TBI Publications

Objective To estimate the prevalence of chronic pain after traumatic brain injury (TBI) and identify characteristics that differ from those without chronic pain. Design A multisite, cross-sectional observational cohort study. Results 46% reported current chronic pain, 14% reported past (post-injury) chronic pain, and 40% reported no chronic pain. Bivariate differences in sociodemographic and injury characteristics ...

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. Design Multisite, crosssectional observational cohort study. Results Persons with current chronic pain demonstrated higher scores on measures of PTSD, anxiety, and depression, and the lower scores on measures of ...

Objective: To quantify the benefits versus harms of amantadine in the treatment of irritability and aggression following traumatic brain injury. Design: Secondary outcome data from a randomized controlled multisite trial of amantadine 100 mg twice daily were used to calculate number-needed-totreat (NNT). Given prior findings of positive clinician-perceived effects and low incidence of ...

Objective: To investigate the performance of machine learning (ML) methods for predicting outcomes from inpatient rehabilitation for subjects with TBI using a dataset with a large number of predictor variables. Our second objective was to identify top predictive features selected by the ML models for each outcome and to validate the ...

Objective Our team developed an attention control condition, called the Brain Health Group (BHG), for a randomized controlled trial (RCT; NCT03594734). The focus of the BHG was on brain health education and self-management. The objectives of this supplementary analysis are to (1) Describe compliance with the 12-month BHG; (2) Examine efficacy ...

Objective:  To synthesize evidence for the effectiveness of self-management interventions for chronic health conditions that have symptom overlap with traumatic brain injury (TBI) in order to extract recommendations for self-management intervention in persons with TBI. Design:  An umbrella review of existing systematic reviews and/or meta-analyses of randomized controlled trials or nonrandomized studies targeting ...

Objective:  To determine disparities in pain severity, pain interference, and history of pain treatment for non-Hispanic Whites, non-Hispanic Blacks, and Hispanics with traumatic brain injury (TBI) and chronic pain. Setting:  Community following discharge from inpatient rehabilitation. Participants:  A total of 621 individuals with medically documented moderate to severe TBI who had received acute trauma care ...

Objective To investigate catastrophizing and self-efficacy for managing pain among Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics with chronic pain after traumatic brain injury (TBI), and whether coping interacts with race/ethnicity to predict participation outcomes. Setting Community after discharge from inpatient rehabilitation. Participants 621 individuals with moderate to severe TBI and chronic pain, who completed follow-up ...

Objective Examine considerations and perceived barriers to return to driving, and their association with psychosocial outcomes among adults with traumatic brain injury (TBI) who were not driving. Methods 174 adults with moderate-to-severe TBI enrolled in the TBI Model System participated in this cross-sectional study. All participants were drivers prior to their TBI. Outcome ...

Objective Examine considerations and perceived barriers to return to driving, and their association with psychosocial outcomes among adults with traumatic brain injury (TBI) who were not driving. Methods 174 adults with moderate-to-severe TBI enrolled in the TBI Model System participated in this cross-sectional study. All participants were drivers prior to their TBI. Outcome ...

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 examined the prevalence of depression, anxiety, and suicidal ideation in people with chronic traumatic brain injury (TBI) assessed before and during the coronavirus disease 2019 (COVID-19) pandemic. Data were collected through the TBI Model Systems (TBIMS) network from 7009 adults eligible for follow-up and completed mental health questionnaires pre-pandemic ...

Study assessed the feasibility of examining the effects of tree canopy coverage (TCC), an environmental variable, on mental health after traumatic brain injury (TBI). A secondary data analysis was conducted using information from the TBI Model System on mental health after moderate-to-severe TBI. Mental health was measured using the Generalized ...

Study compared barriers and facilitators to accessing healthcare services among service members and veterans (SMVs) stratified by traumatic brain injury (TBI) severity groups. Fifty-five SMVs (including 10 caregivers as proxies) ≥2 years post-TBI were recruited from five Veterans Affairs (VA) TBI Model Systems centers and grouped by TBI severity (mild/moderate, ...

Study described pain intensity and interference at baseline and 1 year post injury in burn, traumatic brain injury (TBI), and spinal cord injury (SCI) survivors compared to each other and with the general population (GP). It also evaluated the feasibility and utility of custom Patient Reported Outcomes Measurement Information System ...

Study identified patient, hospital, and geographic characteristics of older adult Medicare beneficiaries hospitalized with traumatic brain injury (TBI) and admitted to long-term acute care hospitals (LTACHs). Data were analyzed for a total of 15,148 Medicare beneficiaries, aged 65 years and older with an acute TBI hospitalization, who were discharged to ...

Study investigated the relationships among suicidal ideation (SI), depressive symptoms, and functional independence over the first 10 years after traumatic brain injury (TBI). Data were collected through the TBI Model Systems network at acute rehabilitation hospitalization, as well as at 1, 2, 5, and 10 years after injury. A total ...

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 ...

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 examined differences in demographics, medical characteristics, and outcomes of patients with traumatic brain injury by inpatient rehabilitation facility (IRF) profit status. Data for 53,630 individual discharges from 877 distinct rehabilitation facilities for calendar years 2016 through 2018 were obtained from the Uniform Data System for Medical Rehabilitation. Patient demographic ...