Identifying clinical complexity in patients affected by severe acquired brain injury in neurorehabilitation: a cross sectional survey

2019 ◽  
Vol 55 (2) ◽  
Author(s):  
Federico Scarponi ◽  
Mauro Zampolini ◽  
Chiara Zucchella ◽  
Stefano Bargellesi ◽  
Chiara Fassio ◽  
...  
Keyword(s):  
Brain Injury ◽  
Acquired Brain Injury ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Severe Acquired Brain Injury ◽  
Clinical Complexity

Interventions Addressing Vision, Visual-perceptual Impairments Following Acquired Brain Injury: A Cross-sectional Survey

2020 ◽  
Vol 87 (2) ◽  
pp. 117-126
Author(s):  
Paul Y. Yoo ◽  
Katryne Scott ◽  
Filip Myszak ◽  
Stephanie Mamann ◽  
Amelie Labelle ◽  
...  
Keyword(s):  
Brain Injury ◽  
Online Survey ◽  
Acquired Brain Injury ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Visual Stress ◽  
Canadian Association ◽  
Vision Rehabilitation ◽  
Oculomotor Function

Background. The existing literature on the effectiveness of interventions targeting vision, visual-perceptual impairments following acquired brain injury (ABI) is scarce and unlinked to occupational performance. Purpose. To explore current occupational therapy practice in vision-rehabilitation among adults with ABI in Canada, and to determine the evidence-practice gaps. Methods. An online survey was made available through the Canadian Association of Occupational Therapists (CAOT) website, and disseminated to seven public healthcare institutions in Quebec. The survey collected respondent demographic information, and the types and frequency of treatments delivered. Descriptive statistics were conducted to determine interventions’ frequency. Participant comments were collected and grouped into recurring themes. Findings. Over half (55%) of respondents regularly use evidence-based interventions when addressing visual acuity (VA) and visual field (VF) deficits, but only very few (3%) use it when dealing with oculomotor function and visual stress impairments. Implications. Results gave a glimpse of interventions used and suggested the need for further research in vision rehabilitation.

Epilepsy in context of acquired brain injury (ABI) in a tertiary neuropsychiatric setting

2011 ◽  
Vol 26 (S2) ◽  
pp. 885-885
Author(s):  
A. Tajer ◽  
R.A. Faruqui ◽  
S. Bonthala ◽  
K. El-Kadi ◽  
R. Shah
Keyword(s):  
Brain Injury ◽  
Acquired Brain Injury ◽  
Challenging Behaviour ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk ◽  
History Of ◽  
Active Epilepsy ◽  
Early Seizures

IntroductionEach year around 1/10,000 of general population sustain a traumatic brain injury (7,000 individual in UK) and as a result have an increased risk of epilepsy in the long term.To the best of our knowledge there is not much literature available on incidence and prevalence of epilepsy following ABI in the group of patients who develop psychiatric presentation as a result.AimsTo ascertain the prevalence of epilepsy in a group of in-patients with neuropsychiatric presentation admitted in a tertiary Brain Injury Neuropsychiatry Centre.MethodsA cross sectional survey of healthcare records of 125 in-patients was carried out to ascertain the diagnosis of epilepsy. The current diagnosis of epilepsy and frequency of these patients’ seizures as well as history of early seizures following ABI were noted.ResultsOut of 125 patients studied, 40 (32%) were diagnosed with epilepsy at some point following their brain injury or at the time of survey. Out of these, 35 patients had active epilepsy at the time of the survey with definite seizures witnessed and documented in the in-patients notes. Fifteen patients had had seizures in early phase following their ABI and no seizures reported since.ConclusionsPatients who present with either cognitive impairment, challenging behaviour or and psychiatric illness are at a higher risk of epilepsy compared to those reported in general Brain Injury Neuro-rehabilitation setting. This could be explained by severity of ABI or the areas of brain damaged which may be involved in neuro-psychiatric presentation also causing epilepsy.

Occurrence and predictive factors of heterotopic ossification in severe acquired brain injured patients during rehabilitation stay: cross-sectional survey

2017 ◽  
Vol 32 (2) ◽  
pp. 255-262 ◽  
Author(s):  
Stefano Bargellesi ◽  
Luisa Cavasin ◽  
Federico Scarponi ◽  
Antonio De Tanti ◽  
Donatella Bonaiuti ◽  
...  
Keyword(s):  
Brain Injury ◽  
Cross Sectional Survey ◽  
Rehabilitation Centre ◽  
Chi Square ◽  
Cross Sectional ◽  
Paroxysmal Sympathetic Hyperactivity ◽  
Heterotopic Ossifications ◽  
Severe Acquired Brain Injury ◽  
Brain Injured ◽  
Injured Patients

