Challenges in assessment of the mild traumatic brain injured geriatric patient

Mercier, Éric; Mitra, Biswadev; Cameron, Peter

doi:10.1016/j.injury.2016.04.001

Cited by 10 publications

(3 citation statements)

References 35 publications

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“…In addition, only one study focused on geriatric populations ( 72 ), even though falls are a primary cause of concussion, and common in older adults ( 104 , 105 ). Furthermore, older adults report more pre-existing cognitive impairments that make it difficult to treat and manage concussion ( 106 ), as well literature suggests older adults can experience poor quality of life post-concussion, due to factors such as reduced independence and difficulty in recovery due to comorbidities or frailty ( 107 ). As most studies (17/25) focused exclusively on individuals aged 19–60 years old, there is a need to conduct more studies that target pediatric and older adult populations in these critical life stages.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Outcomes Across the Lifespan in Individuals With Persistent Post-Concussion Symptoms: A Scoping Review

et al. 2022

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Objective:Concussion is a common yet heterogenous injury. Approximately 15–30% of cases present with persistent post-concussion symptoms (PPCS), continuing 4 weeks or more post-injury in children, youth, and adolescents, and 3 months or more in adults. There are known bidirectional links between PPCS and mental health outcomes. The focus of this scoping review is to explore the literature on mental health outcomes in individuals experiencing PPCS. Research objectives were to explore: (1) the mental health outcomes of individuals with PPCS and types of assessments used to identify mental health outcomes this group, and (2) how mental health outcomes compare in terms of similarities and differences among pediatric and adult populations with PPCS.MethodOvid MEDLINE; EMBASE; CINAHL, and PsycInfo databases were searched. After title and abstract screening of 11,920 studies, 481 articles were reviewed. Twenty-five papers met inclusion criteria. Results were organized by mental health outcomes of pediatric and adult populations, separately.ResultsThere was a significantly higher number of studies devoted to adult populations. Of the 25 studies, 19 (76%) focused on adults, while six (24%) focused on adolescents. In adult populations, studies focused on symptoms of: anxiety (n = 2), depression (n = 8), and anxiety and depression (n = 9). Two studies assessed other emotional outcomes (10.5%). Within pediatric populations, an equal number of studies explored symptoms of: anxiety (n = 2), depression (n = 2), and anxiety and depression (n = 2). No studies focused on other emotional outcomes. Studies ranged greatly in methods, design, and control group. Most studies reported higher psychiatric symptoms of anxiety and/or depression in those with PPCS compared to individuals with recovered concussion or healthy controls.DiscussionThis review contributes to the understanding of mental health outcomes in those experiencing PPCS. Mental health and PPCS requires greater attention in pediatric populations, and consider strategies for those experiencing PPCS and mental health impacts. Future studies should consider including a wider range of emotional outcomes in their design, not limited to anxiety and depression. Study results may lead to improvements and research in the identification, assessment, and management of PPCS and mental health.

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Section: Discussionmentioning

confidence: 99%

Mental Health Outcomes Across the Lifespan in Individuals With Persistent Post-Concussion Symptoms: A Scoping Review

et al. 2022

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“…Between 28 April 2016 and 27 April 2017, all unsolicited electronic invitations received from a potential predatory publisher or conference organiser were prospectively collected using a single email address which is run through the institutional firewall. The beginning of this 12-month period coincided with the online publication of a manuscript 17 from a young faculty member (EM) as corresponding author for his first time. The recipient is a recently graduated emergency physician and a research fellow affiliated to a Canadian and an Australian academic centre.…”

Section: Methodsmentioning

confidence: 99%

Invitations received from potential predatory publishers and fraudulent conferences: a 12-month early-career researcher experience

