A5047553472- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Obstructive Sleep Apnea Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Neuroscience of respiration and sleep
- Stroke Rehabilitation and Recovery
- Musculoskeletal pain and rehabilitation
- Emergency and Acute Care Studies
- Cerebral Palsy and Movement Disorders
- Sleep and related disorders
- Cardiovascular and Diving-Related Complications
- Health Policy Implementation Science
- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Sleep and Wakefulness Research
- Healthcare Systems and Public Health
- Posttraumatic Stress Disorder Research
- Resilience and Mental Health
- Healthcare Policy and Management
- Spinal Cord Injury Research
- Family and Disability Support Research
- Health Sciences Research and Education
- Injury Epidemiology and Prevention
- Hip and Femur Fractures
James A. Haley Veterans' Hospital
2016-2025
University of South Florida
2016-2025
Richardson Electronics (United Kingdom)
2009-2025
Almeida Memorial Hospital
2021-2025
Harvard University
2018-2024
Spaulding Rehabilitation Hospital
2018-2024
Defense Health Agency
2022-2024
Rehabilitation Hospital of Indiana
2020-2024
Indiana University – Purdue University Indianapolis
2021-2024
O’Connor Hospital
2022-2024
Objective To update the 1995 American Academy of Neurology (AAN) practice parameter on persistent vegetative state and 2002 case definition minimally conscious (MCS) provide care recommendations for patients with prolonged disorders consciousness (DoC). Methods Recommendations were based systematic review evidence, related principles, inferences using a modified Delphi consensus process according to AAN 2011 manual, as amended. Clinicians should identify treat confounding conditions,...
Traumatic brain injury (TBI) leads to 2.9 million visits US emergency departments annually and frequently involves a disorder of consciousness (DOC). Early treatment, including withdrawal life-sustaining therapies rehabilitation, is often predicated on the assumed worse outcome disrupted consciousness.To quantify loss consciousness, factors associated with recovery, return functional independence in 31-year sample patients moderate or severe trauma.This cohort study analyzed TBI who were...
Few studies address the course of recovery from prolonged disorders consciousness (DOC) after severe traumatic brain injury (TBI). This study examined acute and long-term outcomes persons with DOC admitted to inpatient rehabilitation within National Institute on Disability Rehabilitation Research (NIDRR) TBI Model Systems Programs (TBIMS). Of 9028 enrolled 1988 2009, 396 20 centers met criteria. Participants were primarily male (73%), Caucasian (67%), injured in motor vehicle collision...
<h3>Background</h3> Duration of post-traumatic amnesia (PTA) correlates with global outcomes and functional disability. Russell proposed the use PTA duration intervals as an index for classification traumatic brain injury (TBI) severity. Alternative duration-based schemata have been recently better predictors outcome to commonly cited intervals. <h3>Objective</h3> Validate a TBI severity model (Mississippi intervals) anchored late productivity outcome, compare sensitivity against...
Objective: To estimate the prevalence of chronic pain after traumatic brain injury (TBI) and identify characteristics that differ from those without pain. Setting: Community. Participants: A total 3804 TBI Model Systems (TBIMS) participants who completed Pain Survey at TBIMS follow-up. Design: multisite, cross-sectional observational cohort study. Main Outcome Measure(s): Functional outcomes, experience, treatment. Results: 46% reported current pain, 14% past (post-injury) 40% no Bivariate...
In 2008, the Department of Veterans Affairs Polytrauma Rehabilitation Centers partnered with National Institute on Disability and Research to establish a Model Systems program research that would closely emulate civilian Traumatic Brain Injury (TBI) Program established in 1987.To describe development TBI within System Care.Enrollment criteria data collection/data quality efforts for newly sites are reviewed.Significant progress has been made establishment Care. Data collection moved forward...
To examine the length of time to return work (RTW) among service members and veterans (SM/V) with traumatic brain injury (TBI) identify variables predictive RTW.Department Veterans Affairs Polytrauma Rehabilitation Centers (VA PRC).SM/V enrolled in VA PRC Traumatic Brain Injury Model Systems database who were 18 60 years age admitted diagnosis TBI.Prospective observational cohort study.Employment status at 1-year postinjury follow-up; Time Employment (ie, number days it took RTW) as...
Abstract The epidemiology of coma is unknown because case ascertainment with traditional methods difficult. Here, we used crowdsourcing methodology to estimate the incidence and prevalence in UK USA. We recruited US laypeople (aged ≥18 years) who were nationally representative (i.e. matched for age, gender ethnicity according census data) USA, respectively, utilizing a platform. provided description asked survey participants if they—‘right now’ or ‘within last year’—had family member coma....
Objective: To examine the differences in participation, life satisfaction, and psychosocial outcomes among individuals with traumatic brain injury (TBI) endorsing current, past, or no chronic pain. Setting: Community. Participants: Three thousand eight hundred four TBI Model Systems participants 1 to 30 years of age postinjury classified into 3 groups based on their pain experience: current pain, past completed a Pain Survey at usual follow-up appointment which average was approximately 8...
Objective: To identify facilitators and barriers to reaching utilizing chronic pain treatments for persons with traumatic brain injury (TBI) organized around an Access Care framework, which includes dimensions of access healthcare as a function supply (ie, provider/system) demand patient) factors specified patient population. Setting: Community. Participants: Clinicians ( n = 63) experience treating TBI were interviewed between October 2020 November 2021. Design: Descriptive, qualitative...
More than 75% of traumatic brain injuries (TBIs) are mild (mTBI) and military service members often experience repeated combat-related mTBI. The chronic comorbidities concomitant with repetitive mTBI (rmTBI) include depression, post-traumatic stress disorder or neurological dysfunction. This study sought to determine a long noncoding RNA (lncRNA) expression signature in serum samples that correlated rmTBI years after the incidences. Serum were obtained from Long-Term Impact Military-Relevant...
<b>Background:</b> Measurement of the duration post-traumatic amnesia (PTA) is common practice, serving as an important index severity traumatic brain injury (TBI) and a predictor functional outcome. However, controversy exists regarding nature PTA; some studies indicate that it confusional state with symptoms extend beyond disorientation amnesia. <b>Objective:</b> To evaluate contribution acute confusion 1 month after TBI to prediction employment at year injury, comparing PTA duration....