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TBI Publications

Publication Year
2020

Temporal profile of recovery of communication in patients with disorders of consciousness after severe brain injury

Study determined the time course to recovery of communication after severe brain injury. One hundred seventy-five patients admitted to rehabilitation with severe acquired brain injury and no evidence of communication were evaluated using the Coma Recovery Scale-Revised (CRS-R). Researchers analyzed the time from injury to recovery of intentional communication (IC, ...
Publication Year
2020

Temporal acute serum estradiol and tumor necrosis factor-α associations and risk of death after severe traumatic brain injury

Study tested the following hypotheses: (1) a positive feedback relationship exists between acute serum tumor necrosis factor-alpha (TNFa) and estradiol (E2), and (2) acute concentrations of E2 and TNFa are prognostic indicators of death after severe traumatic brain injury (TBI). Severe TBI activates a robust systemic response that involves inflammatory ...
Publication Year
2020

Soy diferente: A qualitative study on the perceptions of recovery following traumatic brain injury among Spanish-speaking U.S. immigrants

Study explored the impact of traumatic brain injury (TBI) on the quality of life (QoL) and self-concept of Spanish-speaking immigrants with TBI in the United States (US). Semi-structured interviews on QoL and self-concept following TBI were conducted with 24 Spanish-speaking Hispanic immigrants with TBI living in the community in the ...
Publication Year
2020

Return to productivity projections for individuals with moderate to severe TBI following inpatients rehabilitation: A NIDILRR TBIMS and CDC interagency collaboration

Study estimated the probability of returning to productivity over the 5 years following moderate-to-severe traumatic brain injury (TBI). A secondary longitudinal analysis was conducted using individual growth curve analysis based on a sample of 2,542 population-weighted individuals with a primary diagnosis of TBI who were engaged in school or work ...
Publication Year
2020

Responsiveness of the traumatic brain injury-quality of life (TBI-QOL) measurement system

Study assessed the responsiveness of the Traumatic Brain Injury-Quality of Life (TBI-QOL) measurement system. Two hundred one adults with traumatic brain injury (TBI) from 3 TBI Model Systems rehabilitation centers completed the 20 TBI-QOL item banks and the Participation Assessment with Recombined Tools-Objective (PART-O) Productivity Subscale at baseline and 6-month ...
Publication Year
2020

Recommendations for prescribing opioids for people with traumatic brain injury

Article offers recommendations intended to reduce the rate of opioid misuse and overdose for a particularly high-risk group of people with traumatic brain injury (TBI). A consensus process conducted with TBI researchers and expert practitioners developed practical recommendations to inform prescribing of opioids for people with TBI. After determining key ...
Publication Year
2020

Providing equal attention: Designing control groups for intensive lifestyle interventions after brain injury

Article describes the content and development of an active control condition for an evidence-based intensive lifestyle intervention (ILI) for weight-loss after traumatic brain injury (TBI) – the Group Lifestyle Balance intervention. Intervention studies should incorporate strong scientific designs and active control conditions to assess effectiveness and aid in replication. Despite ...
Publication Year
2020

Opioid use among individuals with traumatic brain injury: A perfect storm?

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 ...
Publication Year
2020

Minimally conscious state “plus”: Diagnostic criteria and relation to functional recovery

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, ...
Publication Year
2020

Longitudinal effects of medical comorbidities on functional outcome and life satisfaction after traumatic brain injury: An individual growth curve analysis of NIDILRR traumatic brain injury model system data

Study examined the associations of specific physical and neuropsychiatric medical conditions with the trajectory of motor and cognitive functioning and life satisfaction over the first 10 years following traumatic brain injury (TBI). Participants were 404 individuals with TBI who were enrolled in the TBI Model System longitudinal study and had ...
Publication Year
2020

Lifetime history of traumatic brain injury is associated with increased loneliness in adults: A US nationally representative study

