keyword
https://read.qxmd.com/read/38523124/reducing-low-value-interhospital-transfers-for-mild-traumatic-brain-injury
#1
JOURNAL ARTICLE
Aricia Shen, Nathaniel Mizraki, Marcel Maya, Sam Torbati, Shouri Lahiri, Ray Chu, Daniel Margulies, Galinos Barmparas
BACKGROUND: The modified Brain Injury Guidelines (mBIG) were developed to stratify traumatic brain injuries (TBI) and improve healthcare utilization by selectively requiring repeat imaging, ICU admission, and neurosurgical (NSG) consultation. The goal of this study is to assess safety and potential resource savings associated with the application of mBIG on interhospital patient transfers for TBI. METHODS: Adult patients with TBI transferred to our Level I trauma center from 01/2017 to 12/2022 meeting mBIG inclusion criteria were retrospectively stratified into mBIG1, mBIG2, and mBIG3 based on initial clinicoradiological factors...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38517075/recovery-after-sport-related-concussion-in-collegiate-athletes-with-self-reported-pre-injury-migraines
#2
JOURNAL ARTICLE
Douglas P Terry, Jacob Jo, Kristen Williams, Bruce A Maxwell, Paul Berkner, Grant L Iverson, Scott L Zuckerman
Pre-injury migraines might be a risk factor for prolonged recovery after sport-related concussion (SRC). We sought to examine whether a pre-injury history of migraines is associated with worse recovery following SRC in collegiate athletes. Data were collected through a prospective concussion surveillance system in 11 NCAA Division III college athletic programs between 09/2014-03/2020. Our primary independent variable, pre-injury migraines, were self-reported by the athletes. Between those with and without migraines, the outcomes of days to return-to-learn (RTL) without academic accommodations and return-to-play (RTP) and were compared using Mann-Whitney U tests...
March 22, 2024: Journal of Neurotrauma
https://read.qxmd.com/read/38514587/incidence-of-surgically-treated-chronic-subdural-hematoma-after-head-injury-with-normal-initial-computed-tomography
#3
JOURNAL ARTICLE
Aaro Heinonen, Minna Rauhala, Harri Isokuortti, Rahul Raj, Anneli Kataja, Milaja Nikula, Juha Öhman, Grant L Iverson, Teemu Luoto
PURPOSE: The objective was to determine the incidence of surgically treated chronic subdural hematoma (cSDH) within six months after head trauma in a consecutive series of head injury patients with a normal initial computed tomography (CT). METHODS: A total of 1941 adult patients with head injuries who underwent head CT within 48 h after injury and were treated at the Tampere University Hospital's emergency department were retrospectively evaluated from medical records (median age = 59 years, IQR = 39-79 years, males = 58%, patients using antithrombotic medication = 26%)...
March 22, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38510532/electric-scooter-related-orthopedic-injuries-the-experience-of-an-italian-orthopedic-center-and-literature-review
#4
JOURNAL ARTICLE
Francesco Luceri, Valerio Monteleone, Pietro Simone Randelli
BACKGROUND: With the increasing prevalence of electric scooters, a concomitant increase in the number of specific injuries, emergency department (ED) admissions and hospital admissions have been reported. OBJECTIVES: Analyze patient flow changes in the ED with a focus on e-scooter-related injuries through a case series and a comparison with the contemporary literature. DATA SOURCES: A systematic literature review was performed on Medline/PubMed and Embase using terms related to the topic...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38509046/prolonged-hourly-neurologic-examinations-are-associated-with-increased-delirium-and-no-discernible-benefit-in-mild-moderate-geriatric-traumatic-brain-injury
#5
JOURNAL ARTICLE
Ricardo Alejandro Fonseca Ruiz, Melissa Canas, Leonardo Diaz, Jose Alejandro Aldana, Hussain Afzal, Alejandro De Filippis Falcon, Drew Del Toro, Aaron Day, Jennifer McCarthy, Kristin Stansfield, Grant V Bochicchio, Grace Niziolek, Lindsay M Kranker, Matthew R Rosengart, Mark Hoofnagle, Jennifer Leonard
BACKGROUND: Serial neurologic examinations (NE) are routinely recommended in the ICU within the first 24 hours following a TBI. There are currently no widely accepted guidelines for the frequency of NE. Disruptions to the sleep-wake cycles increase the delirium rate. We aimed to evaluate whether there is a correlation between prolonged Q1-NE and development of delirium and to determine if this practice reduces the likelihood of missing the detection of a process requiring emergent intervention...
