Latest & greatest articles for traumatic brain injury

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Top results for traumatic brain injury

181. Serial casting versus positioning for the treatment of elbow contractures in adults with traumatic brain injury: a randomized controlled trial Full Text available with Trip Pro

Serial casting versus positioning for the treatment of elbow contractures in adults with traumatic brain injury: a randomized controlled trial To compare the effects of serial casting with positioning for 1 hour per day for the treatment of elbow flexion contracture in adults with traumatic brain injury.Pragmatic randomized controlled trial with concealed allocation and assessor blinding.Four brain injury rehabilitation units.Twenty-six adults with elbow flexion contracture after traumatic (...) brain injury participating in multidisciplinary inpatient rehabilitation.Subjects were randomized to receive either serial casting or positioning for two weeks. In the subsequent four weeks subjects could be positioned for up to 1 hour/day.Torque-controlled passive elbow extension was measured at baseline, post-intervention (two weeks), post-intervention plus one day, and at follow-up (four weeks post-intervention).All 26 subjects completed the study. Post-intervention, serial casting reduced

2008 EvidenceUpdates Controlled trial quality: predicted high

182. Early modifiable factors associated with fatal outcome in patients with severe traumatic brain injury: a case control study

Early modifiable factors associated with fatal outcome in patients with severe traumatic brain injury: a case control study PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2008 PedsCCM Evidence-Based Journal Club

183. Psychological treatment for anxiety in people with traumatic brain injury. (Abstract)

Psychological treatment for anxiety in people with traumatic brain injury. Psychological treatments are commonly used in the management of anxiety. Certain types of psychological treatments are well suited to needs of people with traumatic brain injury (TBI). We have systematically reviewed studies examining the effectiveness of these approaches for TBI.To assess the effects of psychological treatments for anxiety in people with TBI.We searched the following databases up until March 2006 (...) : Cochrane Injuries Group's specialised register, Cochrane Depression, Anxiety and Neurosis Group's specialised register, Cochrane Central Register of Controlled Trials, MEDLINE, PsycINFO, EMBASE, CINAHL, AMED, ERIC, and PsycBITE. Additionally, key journals were handsearched and reference lists of included trials were examined to identify further studies meeting inclusion criteria.Randomised controlled trials of psychological treatments for anxiety, with or without pharmacological treatment, for people

2007 Cochrane

184. Predicting intracranial traumatic findings on computed tomography in patients with minor head injury: the CHIP prediction rule. (Abstract)

Predicting intracranial traumatic findings on computed tomography in patients with minor head injury: the CHIP prediction rule. Prediction rules for patients with minor head injury suggest that the use of computed tomography (CT) may be limited to certain patients at risk for intracranial complications. These rules apply only to patients with a history of loss of consciousness, which is frequently absent.To develop a prediction rule for the use of CT in patients with minor head injury (...) , regardless of the presence or absence of a history of loss of consciousness.Prospective, observational study.4 university hospitals in the Netherlands that participated in the CT in Head Injury Patients (CHIP) study.Consecutive adult patients with minor head injury (> or =16 years of age) with a Glasgow Coma Scale (GCS) score of 13 to 14 or with a GCS score of 15 and at least 1 risk factor.Outcomes were any intracranial traumatic CT finding and neurosurgical intervention. The authors performed logistic

2007 Annals of Internal Medicine

185. Mannitol for acute traumatic brain injury. Full Text available with Trip Pro

Mannitol for acute traumatic brain injury. Mannitol is sometimes effective in reversing acute brain swelling, but its effectiveness in the ongoing management of severe head injury remains unclear. There is evidence that, in prolonged dosage, mannitol may pass from the blood into the brain, where it might cause increased intracranial pressure.To assess the effects of different mannitol therapy regimens, of mannitol compared to other intracranial pressure (ICP) lowering agents, and to quantify (...) the effectiveness of mannitol administration given at other stages following acute traumatic brain injury.The review drew on the search strategy for the Injuries Group as a whole. We checked reference lists of trials and review articles, and contacted authors of trials. The searches were last updated in March 2006.Randomised controlled trials of mannitol, in patients with acute traumatic brain injury of any severity. The comparison group could be placebo-controlled, no drug, different dose, or different drug