Objectives: To report occurrence and identify patient’s features and risk factors of heterotopic ossifications in patients with severe acquired brain injury in intensive rehabilitation centres. Design: Multicentre cross-sectional survey. Setting: A total of 48 severe acquired brain injury rehabilitation institutes. Participants: Traumatic and non-traumatic severe brain-injured patients ( N = 689) in rehabilitation centres on 28 May 2016. Main Outcome Measure: Occurrence of heterotopic ossifications diagnosed by standard radiological and/or sonographic evaluation on the basis of clinical suspicion. Results: Heterotopic ossification occurred around one or more joints in 94/689 patients (13.6%) with a significantly higher prevalence in young males. Occurrence did not significantly differ in relation to aetiology (16.3% traumatic, 19.2% anoxic, 11.7% vascular and 11.5% other). Prevalence was significantly higher in patients with diffuse (23.3%) rather than focal brain lesions (12.4%) or unspecified lesions (11.2%; chi-square = 7.81, df = 2, P = 0.020); longer duration of coma ( P = 0.0016) and ventilation support ( P = 0.0145); paroxysmal sympathetic hyperactivity (22.6% versus 11.6%; chi-square = 10.81, df = 1, P = 0.001); and spasticity (22.7% versus 10.1%; chi-square = 18.63, df = 1, P < 0.0001). A longer interval between acute brain injury and admission to rehabilitation centre was significantly associated with higher frequency of heterotopic ossifications. Conclusion: Occurrence of heterotopic ossifications is frequent in patients with severe traumatic and non-traumatic brain-injury in rehabilitation centres. Our study confirms male gender, young age, paroxysmal sympathetic hyperactivity, spasticity, longer duration of coma and ventilation and longer interval between brain injury onset and admission to rehabilitation centre as possible risk factors. Further studies are necessary to investigate the role of early appropriate rehabilitation pathways to reduce occurrence of heterotopic ossifications.

Clinical course of SARS-CoV-2 infection in patients with severe acquired brain injury and a disorder of consciousness: an observational study

Brain Injury ◽  
2021 ◽  
Vol 35 (5) ◽  
pp. 520-529
Author(s):  
Antonio Caronni ◽  
Emanuele Liaci ◽  
Anna Bianchi ◽  
Alessandro Viganò ◽  
Francesco Marenco ◽  
...  
Keyword(s):  
Brain Injury ◽  
Observational Study ◽  
Clinical Course ◽  
Acquired Brain Injury ◽  
Disorder Of Consciousness ◽  
Severe Acquired Brain Injury

Rehabilitation outcomes of persons with severe traumatic brain injury: A cross-sectional survey

2021 ◽  
Vol 53 (1) ◽  
pp. 31
Author(s):  
Selvaraj Samuelkamaleshkumar ◽  
CatherineJudithHossanna ◽  
Ranjan Aruna ◽  
Suresh Annpatriciacatherine ◽  
Stephen Reethajanetsurekha ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rehabilitation Outcomes

scholarly journals Changes in Caregivers Lifestyle after Severe Acquired Brain Injury: A Preliminary Investigation

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
M. D’Ippolito ◽  
M. Aloisi ◽  
E. Azicnuda ◽  
D. Silvestro ◽  
M. Giustini ◽  
...  
Keyword(s):  
Brain Injury ◽  
Preliminary Investigation ◽  
Leisure Activities ◽  
Primary Caregivers ◽  
Acquired Brain Injury ◽  
Lifestyle Changes ◽  
Self Report ◽  
Severe Acquired Brain Injury ◽  
Significant Difference ◽  
Additional Support

Introduction. Severe acquired brain injury (sABI) is considered the most common cause of death and disability worldwide. sABI patients are supported by their caregivers who often exhibit high rates of psychological distress, mood disorders, and changes in relationship dynamics and family roles.Objectives. To explore lifestyle changes of caregivers of sABI patients during the postacute rehabilitation, by investigating possible differences between primary and secondary caregivers. Primary caregivers spend most of the time with the patient, providing daily care and taking most responsibility for the day-to-day decisions, while secondary caregivers are those who provide additional support.Methods. Three hundred forty-seven caregivers of sABI patients were asked to fill in an unpublished self-report questionnaire to explore their possible lifestyles changes.Results. A statistically significant difference was found between primary and secondary caregivers in time spent in informal caregiving (p<0.001). The primary caregivers reduced all leisure activities compared to secondary carers (p<0.05).Conclusions. By comparing the percentage of leisure activities performed by caregiversbeforeandafterthe patient’s sABI onset, all caregivers showed high percentages of changes in lifestyle and habits, even though primary caregivers reported more negative lifestyle changes than secondary caregivers. Further studies are needed to investigate needs and burden experienced by caregivers of sABI patients during the postacute rehabilitation phase, also in relation to the patients’ outcome, to address support interventions for them and improve their quality of life.

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