scholarly journals Short-Term and Long-Term Outcomes of a Vocational Rehabilitation Program for Patients with Acquired Brain Injury in The Netherlands

2017 ◽  
Vol 28 (3) ◽  
pp. 523-530 ◽  
Author(s):  
Caroline H. van Dongen ◽  
Paulien H. Goossens ◽  
Inge E. van Zee ◽  
Kirsten N. Verpoort ◽  
Thea P. M. Vliet Vlieland ◽  
...  
Keyword(s):  
Brain Injury ◽  
The Netherlands ◽  
Vocational Rehabilitation ◽  
Acquired Brain Injury ◽  
Rehabilitation Program ◽  
Long Term Outcomes ◽  
Short Term

scholarly journals Strategies to Facilitate Successful Community Reintegration Following Acquired Brain Injury (ABI)

2011 ◽  
Vol 6 (1) ◽  
pp. 68-78 ◽  
Author(s):  
Charmaine Mahar ◽  
Kym Fraser
Keyword(s):  
Brain Injury ◽  
Management Strategies ◽  
Acquired Brain Injury ◽  
Executive Dysfunction ◽  
Community Reintegration ◽  
Service Access ◽  
Emotional Lability ◽  
Long Term Outcomes ◽  
Rehabilitation Process

Acquired brain injury (ABI) is considered to be the primary cause of disability in our society. People with ABI face an array of challenges, which include emotional lability, disinhibition, irritability, distractibility, executive dysfunction, memory difficulties, inattention and noticeable changes to personality. Effective rehabilitation and community reintegration is considered essential for those with ABI but impeding the process is society's lack of knowledge and understanding. This is due in some part to the invisible nature of the disability. The focus of this article is to introduce the key areas that influence reintegration, being the rehabilitation process, service access and interventions. It is clear the reintegration process is greatly restricted by the lack of services and programs available to improve the long-term outcomes for people with ABI. To help facilitate successful community reintegration the article developed and lists a significant number of management strategies to assist those who are involved in the lives of people with ABI.

scholarly journals Individualized Prognostic Prediction of the Long-Term Functional Trajectory in Pediatric Acquired Brain Injury

2021 ◽  
Vol 11 (7) ◽  
pp. 675
Author(s):  
Erika Molteni ◽  
Marta Bianca Maria Ranzini ◽  
Elena Beretta ◽  
Marc Modat ◽  
Sandra Strazzer
Keyword(s):  
Brain Injury ◽  
Latent Class ◽  
Latent Class Model ◽  
External Validation ◽  
Model Fitting ◽  
Specific Treatment ◽  
Acquired Brain Injury ◽  
Rehabilitation Program ◽  
Single Subject

In pediatric acquired brain injury, heterogeneity of functional response to specific rehabilitation treatments is a key confound to medical decisions and outcome prediction. We aimed to identify patient subgroups sharing comparable trajectories, and to implement a method for the early prediction of the long-term recovery course from clinical condition at first discharge. 600 consecutive patients with acquired brain injury (7.4 years ± 5.2; 367 males; median GCS = 6) entered a standardized rehabilitation program. Functional Independent Measure scores were measured yearly, until year 7. We classified the functional trajectories in clusters, through a latent class model. We performed single-subject prediction of trajectory membership in cases unseen during model fitting. Four trajectory types were identified (post.prob. > 0.95): high-start fast (N = 92), low-start fast (N = 168), slow (N = 130) and non-responders (N = 210). Fast responders were older (chigh = 1.8; clow = 1.1) than non-responders and suffered shorter coma (chigh = −14.7; clow = −4.3). High-start fast-responders had shorter length of stay (c = −1.6), and slow responders had lower incidence of epilepsy (c = −1.4), than non-responders (p < 0.001). Single-subject trajectory could be predicted with high accuracy at first discharge (accuracy = 0.80). In conclusion, we stratified patients based on the evolution of their response to a specific treatment program. Data at first discharge predicted the response over 7 years. This method enables early detection of the slow responders, who show poor post-acute functional gains, but achieve recovery comparable to fast responders by year 7. Further external validation in other rehabilitation programs is warranted.

Associations between brain drawings following mild traumatic brain injury and negative illness perceptions and post-concussion symptoms at 4 years

2017 ◽  
Vol 24 (10) ◽  
pp. 1448-1458 ◽  
Author(s):  
Kelly M Jones ◽  
Alice Theadom ◽  
Suzanne Barker-Collo ◽  
Elizabeth Broadbent ◽  
Valery L Feigin ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Illness Perceptions ◽  
Late Onset ◽  
Long Term Outcomes ◽  
Short Term ◽  
Health Related ◽  
Additional Support

Characteristics of patient’s drawings have been linked to short-term health-related outcomes across a range of health conditions. This study examined associations between brain drawings at 1 month and illness perceptions and post-concussion symptoms at 4 years in 92 adults following mild traumatic brain injury. Greater damage depicted at 1 month was correlated with perceived greater impact on life, duration of injury, symptoms of brain injury, emotional consequences and late-onset post-concussion symptoms. Results indicate that brain drawings shortly after traumatic brain injury offer a simple and insightful tool that may help to identify those who need additional support to improve long-term outcomes.

scholarly journals Xenon treatment improves short-term and long-term outcomes in a rodent model of traumatic brain injury

2018 ◽  
Vol 121 (2) ◽  
pp. e21
Author(s):  
R. Campos-Pires ◽  
S. Armstrong ◽  
A. Sebastiani ◽  
C. Luh ◽  
M. Gruss ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Rodent Model ◽  
Long Term Outcomes ◽  
Short Term

Traumatic Brain Injury: A Trauma Surgeon's Perspective

2012 ◽  
Vol 22 (3) ◽  
pp. 82-89
Author(s):  
Oscar D. Guillamondegui
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Multidisciplinary Approach ◽  
Trauma Team ◽  
The United States ◽  
Long Term Outcomes ◽  
Term Care ◽  
Injured Brain ◽  
The Moment

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.

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