Brain injury : [BI]
-
Brain injury : [BI] · Jan 2013
Comparative StudyHow does dysautonomia influence the outcome of traumatic brain injured patients admitted in a neurorehabilitation unit?
Patients surviving severe traumatic brain injury (TBI) may suffer from symptoms presumed to be related to an excessive sympathetic production known as paroxysmal sympathetic hyperactivity (PSH). While this condition is more common in the acute phase, prognosis is less clear in rehabilitation settings. ⋯ Functional status is similar and PSH does not appear to influence recovery during the rehabilitation, although PSH patients are more likely to undergo psychoactive medications and special care is needed to approach their caregivers that perceive PSH as a complication for rehabilitation.
-
Brain injury : [BI] · Jan 2013
Individual profiles of predictors and their relations to 10 years outcome after childhood traumatic brain injury.
Outcome after childhood traumatic brain injury (CTBI) is heterogeneous, with several predictors influencing long-term outcome. ⋯ The findings suggest that pre-injury adaptive function is an influential predictor of outcome following moderate CTBI. Age at injury in the severe group appears to have increased influence over time, with younger age at injury associated with reduced outcome at 10 years after severe CTBI.
-
Brain injury : [BI] · Jan 2013
Time to follow commands remains the most useful injury severity variable for predicting WeeFIM® scores 1 year after paediatric TBI.
To investigate the relationship between injury severity variables, particularly time to follow commands (TFC) and long-term functional outcomes in paediatric traumatic brain injury (TBI). ⋯ PTA and TFC + PTA do not provide a benefit over TFC alone for prediction of long-term outcome and TFC is identified earlier in the recovery course. TFC remains an important predictor of functional outcome 1-year after discharge from inpatient rehabilitation after paediatric TBI.
-
Brain injury : [BI] · Jan 2013
Comparative StudyEarly cranioplasty may improve outcome in neurological patients with decompressive craniectomy.
Decompressive craniectomy is an effective therapy to relieve intractable intracranial hypertension following acute brain injury. However, little is known about the optimal timing for cranioplasties in the sub-acute phase. The objective of the present study was to analyse the effect of cranioplasty timing on neurological outcomes. ⋯ Patients with decompressive craniectomy for management of intracranial hypertension may benefit from early cranioplasty.
-
Brain injury : [BI] · Jan 2013
Factor structure of the Depression Anxiety Stress Scales in individuals with traumatic brain injury.
The Depression Anxiety Stress Scales (DASS) and its shorter version, the DASS21, demonstrate a consistent factor structure. However, when these scales are used with people with traumatic brain injury (TBI), it is possible that TBI symptoms that overlap with anxiety and depression (e.g., irritability, inertia, emotional lability) result in changes to the underlying structure. This study aimed to establish whether the factor structure of the DASS and DASS21 when used with individuals with TBI is consistent with the three scales designated in the manual. ⋯ These results indicate that it may be preferable to use the full DASS, rather than the DASS21, with individuals with TBI.