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42. Evidence Brief: Hyperbaric Oxygen Therapy (HBOT) for Traumatic Brain Injury and/or Post-traumatic Stress Disorder

Evidence Brief: Hyperbaric Oxygen Therapy (HBOT) for Traumatic Brain Injury and/or Post-traumatic Stress Disorder Enter search terms Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Evidence Brief: Hyperbaric Oxygen Therapy (HBOT) for Traumatic Brain Injury and/or Post-traumatic Stress Disorder Health Services Research & Development Evidence Brief: Hyperbaric Oxygen Therapy (HBOT) for Traumatic Brain Injury and/or Post (...) on the use of hyperbaric oxygen therapy (HBOT) for the treatment of traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), or their cooccurrence. Findings from this evidence brief will be used to inform considerations of clinical use of HBOT in Veterans with TBI and/or PTSD. Key Questions KQ1: What are the potential benefits of HBOT for the treatment of TBI and/or PTSD? KQ2: What are the potential risks of using HBOT for the treatment of TBI and/or PTSD? KQ3: Do the benefits or risks of HBOT

2018 Veterans Affairs Evidence-based Synthesis Program Reports

43. Prehospital CT for early diagnosis and treatment of suspected acute stroke or severe head injury

injury require urgent admission to a neurosurgical department. In acute stroke and severe head injuries, it is crucial that the patient is diagnosed and treated as soon as possible ("time is brain"). If acute stroke or severe head injury is suspected, rapid admission to a hospital to undertake a computed tomography (CT) scan is recommended. In stroke caused by blood clots (ischemic stroke or cerebral infarction), thrombolytic treatment should be given as soon as possible, at most within 4.5 hours (...) Prehospital CT for early diagnosis and treatment of suspected acute stroke or severe head injury Prehospital CT for early diagnosis and treatment of suspected acute stroke or severe head injury - NIPH Search for: Søk Menu To top level Close Infectious diseases & Vaccines Mental & Physical health Environment & Lifestyle Health in Norway Quality & Knowledge Research & Access to data About NIPH Close Prehospital CT for early diagnosis and treatment of suspected acute stroke or severe head injury

2019 Norwegian Institute of Public Health

44. Evaluation of the impact of the NICE head injury guidelines on inpatient mortality from traumatic brain injury: an interrupted time series analysis. Full Text available with Trip Pro

Evaluation of the impact of the NICE head injury guidelines on inpatient mortality from traumatic brain injury: an interrupted time series analysis. To evaluate the impact of National Institute for Health and Care Excellence (NICE) head injury guidelines on deaths and hospital admissions caused by traumatic brain injury (TBI).All hospitals in England between 1998 and 2017.Patients admitted to hospital or who died up to 30 days following hospital admission with International Classification (...) admissions in England.The monthly TBI mortality and admission rates in the 65+ age group increased from 0.5 to 1.5 and 10 to 30 per 100 000 population, respectively. The increasing mortality rate was unaffected by the introduction of any of the guidelines.The introduction of the second NICE head injury guideline was associated with a significant reduction in the monthly TBI mortality rate in the 16-64 age group (-0.005; 95% CI: -0.002 to -0.007).In the 0-15 age group the TBI mortality rate fell from

2019 BMJ open

45. A Randomized Comparative Effectiveness Trial of Family-Problem-Solving Treatment for Adolescent Brain Injury: Parent Outcomes From the Coping with Head Injury through Problem Solving (CHIPS) Study. (Abstract)

A Randomized Comparative Effectiveness Trial of Family-Problem-Solving Treatment for Adolescent Brain Injury: Parent Outcomes From the Coping with Head Injury through Problem Solving (CHIPS) Study. To examine changes in depression and distress in parents of adolescents receiving family-problem-solving therapy (F-PST) following traumatic brain injury.Families of adolescents hospitalized for moderate to severe traumatic brain injury were randomized to face-to-face F-PST (34), therapist-guided (...) on the Center for Epidemiological Studies Depression Scale between therapist-guided and self-guided online groups at the 9-month follow-up were more pronounced in families of lower socioeconomic status, t103 = -2.87; P = .005.Findings provide further support for the utility of therapist-guided online F-PST in reducing parental depression and distress following pediatric traumatic brain injury and offer limited evidence of the efficacy of self-guided online treatment for these outcomes. Families of lower

