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Study developed, calibrated, and evaluated a new patient-reported outcome measures of cognitive concerns for individuals with traumatic brain injury (TBI). The TBI-QOL Headache Pain Executive Function and TBI-QOL Cognition-General Concerns item banks developed using data collected at five TBI Model Systems rehabilitation centers in the United States from adults with ...

Study developed and evaluated the use of computer adaptive tests (CATs) to administer the Mobility and Upper Extremity item banks from the Traumatic Brain Injury Quality of Life (TBI-QOL) measurement system relevant for individuals with traumatic brain injury (TBI). Data were collected at five rehabilitation facilities funded as part of ...

Study determined the minimal clinically important difference (MCID) for a Rasch measure derived from the irritability and aggression subscales of the Neuropsychiatric Inventory (NPI), the Rasch NPI Irritability and Aggression Scale for Traumatic Brain Injury (NPI-TBI-IA). Distribution-based statistical methods were applied to retrospective data to determine candidates for the MCID. ...

Study investigated the relationship between three language-dependent behaviors (command-following, intelligible verbalization, and intentional communication) and the functional status of patients with disorders of consciousness (DoC). It was hypothesized that patients in minimally conscious state (MCS) who retain behavioral evidence of preserved language function would have similar levels of functional disability, ...

Study compared Special Operations Forces (SOF) versus conventional forces (CF) personnel regarding the presence of neurobehavioral symptoms after traumatic brain injury (TBI). Participants were drawn from the Veterans Affairs (VA) TBI Model Systems Cohort, which includes service members and veterans (SM/V) who received inpatient rehabilitation for TBI at one of ...

Study examined the relationship between cognitive status to employment status 1 year after moderate-severe traumatic brain injury (TBI). Three hundred twenty people with moderate-severe TBI, all employed at injury, were enrolled during inpatient rehabilitation in a TBI Model System center and evaluated at 1-year postinjury. Follow-up measures included whether and ...

Growing evidence suggests that individuals with traumatic brain injury (TBI) may be uniquely susceptible to opioid misuse and the consequences of opioid use disorder (OUD). Multiple independent risk factors (e.g., high rates of chronic pain, pre- and post-injury substance misuse, injury-related neurobehavioral changes, overprescribing of opioids, and barriers in access ...

Article presents lessons learned from initiatives aimed at optimizing the validity of outcome assessment in traumatic brain injury (TBI). In stark contrast to the effective trials that have been conducted in other neurological diseases, nearly 30 studies of interventions employed during acute hospital care for TBI have failed to identify ...

Study analyzed the compatibility of several databases to determine the feasibility of linking acute care and longitudinal trauma databases. The data dictionaries of 5 trauma databases were examined to determine the extent of common data collection. Databases included 2 acute care databases (American Burn Association’s National Burn Data Standard and ...

Study determined the level of participation among patients with traumatic brain injury (TBI) between 2005 and 2017 who were admitted to inpatient rehabilitation unable to follow commands and subsequently enrolled in the TBI Model Systems National Database. The Participation Assessment with Recombined Tools-Objective (PART-O) Productivity, Social Relations, and Out and ...

Article discusses the ethical and legal implications of the use of cell phones by patients with brain injury during inpatient rehabilitation. The first author outlines issues in the context of wireless device use in the hospital, and more specifically for those with cognitive impairment. The second author shares a case ...

Study examined the impact of emotional awareness, emotional functioning, and empathy among people with traumatic brain injury (TBI) on the burden experienced by care partners of individuals with TBI. Data were collected at four TBI Model Systems centers from 90 dyads (participants with TBI and their care partner) at 1-year ...

Study tested the incremental utility of response time (RT) on the Warrington Recognition Memory Test - Words (RMT-W) in classifying bona fide versus feigned traumatic brain injury (TBI). Participants were 173 adults: 55 with moderate-to-severe TBI, 69 healthy comparison adults (HC) instructed to perform their best, and 49 healthy adults ...

Article reviews the existing schema used to characterize the clinical characteristics of posttraumatic headache, including the International Classification of Headache Disorders. There remain unresolved questions about whether to classify patients based on the extent of brain injury or on clinical symptom profiles. There also remain problematic issues of definition such ...

Study developed decision trees from commonly collected clinical variables to predict Glasgow Outcome Scale (GOS) functional levels at 1, 2, and 5 years after moderate-to-severe closed traumatic brain injury (TBI). Flexible classification tree statistical modeling was used on prospectively collected data from the TBI-Model Systems (TBIMS) inception cohort study. Enrollments ...

Study identified factors that predict trajectories of participation over the first 5 years after moderate-to-severe traumatic brain injury (TBI). A secondary analysis was conducted of data collected from 1,947 community-dwelling individuals with TBI, 16 years of age or older, enrolled in the TBI Model Systems National Database (TBIMS NDB). The ...

Study used hierarchical linear modeling to examine baseline predictors of functional independence trajectories across 1, 2, 5, and 10 years after traumatic brain injury (TBI) in older adults. Participants were 2,459 individuals aged 60 or older at the time of TBI who were enrolled in the longitudinal TBI Model Systems ...

Study identified demographic, pre-injury, injury-related, and rehabilitation predictors of loss to follow-up (LTFU) in the Traumatic Brain Injury Model System (TBIMS) National Database at 1, 2, 5, 10, 15, and 20 years after injury. A total of 17,956 TBIMS participants with interview status data available were included if eligible for ...