidado, y una estrategia que beneficie al equipo, además de promover la humanización, y la estructuración de un protocolo de base científica que ayude en actividades seguras y eficaces para el vínculo profesional-paciente. Se concluye que la humanización tiene una influencia directa en la calidad de la atención al paciente con TCE a través de un ambiente confortable, con manejo de recursos, mayor actividad de profesionales de diversas especialidades capacitados para evaluar, diagnosticar e iniciar tratamiento de manera inmediata, generando la organización e integración de servicios que satisfagan la demanda de los usuarios en los sectores de urgencia y emergencia.Descriptores: Humanización, Urgencia y Emergencia, Atención Prehospitalaria, Trauma Craneal.

scholarly journals Elevated levels of serum, but not salivary, brain-derived neurotrophic factor following mild traumatic brain injury in collegiate athletes post return-to-play

2019 ◽  
Vol 3 ◽  
pp. 205970021989410
Author(s):  
Taylor R Susa ◽  
Ryan D Brandt ◽  
Keara J Kangas ◽  
Catherine E Bammert ◽  
Erich N Ottem ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Neurotrophic Factor ◽  
Collegiate Athletes ◽  
Brain Derived Neurotrophic Factor ◽  
Return To Play ◽  
Control Group ◽  
The Relationship ◽  
Serum Bdnf

Brain-derived neurotrophic factor (BDNF) helps restore neuronal function following mild traumatic brain injury. BDNF levels can be obtained in blood serum and more recently in saliva. However, the relationship between serum and salivary BDNF is poorly understood—especially in relation to alterations in BDNF levels following mild traumatic brain injury. In this study, serum and salivary BDNF were collected from a sample of 42 collegiate student athletes. Half of the participants were recently cleared by a physician and/or an athletic trainer to return-to-play after experiencing a sports-related concussion. The other half had not experienced a concussion within the past year and were matched by age, sex, sport, and time of sample. Results suggest that incidences of depression, anxiety, and stress were all elevated in the concussion group, relative to the control participants. When controlling for stress-related negative affect, serum BDNF was elevated in the concussion group. However, there was no difference in salivary BDNF. Serum and salivary BDNF were uncorrelated across the entire sample. Yet, these measures of BDNF were correlated in the concussion group, but not the control group. In sum, serum BDNF is elevated in concussion post return-to-play; however, further research is needed to explore the utility of salivary BDNF following concussion.

Employer and Counselor Perceptions of Workplace Accommodations for Persons with Traumatic Brain Injury

1993 ◽  
Vol 24 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Craig A. Michaels ◽  
Donald A. Risucci
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Functional Limitations ◽  
Rehabilitation Counselors ◽  
Vocational Rehabilitation Counselors ◽  
Rehabilitation Services Administration ◽  
Counselor Perceptions ◽  
Workplace Accommodations ◽  
Definition Of ◽  
The Individual

This study compared employers' and vocational rehabilitation counselors' attitudes and willingness to consider various workplace accommodations for individuals with traumatic brain injury (TBI). In addition to comparing what types of accommodations might be considered reasonable, the study also investigated both employers' and counselors' lack of willingness to make various accommodations. Lack of willingness to make accommodations was addressed in terms of the three most commonly offered reasons for why an accommodation is potentially not reasonable: (a) not fair to co-workers, (b) too time consuming, and (c) too costly. Scenarios were developed to directly gather information on potential accommodations for workers who displayed functional limitations within the seven capacity areas mentioned by the Rehabilitation Services Administration in their definition of severe disability. While for the most part counselors' views tended to be similar to those of employers, in general counselors tended to rate accommodations as more problematic than employers. In addition, counselors tended to view functional limitations within the individual as most problematic while employers viewed limitations in actual job performance as most problematic.

scholarly journals Consensus Definition of Sport Specialization in Youth Athletes Using a Delphi Approach

