Traumatic brain injury, the hidden pandemic: A focused response to family and patient experiences and needs

Webster, J Jr; Taylor, Allan; Balchin, Ross

doi:10.7196/samj.9014

Cited by 30 publications

(64 citation statements)

References 13 publications

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“…TBI accounted for 8.3% of the pediatric emergency department (ED) visits with mild severity according to the Western studies [9,10]. Several studies from developing countries documented TBI as a very common public health problem with milder severity and most notably following motor vehicle accidents [11][12][13][14][15][16][17]. Road traffic accidents (RTA) and falls from height were common reported pediatric TBI causes.…”

Section: Introductionmentioning

confidence: 99%

“…ese changes include cellular, chemical, tissue, or blood vessel changes in the brain resulting in further damage to the brain tissue [19,20]. Severity of TBI is assessed using the Glasgow coma scale (GCS) and graded into mild (13)(14)(15), moderate (9)(10)(11)(12), and severe (≤8). e GCS also assists in assessing the outcome of TBI cases [6,21,22].…”

Section: Introductionmentioning

confidence: 99%

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Pattern and Outcome of Pediatric Traumatic Brain Injury at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia: Observational Cross-Sectional Study

Bedry

Tadele

2020

Emergency Medicine International

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Background. Traumatic brain injury (TBI) is the most common cause of death/disability in children. The Glasgow coma scale and other parameters are used for treatment/follow-up of TBI. Childhood TBI data are scarce from sub-Saharan Africa. The study aimed to determine the pattern and predictors of the TBI outcome in Southern Ethiopia. Methods. An observational cross-sectional study was conducted from September 2017 to September 2018 at Hawassa University Hospital. Structured questionnaires were used for data collection. Significant associations were declared at a P value of <0.05. Results. There were 4,258 emergency room (ER) visits during the study period, and TBI contributed to 317 (7.4%) cases. The mean age of study subjects was 7.66 ± 3.88 years. Boys, predominantly above 5 years of age, comprise 218 (68.8%) of the study subjects with a male to female ratio of 2.2 : 1. Pedestrian road traffic accidents (RTA), 120 (37.9%), and falls, 104 (32.8%), were the commonest causes of TBI. Mild, moderate, and severe TBI were documented in 231 (72.9%), 61 (19.2%), and 25 (7.9%) of cases, respectively. Most of the TBI cases presented within 24 hrs of injury, 258 (81.4%). Recovery with no neurologic deficit, 267 (84.2%); focal neurologic deficit, 30 (9.5%); depressed mentation, 10 (3.2%); and death, 10 (3.2%), were documented. Signs of increased intracranial pressure (ICP) at admission [AOR: 1.415 (95% CI: 1.4058–9.557)], severe TBI [AOR: 2.553 (95% CI: 1.965–4.524)], presence of hyperglycemia [AOR: 2.318 (95% CI: 1.873–7.874)], and presence of contusion, diffuse axonal injury (DAI), or intracranial bleeding on the head computed tomography (CT) scan [AOR: 2.45 (95% CI: 1.811–7.952)] predicted poor TBI outcome. Conclusion. TBI contributed to 7.4% of pediatric ER visits. Pedestrian RTA and falls, early presentation (<24 hours of injury), and mild form of TBI among boys were the most common documented patterns. ICP, hyperglycemia, severe TBI, and presence of contusion, DAI, or intracranial bleeding on head CT predicted poor outcome. Strategies to ensure road safety and to prevent falls and animal-related injuries and TBI follow-up for ICP and glycemic controls are recommended.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pattern and Outcome of Pediatric Traumatic Brain Injury at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia: Observational Cross-Sectional Study

Bedry

Tadele

2020

Emergency Medicine International

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“…Based on the systematic review search in the three databases, there are only seven related articles included for appraisal. Among these articles, there are three articles on cross-sectional studies by Mazlan et al, (2016), Chayaput et al, (2014) and Dillahunt-aspillaga et al, (2013); three articles on qualitative studies by Keenan & Joseph (2010), Carlozzi et al, (2015) and Webster, Taylor & Balchin. (2015); and only one article on mixed method study by Mbakile-Mahlanza et al (2016) to explore the needs of caregiver on functional and social outcomes.…”

Section: Data Extractionmentioning

confidence: 99%

“…Therefore, a qualitative study was also done by Keenan (2010), Carlozzi et al (2015) and Webster et al (2015) to explore the caregiver needs among TBI survivors. The study by Keenan (2010) was conducted to identify the needs and determine if these needs change over time.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The domains of health related quality of life instrument is still not addressed in this study. Webster et al (2015) did exploratory studies where the main objective is to examine the challenges among the caregivers with TBI. The data collection started in 2008 till 2013 with 175 participants; all the participants were then included in an interview session.…”

Section: Literature Reviewmentioning

confidence: 99%

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The Family Caregivers’ Needs on Care at Home With Severe Traumatic Brain Injury Survivors: A Review

Ludin

Othman

2019

MJN

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This paper aims to review the literature with regards to the family caregivers of severe traumatic brain injury survivors and their needs for care at home. The search started by finding the relevant keywords from EBSCOhost: MeSH database. There were many related studies found by searching the following multiple databases. They are from Evidence Based Medicine (EBM) reviews @ Ovid, Journal @ Ovid Full text, Medline with Full text via EBSCOhost, CINAHL Plus with Full Text, Science Direct, and Google scholars' articles. The search terms were limited to publications ranging from 2010 to 2016. Several points were highlighted regarding the needs of family caregivers who had been taking care of traumatic brain injury survivors. It also provided information on the needs of family caregivers in terms of care, traumatic brain injury, TBI survivor complications, family caregiver's burden, caregiver challenges and the impact of traumatic brain injury to family caregiver's quality of life. Overall, the study shows that family caregivers face significant challenges toward care of TBI survivors. The review highlighted the support needed from the family caregivers, and other important facts about severe traumatic brain injury in order to understand the condition. Further research should focus on rehabilitation efforts on traumatic brain injury survivors.

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Psychosocial, Cognitive, and Behaviour After Effects of Traumatic Brain Injury: Perspectives of Survivors and Caregivers in Ghana

Awua

Ofosuhene-Mensah

Krafona

2019

J. Psychosoc. Rehabil. Ment. Health

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Traumatic brain injury, the hidden pandemic: A focused response to family and patient experiences and needs

Cited by 30 publications

References 13 publications

Pattern and Outcome of Pediatric Traumatic Brain Injury at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia: Observational Cross-Sectional Study

Pattern and Outcome of Pediatric Traumatic Brain Injury at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia: Observational Cross-Sectional Study

The Family Caregivers’ Needs on Care at Home With Severe Traumatic Brain Injury Survivors: A Review

Psychosocial, Cognitive, and Behaviour After Effects of Traumatic Brain Injury: Perspectives of Survivors and Caregivers in Ghana

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