Functional Level During the First Year After Moderate and Severe Traumatic Brain Injury: Course and Predictors of Outcome

Sandhaug,

doi:10.4021/jnr20w

Cited by 5 publications

(6 citation statements)

References 37 publications

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“…These recent results are typical for the TBI population routinely observed at the Kessler Institute. The FIM scores from the Kessler TBI population were lower compared to another study 76 and to the reported total FIM from all sixteen sites within the TBI Model Systems Database (52 for rehabilitation admission, N=9861; 92 for rehabilitation discharge, N=9781). 74 These data suggest that TBI in-patients from Kessler on average may be more severely affected, with pathology in the moderate-severe rather than mild TBI range.…”

Section: Discussioncontrasting

confidence: 64%

Concurrent Vision Dysfunctions in Convergence Insufficiency With Traumatic Brain Injury

Alvarez¹,

Kim²,

Vicci³

et al. 2012

Optometry and Vision Science

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Purpose This study assessed the prevalence of convergence insufficiency (CI) with and without simultaneous vision dysfunctions within the traumatic brain injury (TBI) sample population because although CI is commonly reported with TBI, the prevalence of concurrent visual dysfunctions with CI in TBI is unknown. Methods A retrospective analysis of 557 medical records from TBI civilian patients was conducted. Patients were all evaluated by a single optometrist. Visual acuity, oculomotor, binocular vision function, accommodation, visual fields, ocular health and vestibular function were assessed. Statistical comparisons between the CI and non-CI, as well as in-patient and out-patient subgroups, were conducted using chi-squared and Z-tests. Results Approximately 9% of the TBI sample had CI without the following simultaneous diagnoses: saccade or pursuit dysfunction; 3rd, 4th, or 6th nerve palsy; visual field deficit; visual spatial inattention/neglect; vestibular dysfunction or nystagmus. Photophobia with CI was observed in 16.3% (N=21/130) and vestibular dysfunction with CI was observed in 18.5% (N=24/130) of the CI subgroup. CI and cranial nerve palsies were common and yielded prevalence rates of 23.3% (N=130/557) and 26.9% (N=150/557), respectively, within the TBI sample. Accommodative dysfunction was common within the non-presbyopic TBI sample with a prevalence of 24.4% (N=76/314). Visual field deficits or unilateral visual spatial inattention/neglect were observed within 29.6% (N=80/270) of the TBI in-patient subgroup and were significantly more prevalent compared to the out-patient subgroup (p<0.001). Most TBI patients had visual acuities of 20/60 or better in the TBI sample (85%;N=473/557). Conclusions CI without simultaneous visual or vestibular dysfunctions was observed in about 9% of the visually symptomatic TBI civilian population studied. A thorough visual and vestibular examination is recommended for all TBI patients.

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Section: Discussioncontrasting

confidence: 64%

Concurrent Vision Dysfunctions in Convergence Insufficiency With Traumatic Brain Injury

Alvarez¹,

Kim²,

Vicci³

et al. 2012

Optometry and Vision Science

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“…The functional level was assessed by GOSE and was found to improve significantly during the first 6 months of injury. This finding concurred with that in several previous studies (deGuise et al, 2008; Sandhaug et al, 2011; Sandhaug et al, 2015; Weber et al, 2016). This result was expected because, in the natural course of TBI, most spontaneous recovery occurs originally (Watson, 2007).…”

Section: Discussionsupporting

confidence: 94%

“…Evidently, GCS at discharge, length of hospital stay, and hydrocephalus were the major factors affecting the patient outcomes. Sandhaug, Andelic, Bernsten, Seiler, and Mygland (2011) and Sandhaug, Andelic, Langhammer, and Mygland (2015) revealed that the FIM results were improved in both moderate and severe TBI patients from admission until discharge from the rehabilitation unit. In the period between discharge and 12 months post-injury, the FIM-total and FIM-motor scores improved in severe TBI patients, but this was not for FIM-cognitive.…”

Section: Introductionmentioning

confidence: 97%

Functional Outcomes 6 Months After Severe Traumatic Brain Injury Following Admission Into Intensive Care Unit: A Cohort Study in Two Tertiary Hospitals

et al. 2018

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Severe traumatic brain injury (TBI) survivors show physical and functional improvements but continue to have cognitive and psychosocial problems throughout recovery. However, the functional outcome of severe TBI in Malaysia is unknown. The objective of this study is to measure the functional outcomes of severe TBI within 6 months post-injury. A cohort study was done on 33 severe TBI survivors. The Glasgow Outcome Scale-Extended (GOSE) was used in this study. The mean age of the participants was 31.79 years (range: 16-73 years). The logistic regression model was statistically significant, χ²(5, N = 33) = 29.09, p < .001. The length of stay (LOS) in incentive care unit ( p = .049, odds ratio = 6.062) and duration on ventilator ( p = .048, odds ratio = 0.083) were good predictors of the functional outcomes. Future research should focus on larger sample size of severe TBI in Malaysia.

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“…Sandhaug, Andelic, Bernsten, Seiler, and Mygland (2011) and Sandhaug, Andelic, Langhammer, and Mygland (2015) studied the 2-year post-injury functional outcomes of moderate to severe TBI cases in Norway. For the severe TBI cases, the FIM scores of all patients improved to a peak level between 3 and 24 months post-injury.…”

Section: Resultsmentioning

confidence: 99%

“…The article from Klemenc-Ketis et al (2011) also did not explain in detail the data collection process and ethical procedure. It was same with the articles retrieved from Sandhaug et al (2011) and Sandhaug et al (2015); in their studies, it was stated that they have an educational package for TBI survivors during the rehabilitation phase, but they did not explain about the package in detail. It would be great if could explain the detail of the educational package because it will help other researchers to adopt it in their future studies.…”

Section: Resultsmentioning

confidence: 99%

Functional Outcomes and Health-Related Quality of Life After Severe Traumatic Brain Injury: A Review

Ludin

Rashid

2018

Clin Nurs Res

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Throughout recovery, patients with severe traumatic brain injury (TBI) show physical and functional improvement, but continue to have cognitive and psychosocial problems. The aim of this article was to review the literature regarding the functional and health-related quality of life (HRQOL) outcomes in severe TBI. There were 15 articles reviewed, 13 of them were quantitative studies and two were narrative review. Most of the articles showed an improvement occurs rapidly at 6 months post-injury. There were several factors that influence the outcome after TBI, most of it was the Glasgow Coma Scale (GCS) on admission, age, educational level, duration of posttraumatic amnesia (PTA), and length of stay (LOS) in the Intensive Care Unit (ICU). Thus, health care workers should help the survivors of severe TBI in the recovery process to ensure the latter can attain maximum function and quality of life.

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Functional Level During the First Year After Moderate and Severe Traumatic Brain Injury: Course and Predictors of Outcome

Abstract: Background: The objective of this study was to describe the functional level during the first year after moderate and severe traumatic brain injury (TBI), and to evaluate the predictive impact of preinjury and injury-related factors.

Cited by 5 publications

References 37 publications

Concurrent Vision Dysfunctions in Convergence Insufficiency With Traumatic Brain Injury

Concurrent Vision Dysfunctions in Convergence Insufficiency With Traumatic Brain Injury

Functional Outcomes 6 Months After Severe Traumatic Brain Injury Following Admission Into Intensive Care Unit: A Cohort Study in Two Tertiary Hospitals

Functional Outcomes and Health-Related Quality of Life After Severe Traumatic Brain Injury: A Review

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