March 21, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38502170/head-protection-device-for-individuals-at-risk-for-head-injury-due-to-ground-level-falls-single-trauma-center-user-experience-investigation
#6
MULTICENTER STUDY
Susan Haag, John Kepros
BACKGROUND: Falls represent a large percentage of hospitalized patients with trauma as they may result in head injuries. Brain injury from ground-level falls (GLFs) in patients is common and has substantial mortality. As fall prevention initiatives have been inconclusive, we changed our strategy to injury prevention. We identified a head protection device (HPD) with impact-resistant technology, which meets head impact criteria sustained in a GLF. HPDs such as helmets are ubiquitous in preventing head injuries in sports and industrial activities; yet, they have not been studied for daily activities...
March 19, 2024: JMIR Human Factors
https://read.qxmd.com/read/38495962/cerebral-infarction-due-to-post-traumatic-cerebral-vasospasm-in-a-12-year-old-female
#7
Daisuke Tanikawa, Yushiro Take, Nobuaki Naito, Akio Teranishi, Hiroki Kurita
Cerebral infarction due to post-traumatic cerebral vasospasm is rare. Although some modalities are recommended to detect post-traumatic cerebral vasospasm, its diagnosis remains controversial and challenging. Therefore, in this report, we will use a case report to highlight challenges and to delineate the characteristics of post-traumatic cerebral vasospasm in pediatric patients, including the diagnostic and treatment options. A 12-year-old female was admitted to our hospital following a motor vehicle collision...
March 2024: Curēus
https://read.qxmd.com/read/38485759/identifying-delay-in-glymphatic-clearance-of-labeled-protons-post-acute-head-trauma-utilizing-3d-asl-mri-arterial-spin-labeling-a-pilot-study
#8
JOURNAL ARTICLE
Charles R Joseph, Jubin Kang Lim, Bryce N Grohol, Marija Zivcevska, Joshua Lencke, Ethan Dean Rich, Connor James Arrasmith, Ian Shepherd Dorman, Bradley Waman Clark, Kim Love, Ben Ferry, Mark E Rolfs
This study correlated mild traumatic brain injury (mTBI) cognitive changes with ASL-MRI glymphatic clearance rates (GCRs) and recovery with GCR improvement. mTBI disrupts the blood brain barrier (BBB), reducing capillary mean transit time and GCRs. mTBI is clinically diagnosed utilizing history/examination findings with no physiologic biomarkers. 3D TGSE (turbo-gradient spin-echo) pulsed arterial spin-labeling 3T MRI with 7 long inversion times (TIs) assessed the signal clearance of labeled protons 2800-4000 ms postlabeling in bifrontal, bitemporal, and biparietal regions within 7 days of mTBI and once clinically cleared to resume activities...
March 14, 2024: Scientific Reports
https://read.qxmd.com/read/38480491/impact-of-resuscitation-adjuncts-on-post-intubation-hypotension-in-patients-with-isolated-tbi
#9
JOURNAL ARTICLE
Tanya Anand, Omar Hejazi, Madolyn Conant, Dylan Joule, Megan Lundy, Christina Colosimo, Audrey Spencer, Adam C Nelson, Lou Magnotti, Bellal Joseph
INTRODUCTION: Post-intubation hypotension (PIH) is a risk factor of endotracheal intubation (ETI) after injury. For those with traumatic brain injury (TBI), one episode of hypotension can potentiate that injury. This study aims to identify the resuscitation adjuncts which may decrease the incidence of PIH in this patient population. METHODS: This is a 4-year (2019-2022) prospective observational study at a level I trauma center. Adult (≥18) patients with isolated TBI requiring ETI in the trauma bay were included...
March 14, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38471197/traumatic-brain-injury-and-stem-cell-treatments-a-review-of-recent-10-years-clinical-trials
#10
REVIEW
Masih Saboori, Ali Riazi, Mohammadreza Taji, Ghasem Yadegarfar
Traumatic brain injury (TBI) is damage to the brain by an external physical force. It may result in cognitive and physical dysfunction. It is one of the main causes of disability and death all around the world. In 2016, the worldwide incidence of acute TBI was nearly 27 million cases. Therapeutic interventions currently in use provide poor outcomes. So recent research has focused on stem cells as a potential treatment. The major objective of this study was to conduct a systematic review of the recent clinical trials in the field of stem cell transplantation for patients with TBI...