2007 Cochrane

186. Saline or albumin for fluid resuscitation in patients with traumatic brain injury. Full Text available with Trip Pro

Saline or albumin for fluid resuscitation in patients with traumatic brain injury. The Saline versus Albumin Fluid Evaluation study suggested that patients with traumatic brain injury resuscitated with albumin had a higher mortality rate than those resuscitated with saline. We conducted a post hoc follow-up study of patients with traumatic brain injury who were enrolled in the study.For patients with traumatic brain injury (i.e., a history of trauma, evidence of head trauma on a computed (...) ; P<0.001); among patients with GCS scores of 9 to 12, death occurred in 8 of 50 patients in the albumin group (16.0%) and 8 of 37 in the saline group (21.6%) (relative risk, 0.74; 95% CI, 0.31 to 1.79; P=0.50).In this post hoc study of critically ill patients with traumatic brain injury, fluid resuscitation with albumin was associated with higher mortality rates than was resuscitation with saline. (Current Controlled Trials number, ISRCTN76588266 [controlled-trials.com].).Copyright 2007

2007 NEJM Controlled trial quality: predicted high

187. Functional imaging screening for traumatic brain injury

Functional imaging screening for traumatic brain injury Functional imaging screening for traumatic brain injury Functional imaging screening for traumatic brain injury Flynn K 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 Flynn K. Functional imaging screening for traumatic brain injury. Boston: VA Technology Assessment Program (VATAP (...) -and post-deployment. Finally, the single available systematic review of functional imaging in MTBI (Davalos, 2007) does focus on SPECT but provides no support for, and no mention of, use of this imaging in screening. Project page URL Indexing Status Subject indexing assigned by CRD MeSH Brain Injuries /diagnosiss; Mass Screening; Review Language Published English Country of organisation United States Address for correspondence Office of Patient Care Services (11T), VA Boston Healthcare System Room 4D

2007 Health Technology Assessment (HTA) Database.

188. Cost-effectiveness of head computed tomography in infants with possible inflicted traumatic brain injury

Cost-effectiveness of head computed tomography in infants with possible inflicted traumatic brain injury Cost-effectiveness of head computed tomography in infants with possible inflicted traumatic brain injury Cost-effectiveness of head computed tomography in infants with possible inflicted traumatic brain injury Campbell K A, Berger R P, Ettaro L, Roberts M S Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract (...) contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined the use of computed tomography of the head (head CT) for the diagnosis of inflicted traumatic brain injury (iTBI) in selected infants. Head CT was compared with a policy of no CT. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis Study population The study population

2007 NHS Economic Evaluation Database.

189. Monoaminergic agonists for acute traumatic brain injury. (Abstract)

Monoaminergic agonists for acute traumatic brain injury. Although there have been considerable gains in understanding the cascade of events that lead to secondary injury after traumatic brain injury (TBI), efforts to translate this understanding into new therapeutic, so-called neuroprotective approaches, have so far proven disappointing. As an alternative, there is growing interest in approaches to enhance brain repair after injury. Animal models suggest that agents enhancing monoaminergic (MA (...) ) transmission, particularly amphetamines, promote motor recovery from focal brain injury and it is proposed that this might represent a complementary means of therapeutic intervention in the later post-injury phase.To evaluate the evidence that MAs improve final outcome after TBI.We searched CENTRAL (The Cochrane Library, Issue 2, 2005), the Cochrane Injuries Group's Specialised Register (to May 2005), MEDLINE (1966 to May 2005), EMBASE (1980 to May 2005) and the Science Citation Index (1992 to June 2005

2006 Cochrane

190. Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury. (Abstract)

Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury. High intracranial pressure (ICP) is the most frequent cause of death and disability after severe traumatic brain injury (TBI). High ICP is treated by general maneuvers (normothermia, sedation etc) and a set of first line therapeutic measures (moderate hypocapnia, mannitol etc). When these measures fail to control high ICP, second line therapies are started. Among these, second line (...) therapies such as barbiturates, hyperventilation, moderate hypothermia or removal of a variable amount of skull bone (known as decompressive craniectomy) are used.To assess the effects of secondary decompressive craniectomy (DC) on outcome and quality of life in patients with severe TBI in whom conventional medical therapeutic measures have failed to control raised ICP.We searched the Cochrane Injuries Group's Trial Register, CENTRAL, MEDLINE, EMBASE, Best Evidence, Clinical Practice Guidelines, PubMed

2006 Cochrane

191. Evaluation of a community-based model of rehabilitation following traumatic brain injury Full Text available with Trip Pro

Evaluation of a community-based model of rehabilitation following traumatic brain injury Evaluation of a community-based model of rehabilitation following traumatic brain injury Evaluation of a community-based model of rehabilitation following traumatic brain injury Ponsford J, Harrington H, Olver J, Roper M Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results (...) and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study evaluated the effectiveness and costs of community-based rehabilitation, after acute in-patient treatment, for patients with moderate-to-severe traumatic brain injury. The authors concluded that the community programme's effectiveness needed improvement. The methods and reporting were clear, but the sample size and two-year follow-up were insufficient, and the analysis

2006 NHS Economic Evaluation Database.

192. Indications for CT scanning in mild traumatic brain injury: a cost-effectiveness study Full Text available with Trip Pro

Indications for CT scanning in mild traumatic brain injury: a cost-effectiveness study Indications for CT scanning in mild traumatic brain injury: a cost-effectiveness study Indications for CT scanning in mild traumatic brain injury: a cost-effectiveness study Stein S C, Burnett M G, Glick H A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions (...) followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Six strategies for the management of patients with mild traumatic brain injury (TBI) were studied. Strategy 1: cranial computed tomography (CT) scan for selected patient (Selective CT) and emergency department (ED) discharge for others. This strategy was based on the Canadian head rule in which CT scan was ordered for all patients with a Glasgow Coma Scale (GCS) score of 14 and only

2006 NHS Economic Evaluation Database.

193. Mannitol for acute traumatic brain injury. Full Text available with Trip Pro

Mannitol for acute traumatic brain injury. Mannitol is sometimes effective in reversing acute brain swelling, but its effectiveness in the ongoing management of severe head injury remains unclear. There is evidence that, in prolonged dosage, mannitol may pass from the blood into the brain, where it might cause increased intracranial pressure.To assess the effects of different mannitol therapy regimens, of mannitol compared to other intracranial pressure (ICP) lowering agents, and to quantify (...) the effectiveness of mannitol administration given at other stages following acute traumatic brain injury.The review drew on the search strategy for the Injuries Group as a whole. We checked reference lists of trials and review articles, and contacted authors of trials. The searches were last updated in April 2005.Randomised trials of mannitol, in patients with acute traumatic brain injury of any severity. The comparison group could be placebo-controlled, no drug, different dose, or different drug. We excluded

2005 Cochrane

194. Traumatic brain injury increases the risk of psychiatric illness Full Text available with Trip Pro

Traumatic brain injury increases the risk of psychiatric illness Traumatic brain injury increases the risk of psychiatric illness | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your (...) user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Traumatic brain injury increases the risk of psychiatric illness Article Text Aetiology Traumatic brain injury increases the risk of psychiatric illness Free Anthony Feinstein , MPhil, PhD, FRCPC Statistics from Altmetric.com Fann JR, Burington B, Leonetti

2005 Evidence-Based Mental Health

195. Corticosteroids for acute traumatic brain injury. Full Text available with Trip Pro

Corticosteroids for acute traumatic brain injury. Traumatic brain injury is a leading cause of death and disability. Corticosteroids have been widely used in treating people with traumatic brain injury.To quantify the effectiveness and safety of corticosteroids in the treatment of acute traumatic brain injury.Electronic sources: MEDLINE, EMBASE, Cochrane Library and specialised database searches. Additional hand searching and contact with trialists. Date of the most recent search October 2004 (...) .All randomised controlled trials of corticosteroid use in acute traumatic brain injury with adequate or unclear allocation concealment.Quality of allocation concealment was scored. Data on numbers of participants randomised, numbers lost to follow up, length of follow up, case fatality rates, disablement, infections and gastrointestinal bleeds were extracted independently and checked.We identified 20 trials with 12303 randomised participants. The effect of corticosteroids on the risk of death

