Neuropsychological recovery during the first 12 months after severe traumatic brain injury: A longitudinal study with monthly assessments

Schultz, Regina; Tate, Robyn; Perdices, Michael

doi:10.1080/09602011.2021.1882507

Cited by 3 publications

(4 citation statements)

References 46 publications

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“…However, the path of spontaneous recovery of cognitive functions after ABI is described as non-linear during that timeframe, with different physiological mechanisms and a steeper curve during the first 3-4 months (24). Consequently, data were collected from 2 cohorts (18) since, during the past decade, several studies have reported positive effects of subacute cognitive rehabilitation (< 3 months) after ABI (25)(26)(27)(28)(29)(30)(31)(32). These studies reported substantial changes during inpatient rehabilitation.…”

Section: Lay Abstractmentioning

confidence: 99%

Rehabilitation with intensive attention training early after acquired brain injury promotes better long-term status on health-related quality of life, daily activities, work ability and return to work

Markovic,

Bartfai,

Schult

et al. 2024

JRM

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Objective: To describe long-term effects on activity, participation, and quality of life (i) at different post-injury starting time points of attention training and (ii) of two different types of rehabilitation with attention training in patients after stroke or traumatic brain injury; and to describe their functioning level. Design: 2 years after rehabilitation intervention, comparisons were made in one cohort receiving attention training subacute (< 4 months) or post-acute (4–12 months) and in one cohort with two different training methods, a process-based and an activity-based method respectively. Patients: 100 patients were recruited from our earlier RCT study. They had mild to moderate stroke or traumatic brain injury with relatively limited symptomatology, and all had moderate to severe attention impairment. Methods: A questionnaire-based interview: EuroQol 5 dimensions, Occupational Gaps Questionnaire, Work Ability Index, self-assessed work status, self-reported employment conditions, sick leave, and experienced cognitive limitations in work performance. Results: An advantage for patients receiving subacute attention training regarding daily activities, work ability and returning to work. Conclusion: The results indicate that subacute rehabilitation with attention training (< 4 months) is preferable compared to post-acute intervention (4–12 months). There were only minor differences between the training methods.

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Section: Lay Abstractmentioning

confidence: 99%

Rehabilitation with intensive attention training early after acquired brain injury promotes better long-term status on health-related quality of life, daily activities, work ability and return to work

Markovic,

Bartfai,

Schult

et al. 2024

JRM

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“…In addition to characterizing the prevalence of adverse cognitive outcomes, we examined the prevalence of 8 distinct profiles of cognitive impairment or decline across the domains assessed. These included (1) no impairment or decline, (2) memory impairment or decline only (ie, impairment or decline only on 1 or both RAVLT indices), (3) processing speed impairment or decline only (ie, impairment or decline only on the PSI and/or TMT-A), ( 4) executive functioning impairment or decline only (ie, impairment or decline only on the TMT-B and/or TMT-B/A), ( 5) memory and processing speed impairment or decline (ie, met the aforementioned criteria for memory and processing speed impairment only), (6) memory and executive functioning impairment or decline, (7) processing speed and executive functioning impairment or decline, and (8) impairment or decline across all domains.…”

Section: Phenotypes or Profiles Of Cognitive Dysfunctionmentioning

confidence: 99%

“…Traumatic brain injuries (TBIs) are common in the US and worldwide and are often associated with cognitive dysfunction in a dose-response manner relative to TBI severity. Patients with TBI often display reduced cognitive abilities followed by gradual recovery that is sometimes incomplete in the long-term (eg, 3- to 6-month) recovery period . Cognitive impairment after TBI is associated with quality of life even after accounting for TBI severity, premorbid or comorbid psychiatric symptoms, and sleep disturbance .…”

Section: Introductionmentioning

confidence: 99%

“…Patients with TBI often display reduced cognitive abilities 2 , 3 , 4 followed by gradual recovery that is sometimes incomplete in the long-term (eg, 3- to 6-month) recovery period. 5 , 6 , 7 , 8 Cognitive impairment after TBI is associated with quality of life even after accounting for TBI severity, premorbid or comorbid psychiatric symptoms, and sleep disturbance. 9 Wilson et al 4 found that cognitive impairment plays a key role in disability after TBI, particularly for individuals who are dependent on others for assistance and/or unable to participate in major life activities.…”

