Brain injury : [BI]
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Brain injury : [BI] · Jan 2013
Clinical TrialEvaluating the impact of treatment for sleep/wake disorders on recovery of cognition and communication in adults with chronic TBI.
To longitudinally examine objective and self-reported outcomes for recovery of cognition, communication, mood and participation in adults with traumatic brain injury (TBI) and co-morbid post-traumatic sleep/wake disorders. ⋯ These results add to a small but growing body of evidence that sleep/wake disorders associated with TBI exacerbate trauma-related cognitive, communication and mood impairments. Treatment for sleep/wake disorders may optimize recovery and outcomes.
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Brain injury : [BI] · Jan 2013
Comparative Study Controlled Clinical TrialEffects of dexmedetomidine on cerebral blood flow in critically ill patients with or without traumatic brain injury: a prospective controlled trial.
To examine the effect of dexmedetomidine on CBF in critical ill patients with or without TBI. ⋯ Dexmedetomidine may be used in patients with TBI without risk of affecting brain oxygenation.
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Brain injury : [BI] · Jan 2013
Comparative StudyDifferentiated patterns of cognitive impairment 12 months after severe and moderate traumatic brain injury.
To assess cognitive function at 12 months after moderate and severe traumatic brain injury (TBI) separately, as well as improvement from 3 to 12 months and relationship to global outcome. ⋯ Differentiating between patients with moderate and severe TBI yields a more accurate description of cognitive deficits and their improvement over time. Further, executive dysfunction and attention problems affected the ability to resume independent living and employment regardless of injury severity and age.
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To understand what influences surrogate decision-makers' expectation that a patient with a disorder of consciousness (DOC; those in a coma, the vegetative state or the minimally conscious state) will recover. ⋯ Relational factors between the patient and the surrogate may explain the surrogate's expectation that the patient will recover more than factors that matter to clinicians such as the source of injury or the patient's diagnosis.
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Brain injury : [BI] · Jan 2013
The effect of recommending cognitive rest on recovery from sport-related concussion.
To determine whether recommending cognitive rest to athletes after a sport-related concussion affects time to symptom resolution. ⋯ Given the limited evidence regarding the effects of cognitive rest on recovery from concussion, recommendations of prolonged periods of cognitive rest, particularly absences from school, should be approached cautiously.