Study examined the relationship between history of traumatic brain injury (TBI) and loneliness and identified mediators of that relationship. Data from the Health and Retirement Study were analyzed for a nationally representative sample of 724 adults over age 50 years. Loneliness was evaluated using the 11-item Revised University of California ...
Publication Year
2020

Interrelationships between post-TBI employment and substance abuse: A cross-lagged structural equation modeling analysis

Study examined the interrelationships between postinjury employment and substance abuse (SA) among individuals with traumatic brain injury (TBI). Structural equation model (SEM) and logistic regression analyses used a merged data from the National Trauma Data Bank (NTDB) and the Traumatic Brain Injury Model Systems (TBIMS) National Database. A total of ...
Publication Year
2020

Information/education page: Voting is my superpower! Voting tips for people living with disabilities

Article describes what people with disabilities need to know to participate in voting in the United States.
Publication Year
2020

Inconsistent classification of mild stroke and implications on health services delivery

The objective of this study was to conduct a scoping review on classifications of mild stroke based on stroke severity assessments and/or clinical signs and symptoms. Electronic searches of PubMed, PsycINFO (Ovid), and Cumulative Index to Nursing and Allied Health (CINAHL–EBSCO) databases included keyword combinations of mild stroke, minor stroke, ...
Publication Year
2020

Impaired self-awareness and denial during the postacute phases after moderate to severe traumatic brain injury

This review summarizes early empirical findings that provide a context for integrating more recent clinical and research observations regarding impaired self-awareness (ISA) and denial of disability in post-acute traumatic brain injury (TBI). While several empirical studies have appeared on ISA after TBI over the last 20 years, the relative role ...
Publication Year
2020

Heterogeneity in temporal ordering of depression and participation after traumatic brain injury

Study examined heterogeneity in the temporal patterns of depression and participation over the first 2 years after traumatic brain injury (TBI). Data were analyzed for 2,307 people with TBI enrolled in the TBI Model Systems database, who had follow-up conducted primarily by telephone at 1 year and 2 years post ...
Publication Year
2020

Factors associated with the remission of insomnia after traumatic brain injury: A traumatic brain injury model systems study

Study identified the factors associated with the remission of insomnia by examining a sample of individuals who had insomnia within the first two years after traumatic brain injury (TBI) and assessing their status at a secondary time point. Data were collected from individuals enrolled in TBI Model Systems National Database ...
Publication Year
2020

Evaluation of a brief, skill-building, supportive, and educational intervention for couples after brain injury

Study examined the effectiveness of the Therapeutic Couples Intervention (TCI), designed to improve relationship quality for couples after acquired brain injury. Composed of 5 to 6 two-hour sessions, the TCI is a manualized, treatment program designed to enhance relationship quality by addressing issues and concerns most often identified by persons ...
Publication Year
2020

Effects of hospital-acquired pneumonia on long-term recovery and hospital resource utilization following moderate to severe traumatic brain injury

Study determined the long-term effects of hospital-acquired pneumonia (HAP) on disability after moderate-to-severe traumatic brain injury (TBI) and compared hospital resource utilization metrics between moderate-to-severe TBI survivors with and without HAP. The National Trauma Databank (NTDB) and TBI Model Systems (TBI-MS) were merged to derive a cohort of 3,717 adults ...
Publication Year
2020

EEG correlates of language function in traumatic disorders of consciousness

Study investigated whether resting and stimulus-evoked electroencephalography (EEG) methods detect the presence of language function in patients with severe traumatic brain injury (TBI). Four EEG measures were assessed: (1) resting background (applying Forgacsâ?? criteria), (2) reactivity to speech, (3) background and reactivity (applying Synekâ??s criteria), and (4) an automated support ...

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Information on this site is not meant to replace the advice of a medical professional. You should consult your health care provider regarding specific medical concerns or treatment. The contents of this site were developed under grant number 90DPKT0009 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the federal government.