Brain injury : [BI]
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Brain injury : [BI] · Jan 2013
Comparative Study Controlled Clinical TrialEffects of dexmedetomidine on cerebral blood flow in critically ill patients with or without traumatic brain injury: a prospective controlled trial.
To examine the effect of dexmedetomidine on CBF in critical ill patients with or without TBI. ⋯ Dexmedetomidine may be used in patients with TBI without risk of affecting brain oxygenation.
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Brain injury : [BI] · Jan 2013
Randomized Controlled Trial Comparative StudyEffect of frequency of multimodal coma stimulation on the consciousness levels of traumatic brain injury comatose patients.
To evaluate the effectiveness of multimodal coma stimulation on the conscious levels of head injury comatose patients and to find out which of the two protocols of coma stimulation, i.e. administrating twice a day or 5-times a day is more beneficial. ⋯ The results showed a significant difference (p < 0.01) for Glasgow Coma Scale as well as Western Neuro Sensory Stimulation Profile scores between Groups A & C and B & C, i.e. multimodal coma stimulation is effective as compared to the control group. The results also revealed a significant difference (p < 0.01) between Groups A, B and C on the Western Neuro Sensory Stimulation Profile but a non-significant difference (p > 0.01) on the Glasgow coma scale. This indicates that short sessions of high frequency can be more beneficial.
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Brain injury : [BI] · Jan 2013
The effect of recommending cognitive rest on recovery from sport-related concussion.
To determine whether recommending cognitive rest to athletes after a sport-related concussion affects time to symptom resolution. ⋯ Given the limited evidence regarding the effects of cognitive rest on recovery from concussion, recommendations of prolonged periods of cognitive rest, particularly absences from school, should be approached cautiously.
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Brain injury : [BI] · Jan 2013
Comparative StudyHow does dysautonomia influence the outcome of traumatic brain injured patients admitted in a neurorehabilitation unit?
Patients surviving severe traumatic brain injury (TBI) may suffer from symptoms presumed to be related to an excessive sympathetic production known as paroxysmal sympathetic hyperactivity (PSH). While this condition is more common in the acute phase, prognosis is less clear in rehabilitation settings. ⋯ Functional status is similar and PSH does not appear to influence recovery during the rehabilitation, although PSH patients are more likely to undergo psychoactive medications and special care is needed to approach their caregivers that perceive PSH as a complication for rehabilitation.
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Brain injury : [BI] · Jan 2013
Time to follow commands remains the most useful injury severity variable for predicting WeeFIM® scores 1 year after paediatric TBI.
To investigate the relationship between injury severity variables, particularly time to follow commands (TFC) and long-term functional outcomes in paediatric traumatic brain injury (TBI). ⋯ PTA and TFC + PTA do not provide a benefit over TFC alone for prediction of long-term outcome and TFC is identified earlier in the recovery course. TFC remains an important predictor of functional outcome 1-year after discharge from inpatient rehabilitation after paediatric TBI.