Objective: To examine the prevalence of selected medical and psychiatric comorbidities that existed prior to or up 10 years following traumatic brain injury (TBI) requiring acute rehabilitation. Design: Retrospective cohort. Setting: Six TBI Model Systems (TBIMS) centers. Participants: In total, 404 participants in TBIMS National Database who experienced prior. Interventions: Not applicable. Main Outcome Measure: Self-reported onset time each endorsed comorbidity. Results: At postinjury,...

Aging individuals with traumatic brain injury (TBI) experience multiple comorbidities that can affect recovery from injury. The objective of this study was to describe the most commonly co-occurring comorbid conditions among adults 50 years and older TBI.Level I Trauma centers.Adults moderate/severe TBI enrolled in TBI-Model Systems (TBI-MS) 2007 2014 (n = 2134).A TBI-MS prospective cohort study.International Classification Disease-9th Revision codes collapsed into 45 comorbidity categories....

To examine self-awareness 5 years or more after traumatic brain injury (TBI) and its relation to outcomes.Sixty-two adults with moderate severe TBI significant other (SO) informants (family close friend).Regional veterans medical center.TBI Follow-up Interview, Community Integration Questionnaire, Satisfaction Life Scale, Caregiver Burden Inventory.Five 16 acute inpatient rehabilitation, separate staff contacted interviewed subjects SOs. Subject awareness was defined as inverse subject-SO...

Virtual reality (VR) technology has demonstrated usefulness in diagnosis, education, and training. Studies supporting use of VR as a therapeutic treatment medical rehabilitation settings remain limited. This study examines the capacity, whether it can be effectively integrated into neurorehabilitation.To determine immersive interventions improve executive dysfunction patients with brain injury performance is stronger on version Stroop than traditional formats.15 admitted to day...

The potential benefit of technology to enhance recovery after central nervous system injuries is an area increasing interest and exploration. primary emphasis date has been motor recovery/augmentation communication. This paper introduces two original studies demonstrate how advanced may be integrated into subacute rehabilitation. first study addresses the feasibility brain computer interface with patients on inpatient spinal cord injury unit. second explores validity virtual environments...

To explore associations of specific physical and neuropsychiatric medical conditions to motor cognitive functioning life satisfaction over the first 10 years following traumatic brain injury (TBI).Telephone follow-up through 6 TBI Model System centers.In total, 404 individuals or proxies with enrolled in longitudinal study participating 10-year follow-up.Individual growth curve analysis.FIM Motor Cognitive subscales, Satisfaction With Life Scales, Medical Mental Health Comorbidities...

Qualitative research methods allowed the investigator to contribute development of new theories and examine change in processes over time, which added rich detail existing knowledge use coping adaptive strategies by traumatic brain injury survivors their primary caregivers (Ponsford, Sloan, & Snow, 2013). The advantages phenomenological study were that it allows flexibility explore understand meanings attached people well-studied concepts such as coping, resiliency, adaptation or...

Deficits in the ability to recognize emotions others have been noted a wide variety of disorders, ranging from psychiatric neurologic. Emotions are vital social interactions, yet there currently few standardized neuropsychological measures common use assess emotion perception abilities. This study examined effects age on performance Comprehensive Affect Testing System, new assessment battery designed measure via facial affect, prosody, and semantic content. Age was not associated with...

Objective: To assess long-term outcomes after traumatic brain injury (TBI) among veterans and service members.Setting: Regional Veterans Affairs medical centre.Participants: One hundred eighteen military personnel, aged 23–70 years (median = 35 years), 90% male, had moderate-to-severe TBI (82% in coma > 1 day, 85% amnesic 7 days), followed by acute interdisciplinary rehabilitation 5–16 ago 8 years).Design: Cross-sectional analysis of live interviews conducted via telephone.Main measures:...

Objective: To measure patient functional outcomes across rehabilitation centers. Setting: Traumatic Brain Injury Model System (TBIMS) Participants: Patients with traumatic brain injury (TBI) admitted to 21 TBIMS centers (N = 6975, during 1999-2008). Design: Retrospective analysis of prospectively collected data. Main Measures: Center-specific TBI patients using Functional Independence Measure, Disability Rating Scale, and Glasgow Outcome Scale–Extended. Results: There were large differences...

Primary objective: The objective of this paper is to identify the most frequent service needs, factors associated with and barriers care among Veterans members five or more years after moderate severe traumatic brain injury (TBI). Research design: Survey administered via telephone 5–16 (median eight years) subsequent acute inpatient rehabilitation at a regional Affairs (VA) medical centre. Methods procedures: Participants were 119 military personnel, aged 23–70 35), 90% male. Demographics,...

To determine the diagnostic sensitivity and specificity comparative effectiveness of traditional sleep apnea screening tools in traumatic brain injury (TBI) neurorehabilitation admissions.Prospective trial relative to criterion standard, attended level 1 polysomnography including encephalography.Six TBI Model System Inpatient Rehabilitation Centers.Between May 2017 February 2019, 449 896 screened were eligible for with 345 consented (77% consented). Additional left 263 completing final...

