Brain injury : [BI]
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Brain injury : [BI] · Jan 2008
MMPI-2 profiles 23 years after paediatric mild traumatic brain injury.
Research suggest that post-concussive syndrome after mild traumatic brain injury (mTBI) is more common than chronic cognitive impairment. The aim of this study was to investigate very long-term outcome of subjective complaints after paediatric mTBI. ⋯ The results give support for the notion of potentially differential impact of uncomplicated vs complicated mTBI. The findings suggest that children and adolescents sustaining complicated mTBI may be at risk of developing subtle chronic symptoms typical of post-concussive syndrome.
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Survivors of traumatic brain injury (TBI) are at increased risk for development of severe, long-term psychiatric disorders. However, the aetiology of these disorders remains unclear. This article systematically reviews the most current prevalence rates and evidence for causality, in terms of established criteria. ⋯ Non-organic factors, including pre-morbid personality traits and post-injury psychological reactions to disability and trauma, are implicated in the generation and maintenance of post-TBI psychiatric disorder. There remains insufficient evidence to conclude what role the neuropathological consequences of TBI play in the development of post-TBI psychiatric disorder.
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Brain injury : [BI] · Nov 2007
Improvement in GOS and GOSE scores 6 and 12 months after severe traumatic brain injury.
To assess improvements in Glasgow Outcome Scale (GOS) and GOS extended (GOSE) scores between 6 months and 1 year following severe traumatic brain injury (TBI). ⋯ GOS scores improved between 6-12 months after severe TBI in 36% of survivors and it is concluded that the expectancy of improvement is incomplete at 6 months. This improvement was greater in patients with better GCS scores (6-8) at admission than in those with worse GCS scores (3-5).
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Brain injury : [BI] · Oct 2007
The incidence of dysautonomia and its relationship with autonomic arousal following traumatic brain injury.
To determine the incidence of autonomic arousal vs. Dysautonomia following traumatic brain injury (TBI) in an Intensive Care Unit (ICU) setting and to prospectively evaluate these groups against injury severity and outcome variables. ⋯ The 8% incidence of Dysautonomia during ICU admission was in broad agreement with previous research. While day 7 autonomic arousal indicated a greater degree of injury, the diagnosis of Dysautonomia provided additional prognostic information. A coordinated multi-centre research effort into this condition appears appropriate.
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Brain injury : [BI] · Sep 2007
Concussion understanding and management among New England high school football coaches.
To determine high school football coaches' understanding, management and sources of information of concussion at schools without a certified athletic trainer (ATC) or without one at practice. ⋯ Participants demonstrated greater knowledge about concussions than the general public and most, but not all, coaches reported taking a conservative approach to concussion management. Ramifications of the results are discussed.