Mercier

Tardif

Moore

et al. 2017

Postgraduate Medical Journal

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Purpose of the studyThis study aims to describe all unsolicited electronic invitations received from potential predatory publishers or fraudulent conferences over a 12-month period following the first publication as a corresponding author of a junior academician.Study designUnsolicited invitations received at an institutional email address and perceived to be sent by predatory publishers or fraudulent conferences were collected.ResultsA total of 502 invitations were included of which 177 (35.3%) had subject matter relevant to the recipient’s research interests and previous work. Two hundred and thirty-seven were invitations to publish a manuscript. Few disclosed the publication fees (32, 13.5%) but they frequently reported accepting all types of manuscripts (167, 70.5%) or emphasised on a deadline to submit (165, 69.6%). Invitations came from 39 publishers (range 1 to 87 invitations per publisher). Two hundred and ten invitations from a potential fraudulent conference were received. These meetings were held in Europe (97, 46.2%), North America (65, 31.0%), Asia (20.4%) or other continents (5, 2.4%) and came from 18 meeting organisation groups (range 1 to 137 invitations per organisation). Becoming an editorial board member (30), the editor-in-chief (1), a guest editor for journal special issue (6) and write a book chapter (11) were some of the roles offered in the other invitations included while no invitation to review a manuscript was received.ConclusionsYoung researchers are commonly exposed to predatory publishers and fraudulent conferences following a single publication as a corresponding author. Academic institutions worldwide need to educate and inform young researchers of this emerging problem.

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“…Moreover, geriatric patients represent a constantly growing proportion of the trauma population as the world is ageing. 46 47 The absolute incidence of TBI among the geriatric patients is rising as a result of the increased life expectancy and mobility. 5 Advanced age was an exclusion criteria in 10 studies (28%), but the patients enrolled were mostly young with a mean age of only 38.7 (SD 5.3) years old.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of patients included and enrolled in studies on the prognostic value of serum biomarkers for prediction of postconcussion symptoms following a mild traumatic brain injury: a systematic review

et al. 2017

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ObjectiveMild traumatic brain injury (mTBI) has been insufficiently researched, and its definition remains elusive. Investigators are confronted by heterogeneity in patients, mechanism of injury and outcomes. Findings are thus often limited in generalisability and clinical application. Serum protein biomarkers are increasingly assessed to enhance prognostication of outcomes, but their translation into clinical practice has yet to be achieved. A systematic review was performed to describe the adult populations included and enrolled in studies that evaluated the prognostic value of protein biomarkers to predict postconcussion symptoms following an mTBI.Data sourcesSearches of MEDLINE, Embase, CENTRAL, CINAHL, Web of Science, PsycBITE and PsycINFO up to October 2016.Data selection and extractionTwo reviewers independently screened for potentially eligible studies, extracted data and assessed the overall quality of evidence by outcome using the Grading of Recommendations Assessment, Development and Evaluation approach.ResultsA total of 23 298 citations were obtained from which 166 manuscripts were reviewed. Thirty-six cohort studies (2812 patients) having enrolled between 7 and 311 patients (median 89) fulfilled our inclusion criteria. Most studies excluded patients based on advanced age (n=10 (28%)), neurological disorders (n=20 (56%)), psychiatric disorders (n=17 (47%)), substance abuse disorders (n=13 (36%)) or previous traumatic brain injury (n=10 (28%)). Twenty-one studies (58%) used at least two of these exclusion criteria. The pooled mean age of included patients was 39.3 (SD 4.6) years old (34 studies). The criteria used to define a mTBI were inconsistent. The most frequently reported outcome was postconcussion syndrome using the Rivermead Post-Concussion Symptoms Questionnaire (n=18 (50%)) with follow-ups ranging from 7 days to 5 years after the mTBI.ConclusionsMost studies have recruited samples that are not representative and generalisable to the mTBI population. These exclusion criteria limit the potential use and translation of promising serum protein biomarkers to predict postconcussion symptoms.

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Challenges in assessment of the mild traumatic brain injured geriatric patient

Cited by 10 publications

References 35 publications

Mental Health Outcomes Across the Lifespan in Individuals With Persistent Post-Concussion Symptoms: A Scoping Review

Mental Health Outcomes Across the Lifespan in Individuals With Persistent Post-Concussion Symptoms: A Scoping Review

Invitations received from potential predatory publishers and fraudulent conferences: a 12-month early-career researcher experience

Characteristics of patients included and enrolled in studies on the prognostic value of serum biomarkers for prediction of postconcussion symptoms following a mild traumatic brain injury: a systematic review

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