Sleep is increasingly recognized as a crucial component to rapid and successful rehabilitation, especially from traumatic brain injuries (TBIs). Assessment of longitudinal patterns sleep in hospital setting, however, are difficult often the expertise or equipment conduct such studies not available. Actigraphy (wrist-worn accelerometry) has been used for many years simple proxy measurement patterns, but its use thoroughly validated individuals with TBI.To determine validity different...

OSA is prevalent during a time of critical neural repair after traumatic brain injury (TBI). The diagnostic utility existing sleep studies needed to inform clinical management acute recovery from TBI.This study aimed evaluate the non-inferiority and accuracy portable level 3 relative 1 polysomnography in hospitalized neurorehabilitation patients with prospective trial conducted at six TBI Model System sites between May 2017 February 2019. Of 896 admissions, 449 were screened eligible for...

This study aims to characterize the patterns of functional change experienced between 5 and 10 years after moderate-severe traumatic brain injury (TBI). The included TBI Model Systems national database participants (N = 372) at six sites who TBI, received inpatient rehabilitation, were followed post-TBI. Outcome measures self- or proxy-reported Functional Independence Measure (FIMTM) structured interview post-TBI domain indices (DCIs) assess subjective over previous years. When all seven FIM...

Attempts at measuring quality of rehabilitation care are hampered by a gap in knowledge translation evidence-based approaches and lack consensus on best practices. However, adoption practices is needed to minimize variations improve care. Therefore, the objective this project was describe process for assessing evidence clinical traumatic brain injury (TBI) rehabilitative care.A multidisciplinary team clinicians developed discipline-specific questions using Population, Intervention, Control,...

Objective: To assess predictors of global function and driving status among older adults (50 years older) who survived 1 year following inpatient rehabilitation for moderate-to-severe traumatic brain injury (TBI). Methods: Functional at 1-year post-TBI was determined 1,845 individuals. The relationship age category to studied using associations predictive modeling. Results: final model accounted 34% variance in Glasgow Outcome Scale-Extended (GOS-E) 60- 69-year-olds 70- 79-year-olds, 25% 50-...

Traumatic brain injury (TBI) is a significant public health problem in the US. Specific preexisting medical illnesses delay recovery after TBI and increase mortality or risk of repeat TBI. This study examined impact illness substance use on patient rehabilitation outcomes following The Functional Independence Measure total score Disability Rating Scale measured functional at discharge from inpatient rehabilitation, while Trail Making Test A B Total Trials 1-5 California Verbal Learning...

Objective: To examine differences in patient outcomes across Traumatic Brain Injury Model Systems (TBIMS) rehabilitation centers and factors that influence these using hierarchical linear modeling (HLM). Setting: Sixteen TBIMS centers. Participants: A total of 2056 individuals 16 years or older with moderate to severe traumatic brain injury (TBI) who received inpatient rehabilitation. Design: Multicenter observational cohort study HLM analyze prospectively collected data. Main Outcome...

Dopaminergic (DA) system function is frequently disrupted after traumatic brain injury (TBI). However, published interventions that target the DA with hope of enhancing functional outcomes are inconclusive, partially because lack signaling biomarkers can be used to select patients likely benefit from DA-directed therapies or monitor treatment efficacy. The aim this study was evaluate feasibility using 123I-iofluopane single-photon emission computerized tomography (SPECT) assess pre-synaptic...

The objective of this study was to compare obstructive sleep apnea (OSA), demographic, and traumatic brain injury (TBI) characteristics across the American Academy Sleep Medicine (AASM) Centers for Medicare (CMS) scoring rules in moderate severe TBI undergoing inpatient neurorehabilitation.This is a secondary analysis from prospective clinical trial at 6 Model System sites (n = 248). Scoring completed by centralized center using both AASM CMS criteria OSA. Hospitalization were abstracted...

In 2012, the highest numbers of West Nile Virus (WNV) cases were reported by Center for Disease Control since 2003. This outbreak included over half identified patients being classified with one more debilitating neuroinvasive subtypes WNV. Despite improvements in diagnosis and treatment options symptom management, longitudinal research on WNV neurocognitive functional outcomes is limited sample size, retrospective review, and/or reliance self-report measures cognitive status level...

Objective: To determine the impact of preexisting illness on inpatient rehabilitation outcomes in patients with TBI. Method: Retrospective analysis prospectively collected data from a TBI Model System Center, center. Participants included 132 survivors aged ≥ 16. Outcome measures: FIM total score and DRS at discharge, Trail Making Test A (TMT: A), B B), Total Trials 1–5 California Verbal Learning Test, 2nd Edition (CVLT-II). Results: Five linear regression models were formulated for FIM,...