Section: Introductionmentioning

confidence: 99%

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Profiles of Cognitive Functioning at 6 Months After Traumatic Brain Injury Among Patients in Level I Trauma Centers

Bryant,

Rose,

Temkin

et al. 2023

JAMA Netw Open

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ImportanceCognitive dysfunction is common after traumatic brain injury (TBI), with a well-established dose-response relationship between TBI severity and likelihood or magnitude of persistent cognitive impairment. However, patterns of cognitive dysfunction in the long-term (eg, 6-month) recovery period are less well known.ObjectiveTo characterize the prevalence of cognitive dysfunction within and across cognitive domains (processing speed, memory, and executive functioning) 6 months after injury in patients with TBI seen at level I trauma centers.Design, Setting, and ParticipantsThis prospective longitudinal cohort study used data from Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) and included patients aged 17 years or older presenting at 18 US level I trauma center emergency departments or inpatient units within 24 hours of head injury, control individuals with orthopedic injury recruited from the same centers, and uninjured friend and family controls. Participants were enrolled between March 2, 2014, and July 27, 2018. Data were analyzed from March 5, 2020, through October 3, 2023.ExposuresTraumatic brain injury (Glasgow Coma Scale score of 3-15) or orthopedic injury.Main Outcomes and MeasuresPerformance on standard neuropsychological tests, including premorbid cognitive ability (National Institutes of Health Toolbox Picture Vocabulary Test), verbal memory (Rey Auditory Verbal Learning Test), processing speed (Wechsler Adult Intelligence Scale [4th edition] Processing Speed Index), and executive functioning (Trail Making Test).ResultsThe sample included 1057 persons with TBI (mean [SD] age, 39.3 [16.4] years; 705 [67%] male) and 327 controls without TBI (mean [SD] age, 38.4 [15.1] years; 222 [68%] male). Most persons with TBI demonstrated performance within 1.5 SDs or better of the control group (49.3% [95% CI, 39.5%-59.2%] to 67.5% [95% CI, 63.7%-71.2%] showed no evidence of impairment). Similarly, 64.4% (95% CI, 54.5%-73.4%) to 78.8% (95% CI, 75.4%-81.9%) of participants demonstrated no evidence of cognitive decline (defined as performance within 1.5 SDs of estimated premorbid ability). For individuals with evidence of either cognitive impairment or decline, diverse profiles of impairment across memory, speed, and executive functioning domains were observed (ie, the prevalence was &gt;0 in each of the 7 combinations of impairment across these 3 cognitive domains for most TBI subgroups).Conclusions and RelevanceIn this cohort study of patients seen at level I trauma centers 6 months after TBI, many patients with TBI demonstrated no cognitive impairment. Impairment was more prevalent in persons with more severe TBI and manifested in variable ways across individuals. The findings may guide future research and treatment recommendations.

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Sensitivity and specificity of the INECO frontal screening (IFS) in the detection of patients with traumatic brain injury presenting executive deficits

Pinasco

Oviedo

Goldfeder

et al. 2021

Applied Neuropsychology: Adult

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Neuropsychological recovery during the first 12 months after severe traumatic brain injury: A longitudinal study with monthly assessments

Cited by 3 publications

References 46 publications

Rehabilitation with intensive attention training early after acquired brain injury promotes better long-term status on health-related quality of life, daily activities, work ability and return to work

Rehabilitation with intensive attention training early after acquired brain injury promotes better long-term status on health-related quality of life, daily activities, work ability and return to work

Profiles of Cognitive Functioning at 6 Months After Traumatic Brain Injury Among Patients in Level I Trauma Centers

Sensitivity and specificity of the INECO frontal screening (IFS) in the detection of patients with traumatic brain injury presenting executive deficits

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