2019 The Journal of head trauma rehabilitation Controlled trial quality: uncertain

46. Association between head injury and concussion with retinal vessel caliber. Full Text available with Trip Pro

Association between head injury and concussion with retinal vessel caliber. The adverse long-term consequences following traumatic brain injury are poorly understood, particularly on the cerebral microvasculature. Retinal vessels are a surrogate marker of cerebral vascular changes. We therefore aimed to examine the cross-sectional association between serious head injury or being knocked unconscious, and/or concussion and retinal microvascular signs, specifically, mean retinal arteriolar (...) and venular calibre, in older adults after accounting for potential confounders. This cohort study involved 2,624 adults with mean age of 66.9 (±9.1) years who self-reported head injury and concussion parameters, and had gradable retinal photographs. Face-to-face interviews with trained interviewers allowed participants to report prior serious head injury or being knocked unconscious, and/or a previous diagnosis of concussion by a medical professional. Fundus photographs were taken and retinal vascular

2018 PLoS ONE

47. Multifactorial examination of sex-differences in head injuries and concussions among collegiate soccer players: NCAA ISS, 2004–2009 Full Text available with Trip Pro

Multifactorial examination of sex-differences in head injuries and concussions among collegiate soccer players: NCAA ISS, 2004–2009 While head injuries and concussions are major concerns among soccer players, the multifactorial nature of head injury observations in this group remains relatively undefined. We aim to extend previous analyses and examine sex-differences in the incidence of head injuries, odds of head injuries within an injured sample, and severity of head injuries, among (...) , 1.11]). Whereas, the rate of injury due to contact with apparatus (ball/goal) was nearly 2.5 times higher (RR = 2.46, 95% CI = [1.76, 3.44]) and the rate due to contact with a playing surface was over two times higher (RR = 2.29, 95% CI = [1.34, 3.91]) in women than in men. In our multifactorial models, we also observed that the association between sex and head injury corollaries varied by injury mechanism.Sex-differences in the incidence, odds (given an injury), and severity (concussion diagnosis

2017 Injury epidemiology

48. Can the important brain injury criteria predict neurosurgical intervention in mild traumatic brain injury? A validation study. (Abstract)

Can the important brain injury criteria predict neurosurgical intervention in mild traumatic brain injury? A validation study. There is variability in the management of patients presenting to the emergency department (ED) with mild traumatic brain injury (MTBI) and abnormal findings on their initial head computed tomography (CT). The main objective of this study was to validate the value of the Important Brain Injury (IBI) criteria, introduced by the Canadian CT-Head Rule, in predicting (...) the need for surgical intervention. The secondary objective was to identify independent predictors for neurosurgical intervention.This is a post hoc analysis of a prospective cohort of adult patients presenting to the ED of one tertiary care, academic center, between 2008 and 2012, with MTBI and an abnormal initial head CT. Neurosurgical intervention was at the discretion of the treating physician. The sensitivity and specificity of the IBI criteria were calculated with 95% confidence intervals (CI95

2019 EvidenceUpdates

49. Functional Outcome After Intracranial Pressure Monitoring for Children With Severe Traumatic Brain Injury

Functional Outcome After Intracranial Pressure Monitoring for Children With Severe Traumatic Brain Injury PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2017 PedsCCM Evidence-Based Journal Club