March 2, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38468667/traumatic-penetrating-head-injury-by-crossbow-projectiles-a-case-report-and-literature-review
#11
Moath Abdullah Khayat, Hassan Khayat, Mohamed Rashed Alhantoobi, Majid Aljoghaiman, Doron D Sommer, Almunder Algird, Daipayan Guha
BACKGROUND: Low-energy penetrating head injuries caused by arrows are relatively uncommon. The objective of this report is to describe a case presentation and management of self-inflicted intracranial injury using a crossbow and to provide a relevant literature review. CASE REPORT: A 31-year-old man with a previous psychiatric history sustained a self-inflicted injury using a crossbow that he bought from a department store. The patient arrived neurologically intact at the hospital, fully awake and oriented...
2024: Surgical Neurology International
https://read.qxmd.com/read/38455823/falls-from-heights-a-retrospective-review-of-roof-fall-related-trauma
#12
JOURNAL ARTICLE
Kyle Nugent, Andrew McCague, Austin Henken-Siefken
Background Falls from roofs (FFRs), while constituting just a segment of all falls, pose a significant public health issue. They not only impact individuals in their daily lives but also pose an increased risk in the construction field. The consequences of these falls range broadly, from minor bruises to serious harm, potentially leading to chronic disability or fatality. For the general populace, such falls might happen during simple activities like maintenance, with outcomes varying from fractures to critical head or spinal injuries...
February 2024: Curēus
https://read.qxmd.com/read/38454912/convexity-dural-arteriovenous-fistula-without-cortical-venous-reflux-presenting-with-pure-acute-subdural-hematoma
#13
Junya Tatezuki, Sujong Pak, Fukutaro Ohgaki, Yasunori Takemoto, Yasuhiko Mochimatsu
Hemorrhagic changes in a dural arteriovenous fistula are typically associated with cortical venous reflux and occur as intracerebral or subarachnoid hemorrhages. A convexity dural arteriovenous fistula (DAVF) usually flows directly into the cortical veins and exhibits cortical venous reflux. Herein, we report a rare case of a convexity DAVF without cortical venous reflux presenting with a pure acute subdural hematoma. A 19-year-old man complaining of headache without any history of head injury was diagnosed with a left acute subdural hematoma on magnetic resonance imaging (MRI) and referred to our hospital...
2024: NMC Case Report Journal
https://read.qxmd.com/read/38453631/diagnostic-accuracy-of-the-yale-swallow-protocol-in-moderate-to-severe-traumatic-brain-injury-a-prospective-blinded-videofluoroscopic-investigation
#14
JOURNAL ARTICLE
Justin Weppner, Selcen Senol, Rayghan Larick, Stephanie Jackson
OBJECTIVE: The study aimed to assess the accuracy of the Yale Swallow Protocol (YSP) in screening aspiration in adults with acute moderate-to-severe traumatic brain injury (TBI) by comparing the YSP with a videofluoroscopic swallow study (VFSS). SETTING: Level 1 academic trauma center. PARTICIPANTS: The study involved a cohort of 50 consecutive adults with a history of acute moderate-to-severe TBI. DESIGN: The prospective cohort study was conducted between July 2020 and June 2021...
February 27, 2024: Journal of Head Trauma Rehabilitation
https://read.qxmd.com/read/38450568/comparing-randomized-controlled-trials-of-moderate-to-severe-traumatic-brain-injury-in-lower-to-middle-income-countries-versus-high-income-countries
#15
JOURNAL ARTICLE
Robert Teasell, Cecilia Flores-Sandoval, Shannon Janzen, Heather M MacKenzie, Sarvenaz Mehrabi, Keith Sequeira, Mark Bayley, E Ali Bateman
Outcomes from traumatic brain injury (TBI) including mortality differ significantly between high-, middle-, and low-income countries. However, little is known about differences in TBI research across the globe. The objective of this paper was to examine randomized controlled trials (RCTs) of moderate-to-severe TBI in high-income countries (HICs) compared to low- and middle-income countries (LMICs), as defined by the World Bank income per capita cut-off of $13,205 USD. A systematic review was conducted for articles published in the English language to December 2022 inclusive using MEDLINE, PubMed, Scopus, CINAHL, EMBASE, and PsycINFO in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
March 7, 2024: Journal of Neurotrauma
https://read.qxmd.com/read/38440638/to-determine-the-efficacy-of-pentoxifylline-in-the-management-of-bell-s-palsy
#16
JOURNAL ARTICLE
Karthik Shamanna, Medha Krishnamurthy
