The Journal of head trauma rehabilitation
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J Head Trauma Rehabil · Jan 2010
Mild traumatic brain injury (concussion) during combat: lack of association of blast mechanism with persistent postconcussive symptoms.
To determine whether screening for a blast mechanism of concussion identifies individuals at higher risk of persistent postconcussive symptoms (PCS). ⋯ Blast mechanism of concussion was inconsistently associated with PCS, depending on the definition of concussion utilized. A self-reported history of blast mechanism was not associated with persistent PCS for the majority of US soldiers with concussions.
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J Head Trauma Rehabil · Sep 2009
Multicenter StudyPreinjury factors and 3-month outcomes following emergency department diagnosis of mild traumatic brain injury.
To investigate the sequelae of mild traumatic brain injury (MTBI) by comparing selected outcomes of emergency department-diagnosed patients with mild head injuries to those with non-head injuries. ⋯ Patients with MTBI have significantly more negative outcomes than patients in the comparison cohort and should be clinically managed with these prevalent outcomes in mind. Further study of follow-up medical management and the development of treatment guidelines for this group of patients are both warranted.
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J Head Trauma Rehabil · Sep 2009
Using activity diaries to measure children's and adolescents' compliance with activity restrictions after mild traumatic brain injury.
To examine the extent to which children and adolescents with a mild traumatic brain injury (MTBI) comply with the activity restrictions received upon discharge from a pediatric trauma center. ⋯ Children with MTBI usually comply with the activity restrictions they receive upon discharge from the hospital.
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J Head Trauma Rehabil · Sep 2009
Emergency department assessment of mild traumatic brain injury and the prediction of postconcussive symptoms: a 3-month prospective study.
To investigate the utility of a brief emergency department (ED) bedside screen for the prediction of postconcussive symptoms at 3 months following mild traumatic brain injury (MTBI). ⋯ A small combination of variables assessable in the ED may predict MTBI patients likely to experience persistent postconcussive symptoms.
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J Head Trauma Rehabil · Sep 2009
Psychiatric disorders following traumatic brain injury: their nature and frequency.
To retrospectively establish the nature and frequency of Axis I psychiatric disorders pre- and post-TBI. ⋯ A high frequency of postinjury psychiatric disorders was evident up to 5.5 years postinjury, with many novel cases of depression and anxiety. Individuals with TBI should be screened for psychiatric disorders at various time points post-injury without reliance on history of psychiatric problems to predict who is at risk, so that appropriate intervention can be offered.