50. Is traumatic brain injury preventable in amateur boxing competition?

of traumatic brain injury (TBI) as a consequence of repeated blows to the head. Traumatic brain injury can be classified as acute TBI, commonly known as a concussion, and chronic TBI, sometimes called chronic traumatic encephalitis (CTE). 3 Concussion represents an immediate and transient response of the brain to trauma, 4 while CTE is a . 5 Concussions occur less frequently in amateur boxing than professional boxing. 6 The reduction of concussions in amateur boxing could be attributed to shorter match (...) . 1996;6(2):97-101. Ryan AJ. Intracranial injuries resulting from boxing. Clin Sports Med. 1998;17(1):155-168. doi:10.1016/S0278-5919(05)70070-3. Blennow K, Hardy J, Zetterberg H. The neuropathology and neurobiology of traumatic brain injury. Neuron. 2012;76(5):886-899. doi:10.1016/j.neuron.2012.11.021. McCrory P, Feddermann-Demont N, Dvorak J, et al. What is the definition of sports-related concussion: a systematic review. Br J Sports Med. 2017;51(11):877–887. doi:10.1136/bjsports-2016-097393. Baugh

2019 Clinical Correlations

51. Evidence Brief: Traumatic Brain Injury and Dementia

Evidence Brief: Traumatic Brain Injury and Dementia Management Briefs eBrief-no150 -- Traumatic Brain Injury and Dementia Enter search terms Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Management Briefs eBrief-no150 -- Traumatic Brain Injury and Dementia Health Services Research & Development Management eBrief no. 150 » Issue 150 March 2019 The report is a product of the VA/HSR&D Evidence Synthesis Program. Evidence (...) Brief: Traumatic Brain Injury and Dementia Traumatic brain injury (TBI) is a common condition among both civilian and military populations. While some TBIs cause acute symptoms that resolve over several weeks or months, evidence accumulated over nearly three decades suggests that TBI may lead to chronic neurodegenerative diseases such as dementia. More public awareness about TBI in active-duty service members as a risk factor for earlier onset of dementia and/or of Chronic Traumatic Encephalopathy

2019 Veterans Affairs - R&D

52. Modified decision-making rule supported by scheduled telephone follow-up reduces head computed tomography utilization in children with mild traumatic brain injury: A cohort study. Full Text available with Trip Pro

Modified decision-making rule supported by scheduled telephone follow-up reduces head computed tomography utilization in children with mild traumatic brain injury: A cohort study. Unnecessary computed tomography utilization is common in children with a mild traumatic head injury. It is valuable to find a reasonable strategy for the patient's management.The aim of this study was to investigate the effect of scheduled telephone follow-up on computed tomography utilization in children with a mild (...) head injury.A 2-year cohort study was performed. Children diagnosed with mild traumatic brain injury (TBI) were evaluated with a scoring system upon their arrival and during 1 month of scheduled telephone follow-ups by nurses. The rates of head computed tomography utilization, delayed imaging, and delayed diagnosis were analyzed.The rate of computed tomography utilization was 64.3% and 46.1% (P = .00) in the retrospective and prospective study periods, respectively. During the prospective study

2020 Medicine

53. Antidepressants for depression after concussion and traumatic brain injury are still best practice. Full Text available with Trip Pro

Antidepressants for depression after concussion and traumatic brain injury are still best practice. Depression is a common complication of traumatic brain injury (TBI). New evidence suggests that antidepressant medication may be no more effective than placebo in this population.Selective serotonin reuptake inhibitors are recommended as first-line treatment for depression in contemporary expert consensus clinical practice guidelines for management of TBI. This recommendation is based on multiple

2019 BMC Psychiatry

54. Description of the predictors of persistent post-concussion symptoms and disability after mild traumatic brain injury: the SHEFBIT cohort. (Abstract)

Description of the predictors of persistent post-concussion symptoms and disability after mild traumatic brain injury: the SHEFBIT cohort. Several patients who suffer Mild Traumatic Brain Injury (mTBI) develop Persistent Post-Concussion Symptoms (PPCS) and long-term disability. Current prognostic models for mTBI have a large unexplained variance, which limits their use in a clinical setting.This study aimed to identify background demographics and mTBI details that are associated with PPCS (...) and long-term disability.Patients from the SHEFfield Brain Injury after Trauma (SHEFBIT) cohort with mTBI in the Emergency Department (ED) were analysed as part of the study. PPCS and long-term disability were measured using the Rivermead Post-Concussion Questionnaire and the Rivermead Post-Injury Follow-up Questionnaire respectively, during follow up brain injury clinics.A representative mTBI sample of 647 patients was recruited with a follow-up rate of 89%. Non-attenders were older (p < 0.001