BACKGROUND AND AIMS: Bell's palsy is an acute, unilateral, lower motor neuron peripheral facial paralysis. It is the most common cause of facial paralysis in the ages ranging from 13 to 65 years. It not only causes physical disfigurement of face but is also associated with social stigma and psychological trauma to the patient. In Bell's Palsy, there is hypoxic damage to the nerve due to reduced blood flow and cellular injury to the capillaries. Pentoxifylline is a phosphodiesterase inhibitor that increases the cAMP and cGMP levels at the site of the RBC cell membrane thereby improving the dexterity of the cell membrane allowing the RBCs to pass through the damaged and narrowed blood vessels thereby improving the perfusion and oxygen delivery to the damaged tissues...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38437527/a-collaborative-multidisciplinary-trauma-program-improvement-team-improves-vte-chemoprophylaxis-guideline-compliance-in-non-operative-stable-tbi
#17
JOURNAL ARTICLE
Abdul Hafiz Al Tannir, Simin Golestani, Morgan Tentis, Morgan Maring, Elise A Biesboer, Christopher Dodgion, Patrick B Murphy, Daniel N Holena, Colleen M Trevino, Jacob R Peschman, Thomas W Carver, David J Milia, Morgan Schellenberg, Marc A de Moya, Rachel S Morris
BACKGROUND: Delays in initiating venous thromboembolism (VTE) prophylaxis in patients suffering from traumatic brain injury (TBI) persist despite guidelines recommending early initiation. We hypothesized that the expansion of a Trauma Program Performance Improvement (PI) team will improve compliance of early (24-48 hour) initiation of VTE prophylaxis and will decrease VTE events in TBI patients. METHODS: We performed a single-center retrospective review of all TBI patients admitted to a Level I trauma center before (2015-2016,) and after (2019-2020,) the expansion of the Trauma Performance Improvement and Patient Safety (PIPS) team and the creation of trauma process and outcome dashboards...
March 4, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38390470/association-of-sex-and-aspirin-use-with-postoperative-bleeding-in-patients-with-lower-extremity-long-bone-fractures
#18
JOURNAL ARTICLE
Michael Fisher, Kristin Salottolo, Matthew Carrick, Chad M Corrigan, Kaysie L Banton, Robert Madayag, David Bar-Or
OBJECTIVE: The perioperative management of patients on antiplatelet drugs is a rising challenge in orthopedic trauma because antiplatelet drugs are frequently encountered and carry an increased risk of hemorrhagic consequences. The study objective was to examine the effect of aspirin on bleeding outcomes for patients with lower extremity fractures. METHODS: This retrospective study included patients requiring surgical fixation of traumatic hip, femur, and tibia fractures from January 1, 2018, to March 1, 2020...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38387455/30-day-mortality-among-very-old-patients-admitted-to-european-intensive-care-units-for-major-trauma
#19
JOURNAL ARTICLE
Chris F Duncan, Dagan O Lonsdale, Helen Farrah, Sarah Farnell-Ward, Christine Ryan, Ximena Watson, Maurizio Cecconi, Jesper Fjølner, Wojciech Szczeklik, Rui Moreno, Antonio Artigas, Michael Joannidis, Dylan W De Lange, Bertrand Guidet, Hans Flaatten, Christian Jung, Susannah Leaver
INTRODUCTION: Cases of major trauma in the very old (over 80 years) are increasingly common in the intensive care unit. Predicting outcome is challenging in this group of patients as chronological age is a poor marker of health and poor predictor of outcome. Increasingly, decisions are guided with the use of organ dysfunction scores of both the acute condition (e.g. Sequential Organ Failure Assessment (SOFA) score) and chronic health issues (e.g. clinical frailty scale, (CFS)). Recent work suggests that increased CFS is associated with a worse outcome in elderly major trauma patients...
February 22, 2024: Gerontology
https://read.qxmd.com/read/38385032/traumatic-tension-pneumocephalus-a-case-report-and-perspective-from-indonesia
#20
Alphadenti Harlyjoy, Michael Nathaniel, Aryandhito Widhi Nugroho, Kevin Gunawan
Traumatic tension pneumocephalus is a rare and life-threatening complication of traumatic brain injury necessitating prompt diagnosis and neurosurgical treatment. Nevertheless, various possibilities for impedance in timely management, including patient-related barriers are commonly experienced in low-and middle-income countries setting. Here we presented a delay of management in traumatic tension pneumocephalus case due to initial refusal for emergency surgery. A 59-year-old male presented to the emergency department following a motorcycle accident fully alert with no neurological deficit...
2024: Frontiers in Neurology
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