scholarly journals COVID-19 and Traumatic Brain Injury (TBI); What We Can Learn From the Viral Pandemic to Better Understand the Biology of TBI, Improve Diagnostics and Develop Evidence-Based Treatments

2021 ◽  
Vol 12 ◽  
Author(s):  
Denes V. Agoston
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Evidence Based ◽  
Evidence Based Treatments

Evidence-Based Intervention Strategies for Veterans and Military Personnel with Traumatic Brain Injury and Co-Morbid Mental Health Conditions: A Systematic Review

2013 ◽  
Vol 14 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Bridget B. Matarazzo ◽  
Hal S. Wortzel ◽  
Brooke A. Dorsey Holliman ◽  
Lisa A. Brenner
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Military Personnel ◽  
The Body ◽  
Health Conditions ◽  
Evidence Based ◽  
Mental Health Conditions ◽  
Evidence Based Treatments

Traumatic brain injury (TBI) is prevalent among veterans and military personnel. These individuals present with increased rates of co-morbid mental health conditions and are at increased risk for suicide. Evidence-based treatments are needed to serve this population. A systematic review was conducted in order to determine the state of the science with respect to interventions aimed at improving mental health outcomes among veterans and military personnel. Results indicate that only three published articles exist that met inclusion criteria for this systematic review. All three study designs were observational in nature. Significant risk of bias was noted. The body of evidence was rated according to the GRADE approach. Although the published work marks an important starting point in evaluating evidence-based treatments for veterans and military personnel with TBI, the overall quality of evidence was determined to be very low. Implications for both future research and current practice are discussed.

scholarly journals Evaluating the effectiveness of Facebook to impact the knowledge of evidence-based employment practices by individuals with traumatic brain injury: A knowledge translation random control study

Work ◽  
2017 ◽  
Vol 58 (1) ◽  
pp. 73-81
Author(s):  
Katherine J. Inge ◽  
Carolyn W. Graham ◽  
James W. McLaughlin ◽  
Doug Erickson ◽  
Paul Wehman ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Knowledge Translation ◽  
Evidence Based ◽  
Employment Practices ◽  
Random Control ◽  
Control Study

806 Barriers to screening and diagnosis of obstructive sleep apnea during inpatient traumatic brain injury rehabilitation

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A314-A315
Author(s):  
Bridget Cotner ◽  
Risa Nakase-Richardson ◽  
Becky Gius ◽  
Lauren Fournier ◽  
Alexa Watach ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Obstructive Sleep Apnea ◽  
Brain Injury ◽  
Sleep Apnea ◽  
Inpatient Rehabilitation ◽  
Screening Tools ◽  
Diagnostic Tools ◽  
Evidence Based ◽  
Implementation Barriers ◽  
Obstructive Sleep

Abstract Introduction Obstructive Sleep Apnea (OSA) is prevalent after moderate to severe traumatic brain injury (TBI) and may diminish recovery when left untreated. Despite the demonstrated importance of treating OSA following TBI, assessment for OSA during or soon after inpatient rehabilitation for TBI is limited. Little is known about barriers to implementing OSA screening and early diagnosis during inpatient rehabilitation thus hindering the translation of evidence-based OSA assessment procedures into clinical practice and potentially delaying necessary OSA treatment. The current analysis explored facilitators and barriers to implementing OSA screening tools in an inpatient rehabilitation setting from the perspectives of end user stakeholders. Methods Patients, families, industry, clinical providers and administrators participated in a two-day meeting following completion of a diagnostic clinical trial of OSA screening and diagnostic tools during inpatient rehabilitation. Stakeholders were provided with open ended questions generated by study investigators and given the opportunity to respond on paper or a “graffiti wall” (i.e., white board). Example questions include “What are the greatest needs of the healthcare system related to sleep apnea and TBI?” and “What are the key things we need to consider to move results into real-world practice?” Qualitative content analyses using a rapid matrix approach were conducted from stakeholder feedback obtained during the two-day meeting, which included a guided review of emerging OSA research and discussion of potential implementation barriers of OSA assessment during inpatient rehabilitation. Results Improved screening and treatment practices for OSA were the greatest needs identified. To meet these needs, stakeholders identified the importance of improving patient, family, and staff understanding of OSA (e.g., health literacy) and other sleep disorders through education; inpatient rehabilitation access to resources (technology; sleep providers); and reimbursement for additional inpatient procedures. Conclusion Although treatment of OSA is crucial for recovery during inpatient rehabilitation following TBI, barriers to earlier recognition, diagnosis, and treatment of OSA exists across several different domains, including education, resources, and funding policies. Findings support future implementation efforts to translate evidence-based care into practice to improve patient outcomes. Support (if any) PCORI-NCT03033901

scholarly journals CDC's guideline on pediatric mild traumatic brain injury

2019 ◽  
Vol 9 (3) ◽  
pp. 241-249 ◽  
Author(s):  
Barbara Weissman ◽  
Madeline Joseph ◽  
Gary Gronseth ◽  
Kelly Sarmiento ◽  
Christopher C. Giza
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Pediatric Patients ◽  
Young Patients ◽  
Evidence Based ◽  
Practice Recommendations ◽  
Control And Prevention ◽  
Evidence Based Guideline ◽  
American Academy Of Neurology

Purpose of reviewIn September 2018, the Centers for Disease Control and Prevention (CDC) published an evidence-based guideline on the diagnosis and management of mild traumatic brain injury (mTBI) among children.Recent findingsBased on a systematic review of the evidence that covers research published over a 25-year span (1990–2015), the CDC Pediatric mTBI Guideline strives to optimize the care of pediatric patients with mTBI. The guideline was developed using a rigorous methodology developed by the American Academy of Neurology.SummaryClinical practice recommendations in the CDC Pediatric mTBI Guideline can help guide neurologists with critical diagnostic and management decisions and to implement evidence-based strategies for the recovery of their young patients with this injury.

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