Long-Term Effect of Cognitive Rehabilitation Regardless of Prerehabilitation Cognitive Status for Veterans with TBI

Kornblith, Erica; Posecion, Lainie; Abrams, Gary; Chen, Anthony J.-W.; Burciaga, Joaquin; D’Esposito, Mark; Novakovic-Agopian, Tatjana

doi:10.1080/23279095.2019.1652174

Cited by 5 publications

(3 citation statements)

References 40 publications

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“…Through digital platforms, health care providers can conduct remote consultations, diagnoses, and treatments, sparing older people from the burdensome routine of hospital visits [55]. This technological intervention provides immediate medical care, ensures continuous health monitoring, and promotes consistent interactions with health care professionals [56]. Beyond convenience, telemedicine empowers older individuals to actively engage in their health management from the comfort of home, enhancing their overall health care experience [57].…”

Section: Advancements Inmentioning

confidence: 99%

Challenges and Advancements in the Health-Related Quality of Life of Older People

Rony,

Parvin,

Wahiduzzaman

et al. 2024

Advances in Public Health

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Background. With the global trend of increasing life expectancy, the health-related quality of life of older people haspersonalised become an area of significant interest. It is crucial to comprehend the advancements and identify the ongoing challenges in this domain for better health management and policy formation. Objectives. This scoping review aimed to comprehensively investigate the existing challenges and recent advancements associated with the quality of health among older people. Methods. We utilized Arksey and O’Malley’s scoping review framework for this study. A systematic literature search was performed across multiple databases, namely, PubMed, Scopus, and Google Scholar, targeting publications from 2018 to 2023. Selected studies were then rigorously examined based on predefined inclusion and exclusion criteria, followed by an in-depth thematic analysis. Results. Of the initial 406 identified studies, 72 were included in the final review. The analysis underscored enduring challenges in physical and medical issues, psychological difficulties, socioeconomic obstacles, and policy-related challenges. Meanwhile, significant advancements were noted in several areas, including technology, medicine, social and societal facets, and policy. Conclusions. Despite noteworthy improvements in the health-related quality of life of older individuals, the continued presence of substantial challenges emphasizes the need for more targeted initiatives. These results suggest an immediate requirement for revising policies and implementing interventions that specifically address identified challenges, with a particular emphasis on ensuring equitable health care access, effectively managing chronic conditions, and enhancing the training of geriatric health care professionals. This comprehensive review serves as a roadmap for guiding future research and shaping policy directions in the health care of older people.

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Section: Advancements Inmentioning

confidence: 99%

Challenges and Advancements in the Health-Related Quality of Life of Older People

Rony,

Parvin,

Wahiduzzaman

et al. 2024

Advances in Public Health

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“…Impaired cognitive function can be traced to specific patterns of primary neurologic damage that occur in the frontal and temporal lobes as a result of injury and a secondary cascade of events, such as increased intracranial pressure, cerebral hemorrhage, hypotension, and hypoperfusion 3 . Therefore, cognitive impairments are frequently targeted in post‐injury rehabilitation, aiming to reduce injured persons' risk of iatrogenesis, institutionalization, and social and economic deprivation 4‐6 …”

mentioning

confidence: 99%

“…3 Therefore, cognitive impairments are frequently targeted in post-injury rehabilitation, aiming to reduce injured persons' risk of iatrogenesis, institutionalization, and social and economic deprivation. [4][5][6] To better understand cognitive impairments stemming from TBI, a number of cohort studies identified groups at risk of post-injury cognitive decline 7 and reported worse cognitive outcomes in those with lower socioeconomic standing, system level comorbidities, more severe TBI, or concussive nature of injury. A recent longitudinal study confirmed these risk factors, and also found that comorbid spinal cord injury (SCI) increases the risk of incident dementia in both men and women with TBI across injury severities, even after controlling for depression, sleep disorders, and other previously noted risk factors.…”

mentioning

confidence: 99%

The Impact of a Comorbid Spinal Cord Injury on Cognitive Outcomes of Male and Female Patients with Traumatic Brain Injury

Mollayeva

Sutton

Escobar

et al. 2020

PM&R

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Introduction Evidence of the effect of comorbid spinal cord injury (SCI) on cognitive outcomes in persons undergoing rehabilitation following newly diagnosed traumatic brain injury (TBI) is limited. We conducted a population‐based study to investigate this effect. Objective To compare cognitive outcomes in patients with TBI with and without a comorbid SCI. Setting/Participants Adult patients diagnosed with TBI were identified and followed for 1 year through provincial health administrative data; those who entered inpatient rehabilitation were studied. Design A retrospective matched cohort study using the National Rehabilitation Reporting System data of all acute care and freestanding rehabilitation hospitals in Ontario, Canada. Main Measures The exposure was a comorbid SCI in patients with diagnosed TBI. Exposed patients were matched to unexposed (TBI‐only) on sex, age, injury severity, and income, in a ratio of one to two. Gain differences in the cognitive subscale of the Functional Independence Measure were compared between exposed and unexposed patients using multivariable mixed linear model, controlling for comorbidity propensity score, gains in motor function, and rehabilitation care indicators. Results Over the first year post injury, 12 750 (0.84%) of all TBI patients entered inpatient rehabilitation, of whom 1359 (10.66%) had a comorbid SCI. A total of 1195 exposed patients (65.4% male, mean age 50.9 ± 20.6 for male and 61.8 ± 21.8 for female patients) were matched to 2390 unexposed patients. Controlling for confounding, exposed patients had lower cognitive gain (beta −0.43; 95% CI −0.72, −0.15), for both male (beta −0.39; 95% CI −0.75, −0.03) and female (beta −0.51; 95% CI −0.97, −0.05) patients. The adverse effects of comorbid SCI were driven largely by lower gains in problem solving and comprehension. Conclusions Adult patients with TBI and comorbid SCI showed a lower cognitive domain response to inpatient rehabilitation than patients with TBI alone. Identifying patients at risk for worse cognitive outcomes may facilitate the development of targeted strategies that improve cognitive outcomes.

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The role of the brain in the treatment of multiple sclerosis as a connectomopathy

Moghadasi

2020

Medical Hypotheses

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Long-Term Effect of Cognitive Rehabilitation Regardless of Prerehabilitation Cognitive Status for Veterans with TBI

Cited by 5 publications

References 40 publications

Challenges and Advancements in the Health-Related Quality of Life of Older People

Challenges and Advancements in the Health-Related Quality of Life of Older People

The Impact of a Comorbid Spinal Cord Injury on Cognitive Outcomes of Male and Female Patients with Traumatic Brain Injury

The role of the brain in the treatment of multiple sclerosis as a connectomopathy

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