2005 Cochrane

196. A systematic review of treatments for mild traumatic brain injury

A systematic review of treatments for mild traumatic brain injury A systematic review of treatments for mild traumatic brain injury A systematic review of treatments for mild traumatic brain injury Comper P, Bisschop S M, Carnide N, Tricco A CRD summary This review assessed interventions for mild traumatic brain injury in adults. The authors concluded that there were few rigorous studies available, but there is evidence for the effectiveness of patient education interventions. This was a well (...) -conducted review and the cautious conclusion is likely to be reliable. Authors' objectives To assess the effectiveness of interventions for mild traumatic brain injury (MTBI) in adults. Searching MEDLINE, EMBASE, HealthSTAR, EBM Reviews (including the Cochrane Library), PsycINFO and CINAHL (from 1982) were searched from 1980 to 2003; the search terms were reported. Sixteen relevant journals were handsearched, references of potentially relevant articles were checked, and a linked search for papers

2005 DARE.

197. Cerebral microdialysis as a tool for neuromonitoring following traumatic brain injury

Cerebral microdialysis as a tool for neuromonitoring following traumatic brain injury Cerebral microdialysis as a tool for neuromonitoring following traumatic brain injury Cerebral microdialysis as a tool for neuromonitoring following traumatic brain injury Dendukuri N, Brophy J 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 Dendukuri N (...) , Brophy J. Cerebral microdialysis as a tool for neuromonitoring following traumatic brain injury. Technology Assessment Unit of the McGill University Health Centre (MUHC). Report #21. 2005 Authors' objectives The purpose of this report is to summarize current literature on the efficacy and safety of cerebral microdialysis (CMD) - a method for sampling biochemical markers of secondary brain damage from cerebral interstitial tissue fluid, among traumatic brain injury (TBI) patients. Authors' conclusions

2005 Health Technology Assessment (HTA) Database.

198. Acute secondary adrenal insufficiency after traumatic brain injury: A prospective study.

Acute secondary adrenal insufficiency after traumatic brain injury: A prospective study. PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2005 PedsCCM Evidence-Based Journal Club

199. Excitatory amino acid inhibitors for traumatic brain injury. Full Text available with Trip Pro

Excitatory amino acid inhibitors for traumatic brain injury. Glutamate is the principal excitatory neurotransmitter in the brain. Injury to the brain can cause an ionic imbalance in cerebral tissue, creating an excitotoxic cascade involving glutamate and other excitatory amino acids, that leads to neuronal death in the tissue surrounding the original injury site. Research has centred around inhibiting this increase in excitatory amino acid during injury either pre- or post-synaptically. Animal (...) contacted.Trials were included if they were randomised, double-blind, controlled trials where excitatory amino acid inhibitors were administered to patients with traumatic brain injury, within 24 hours of sustaining that injury, and compared to a control group.Twelve trials, involving eight compounds, were identified that appeared to fit the inclusion criteria. Further investigation excluded three of these trials. Two of the remaining trials are ongoing. Of the seven included studies, one trial did not report

2004 Cochrane

200. Prehospital hypertonic saline resuscitation of patients with hypotension and severe traumatic brain injury: a randomized controlled trial. Full Text available with Trip Pro

Prehospital hypertonic saline resuscitation of patients with hypotension and severe traumatic brain injury: a randomized controlled trial. Prehospital hypertonic saline (HTS) resuscitation of patients with traumatic brain injury (TBI) may increase survival but whether HTS improves neurological outcomes is unknown.To determine whether prehospital resuscitation with intravenous HTS improves long-term neurological outcome in patients with severe TBI compared with resuscitation with conventional (...) measure of postinjury neurological function.In this study, patients with hypotension and severe TBI who received prehospital resuscitation with HTS had almost identical neurological function 6 months after injury as patients who received conventional fluid.

2004 JAMA Controlled trial quality: predicted high