Brain injury : [BI]
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Brain injury : [BI] · Jan 2013
Multicenter StudyPredictors of child post-concussion symptoms at 6 and 18 months following mild traumatic brain injury.
A proportion of children will experience persistent post-concussion symptoms (PCS) following a mild traumatic brain injury (mTBI). As persistent PCS may be maintained by pathological and psychological factors, this study aimed to describe and evaluate potential pre- and post-injury parent and child predictors of persistent PCS. ⋯ Children at risk of persistent PCS can be identified by higher levels of pre- and post-injury PCS, parent distress and poorer post-injury cognition. These factors should be addressed by interventions aimed at minimizing the occurrence and impact of child PCS.
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Brain injury : [BI] · Jan 2011
Multicenter StudySeverity and outcome of traumatic brain injuries (TBI) with different causes of injury.
Most epidemiological studies and reports have reached a consensus on the leading causes of traumatic brain injury (TBI). Despite the fact that the area of TBI is relatively well studied, reports on differences in severity and outcome of TBI with different causes are lacking. ⋯ It is concluded that the causes of TBI should be considered by both clinicians and public health professionals as a lead in prognosis of outcome and policy planning.
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Brain injury : [BI] · Jan 2010
Multicenter StudyFunctional level during sub-acute rehabilitation after traumatic brain injury: course and predictors of outcome.
To describe the functional level during sub-acute rehabilitation after moderate and severe traumatic brain injury (TBI) and to evaluate the impact of pre-injury and injury-related factors as predictors of early recovery. ⋯ Less than half of moderate TBI patients reached a normal functional level at discharge from sub-acute rehabilitation. A short PTA period, a high GCS score and FIM score at admission to rehabilitation and a longer stay in the rehabilitation unit were positive predictors of functional level at discharge.
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Brain injury : [BI] · Jan 2010
Multicenter StudyUse of brain electrical activity to quantify traumatic brain injury in the emergency department.
To validate a QEEG algorithm on traumatic brain injury in an Emergency Department (ED) setting. ⋯ The TBI discriminant index appears to be a sensitive index of brain function. It may be used to suggest whether or not a patient presenting with altered mental status requires a CT scan. This index may aid in the triage of such patients in the ED. Such an easy to use, automated system may greatly enhance the clinical utility of EEG in the ED.
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Brain injury : [BI] · Mar 2009
Multicenter StudyThe relation between Glasgow Coma Scale score and later cerebral atrophy in paediatric traumatic brain injury.
To examine initial Glasgow Coma Scale (GCS) score and its relationship with later cerebral atrophy in children with traumatic brain injury (TBI) using Quantitative Magnetic Resonance Imaging (QMRI) at 4 months post-injury. It was hypothesized that a lower GCS score would predict later generalized atrophy. As a guide in assessing paediatric TBI patients, the probability of developing chronic cerebral atrophy was determined based on the initial GCS score. ⋯ GCS is a commonly used measure of injury severity. It has proven to be a prognostic indicator of cognitive recovery and functional outcome and is also predictive of later parenchymal change.