2019 British Journal of Neurosurgery

55. Interventions for managing skeletal muscle spasticity following traumatic brain injury. Full Text available with Trip Pro

Interventions for managing skeletal muscle spasticity following traumatic brain injury. Skeletal muscle spasticity is a major physical complication resulting from traumatic brain injury (TBI), which can lead to muscle contracture, joint stiffness, reduced range of movement, broken skin and pain. Treatments for spasticity include a range of pharmacological and non-pharmacological interventions, often used in combination. Management of spasticity following TBI varies from other clinical (...) populations because of the added complexity of behavioural and cognitive issues associated with TBI.To assess the effects of interventions for managing skeletal muscle spasticity in people with TBI.In June 2017, we searched key databases including the Cochrane Injuries Group Specialised Register, CENTRAL, MEDLINE (Ovid), Embase (Ovid) and others, in addition to clinical trials registries and the reference lists of included studies.We included randomised controlled trials (RCTs) and cross-over RCTs

2017 Cochrane

56. Cognitive rehabilitation therapy for traumatic brain injury (TBI)

Cognitive rehabilitation therapy for traumatic brain injury (TBI) Cognitive rehabilitation therapy for traumatic brain injury (TBI) Cognitive rehabilitation therapy for traumatic brain injury (TBI) HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Cognitive rehabilitation therapy for traumatic brain injury (TBI (...) ) Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Rationale: Cognitive rehabilitation therapy (CRT) is a treatment approach used for patients with traumatic brain injury (TBI) that focuses on improving cognitive impairments on attention, memory and learning, affect and expression, problem solving, and executive function. Technology Description: CRT is most often used as part of a comprehensive, multidisciplinary program that also involves traditional speech and language therapy

2018 Health Technology Assessment (HTA) Database.

57. Cognitive rehabilitation for adults with traumatic brain injury to improve occupational outcomes. Full Text available with Trip Pro

Cognitive rehabilitation for adults with traumatic brain injury to improve occupational outcomes. Cognitive impairment in people with traumatic brain injury (TBI) could affect multiple facets of their daily functioning. Cognitive rehabilitation brings about clinically significant improvement in certain cognitive skills. However, it is uncertain if these improved cognitive skills lead to betterments in other key aspects of daily living. We evaluated whether cognitive rehabilitation for people (...) with TBI improves return to work, independence in daily activities, community integration and quality of life.To evaluate the effects of cognitive rehabilitation on return to work, independence in daily activities, community integration (occupational outcomes) and quality of life in people with traumatic brain injury, and to determine which cognitive rehabilitation strategy better achieves these outcomes.We searched CENTRAL (the Cochrane Library; 2017, Issue 3), MEDLINE (OvidSP), Embase (OvidSP

2017 Cochrane

60. A novel technique to develop thoracic spinal laminectomy and a methodology to assess the functionality and welfare of the contusion spinal cord injury (SCI) rat model. Full Text available with Trip Pro

A novel technique to develop thoracic spinal laminectomy and a methodology to assess the functionality and welfare of the contusion spinal cord injury (SCI) rat model. This study reports the advantage of a novel technique employing a motorised dental burr to assist laminectomy over the conventional manual technique at T10-T11 vertebra level in a rat model of spinal cord injury. Twenty-four female rats were randomly assigned to four groups: (1) conventionally laminectomised, (2) dental burr (...) assisted laminectomised, (3) conventionally laminectomised with spinal cord contusion and (4) dental burr assisted laminectomised with spinal cord contusion. Basso Beattie Bresnahan (BBB) score, postoperative body weights, rat grimace scale (RGS), open cage activity and rearing was studied at 1, 7, 14, 21 and 28 days postoperatively, and area of spinal tissue affected was evaluated histologically. Laminectomised and spinal cord injured rats from dental burr groups showed significantly more weight gain

2019 PLoS ONE

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