2021 ◽  
Author(s):  
David R. Bell ◽  
Traci Snedden ◽  
Kevin Biese ◽  
Evan Nelson ◽  
Andrew Watson ◽  
...  
Keyword(s):  
Delphi Study ◽  
Sports Medicine ◽  
Youth Sport ◽  
Delphi Consensus ◽  
Consensus Definition ◽  
Youth Athletes ◽  
Delphi Approach ◽  
Study Team ◽  
Six Elements ◽  
Definition Of

Context: A single, widely accepted definition of sport specialization does not exist. A consensus definition is necessary to guide youth sport stakeholders on issues associated with sport specialization. Objective: The aim of this study was to develop a consensus definition of youth sport specialization and to identify elements that support the construct of specialization. Design: Delphi Study Setting: Directed Surveys Patients or Other Participants: A consensus panel of 17 experts was created to provide a broad multidisciplinary perspective on sport specialization in youth athletes. Data Collection and Analysis: The final definition was developed per an iterative process that involved four rounds of review. A comprehensive review of literature and expert input supported our initial proposed umbrella definition that included six additional elements. The study team reviewed the results after each round and changes were made to the definition based on panel feedback. Main Outcome Measure(s): Panel members were provided with the definition and six elements and then asked to rate each specific to importance, relevance, and clarity using a 4-point Likert scale. Results: In four Delphi consensus rounds, 17 experts reviewed the umbrella definition and six elements before consensus was reached. The umbrella definition and three of the initial six elements achieved &gt;80% agreement for importance, relevance, and clarity after the fourth round of review. The remaining 3 components did not reach &gt;80% agreement even after iterative edits and were removed. The process resulted in a final consensus definition: Sport specialization is intentional and focused participation in a single sport for a majority of the year that restricts opportunities for engagement in other sports and activities. Conclusions: A consensus-based conceptual definition for sport specialization has been developed using a Delphi method. This definition has important implications for clinicians and sports medicine professionals who support youth athletes.

scholarly journals Prevalence of Comorbidities in Active and Reserve Service Members Pre and Post Traumatic Brain Injury, 2017-2019

2021 ◽  
Author(s):  
Tajrina Hai ◽  
Yll Agimi ◽  
Katharine Stout
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Emotional Disorders ◽  
Service Members ◽  
Data Repository ◽  
Clinical Practices ◽  
Military Health ◽  
Post Traumatic ◽  
The Military ◽  
The U.S

ABSTRACT Objective To understand the prevalence of comorbidities associated with traumatic brain injury (TBI) patients among active and reserve service members in the U.S. Military. Methods Active and reserve SMs diagnosed with an incident TBI from January 2017 to October 2019 were selected. Nineteen comorbidities associated with TBI as identified in the literature and by clinical subject matter experts were described in this article. Each patient’s medical encounters were evaluated from 6 months before to 2 years following the initial TBI diagnoses date in the Military Data Repository, if data were available. Time-to-event analyses were conducted to assess the cumulative prevalence over time of each comorbidity to the incident TBI diagnosis. Results We identified 47,299 TBI patients, of which most were mild (88.8%), followed by moderate (10.5%), severe (0.5%), and of penetrating (0.2%) TBI severity. Two years from the initial TBI diagnoses, the top five comorbidities within our cohort were cognitive disorders (51.9%), sleep disorders (45.0%), post-traumatic stress disorder (PTSD; 36.0%), emotional disorders (22.7%), and anxiety disorders (22.6%) across severity groups. Cognitive, sleep, PTSD, and emotional disorders were the top comorbidities seen within each TBI severity group. Comorbidities increased pre-TBI to post-TBI; the more severe the TBI, the greater the prevalence of associated comorbidities. Conclusion A large proportion of our TBI patients are afflicted with comorbidities, particularly post-TBI, indicating many have a complex profile. The military health system should continue tracking comorbidities associated with TBI within the U.S. Military and devise clinical practices that acknowledge the complexity of the TBI patient.

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