Persistent problems 1 year after mild traumatic brain injury: a longitudinal population study in New Zealand

Theadom, Alice; Parag, Varsha; Dowell, Tony; McPherson, Kathryn; Starkey, Nicola J.; Barker‐Collo, Suzanne; Jones, Kelly; Ameratunga, Shanthi; Feigin, Valery L.

doi:10.3399/bjgp16x683161

Cited by 193 publications

(175 citation statements)

References 31 publications

(38 reference statements)

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“…Recent inception cohort studies suggest that at least 1 in 5 patients with mTBI will experience symptoms that persist for longer than 1 month 17,18,20,74,75 and that recovery is frequently complicated by preexisting and comorbid health conditions. 58,76,77 Children return to school after a median of 2-4 days 78 and the median return to work time for adults is 1-2 weeks, 79 although 1 in 5 adults remain off work at 6 months post injury.…”

Section: Prognosismentioning

confidence: 99%

Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines

Silverberg

Iaccarino

Panenka

et al. 2020

Archives of Physical Medicine and Rehabilitation

209

133

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At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond 1 month. Standards of mTBI care have evolved rapidly, with numerous expert consensus statements and clinical practice guidelines published in the last 5 years. This Special Communication synthesizes recent expert consensus statements and evidenced-based clinical practice guidelines for civilians, athletes, military, and pediatric populations for clinicians practicing outside of specialty mTBI clinics, including primary care providers. The article offers guidance on key clinical decisions in mTBI care and highlights priority interventions that can be initiated in primary care to prevent chronicity.

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Section: Prognosismentioning

confidence: 99%

Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines

Silverberg

Iaccarino

Panenka

et al. 2020

Archives of Physical Medicine and Rehabilitation

209

133

View full text Add to dashboard Cite

show abstract

“…Prevalence is slightly higher (14.3%) among New Zealand (NZ) males aged 35-39 years [2]. Following a TBI, people can experience long-term cognitive and emotional difficulties that affect every day functioning, decision making, social relationships and employment [3,4,5,6]. Additionally, there is evidence of a relationship between TBI and increased dysregulated behaviours such as impulsivity and aggression, mood disturbances and substance abuse and psychiatric conditions and [7] a link between a history of TBI and engagement in antisocial or criminal behaviour has been proposed [8,9].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Traumatic Brain Injury in a Male Adult Prison Population and Its Association with the Offence Type

Mitchell¹,

Theadom²,

Preez

2017

Neuroepidemiology

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Background: The prevalence of traumatic brain injury (TBI) in prison populations has been found to vary considerably. This study aimed to determine the prevalence of TBI in a prison population in New Zealand and to identify whether age, ethnicity, offence type, security classification and sentence length were linked to TBI prevalence. Methods: All offenders admitted to a new Corrections Facility over a 6-month period (May-November 2015) were screened to understand their history of TBI. Data was merged with demographic information, details of the offence type, sentence length and security classification from the prison database. Binary logistic regression was used to identify the contribution of predictors on TBI history. Results: Of the 1,061 eligible male prisoners, 1,054 (99.3%) completed a TBI history screen. Out of the 672 (63.7%) who had sustained at least one TBI in their lifetime, 343 (32.5%) had experienced multiple injuries. One in 5 participants experienced their first TBI injury before the age of 15 years. A regression model was able to correctly classify 66.9% of cases and revealed that belonging to Māori ethnicity or being imprisoned for violent, sexual or burglary offences were independently predictive of TBI (χ² = 9.86, p = 0.28). Conclusions: The high prevalence of TBI within male prisoners and a high proportion of injuries sustained in childhood suggest the need for routine screening for TBI to identify prisoners at risk of persistent difficulties. Interventions to support those experiencing persistent difficulties post-TBI are needed to optimise functioning and prevent reoffending.

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“…[9]. Multiple researchers suggested integrated biopsychosocial approaches for future studies to best explain the outcome of TBI [80][81][82][83]. However, few studies have yet examined identified biopsychosocial factors in a comprehensive model over time to determine the significant underlying factors that contribute to post-TBI fatigue and sleep problems.…”

Section: Discussionmentioning

confidence: 99%

Unraveling the Biopsychosocial Factors of Fatigue and Sleep Problems After Traumatic Brain Injury: Protocol for a Multicenter Longitudinal Cohort Study (Preprint)

Bruijel¹,

Stapert²,

Vermeeren³

et al. 2018

Preprint

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Background: Fatigue and sleep problems are common after traumatic brain injury (TBI) and are experienced as highly distressing symptoms, playing a significant role in the recovery trajectory and can drastically impact the quality of life and societal participation of the patient and their family and friends. However, the etiology and development of these symptoms is still uncertain. Objective: The aim of this study is to examine the development of fatigue and sleep problems following moderate to severe TBI and explore the changes in underlying biological (pain, brain damage), psychological (emotional state) and social (support family, participation) factors across time. Methods: Longitudinal multicenter observational cohort study with four measurement points (3, 6, 12 and 18 months post injury) including subjective questionnaires and cognitive tasks, preceded by 7 nights of actigraphy combined with a sleep diary. Recruitment of 137 moderate to severe TBI patients presenting at emergency and neurology departments or rehabilitation centers across the Netherlands is anticipated. Results: The evolution of fatigue and sleep problems following TBI and their association with possible underlying biological (pain, brain damage), psychological (emotional state) and social (support family, participation) factors will be examined. Conclusion:To the authors' knowledge this study is the first study that examines the development of both post-TBI fatigue and sleep longitudinally within a biopsychosocial model in moderate to severe TBI using both subjective and objective measures. Identification of modifiable factors such as mood and psychosocial stressors may give direction to the development of interventions for fatigue and sleep problems post-TBI.

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Persistent problems 1 year after mild traumatic brain injury: a longitudinal population study in New Zealand

Abstract: Background

Cited by 193 publications

References 31 publications

Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines

Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines

Prevalence of Traumatic Brain Injury in a Male Adult Prison Population and Its Association with the Offence Type

Unraveling the Biopsychosocial Factors of Fatigue and Sleep Problems After Traumatic Brain Injury: Protocol for a Multicenter Longitudinal Cohort Study (Preprint)

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