Mild Traumatic Brain Injury

Vos, P. E.; Alekseenko, Y.; Battistin, L.; Birbamer, G.; Gerstenbrand, F; Potapov, A. I.; Prevec, Tine S.; Stepan, C. H. A.; Traubner, P; Twijnstra, A.; Vécsei, L; Wild, K. von

doi:10.1002/9780470753279.ch16

Cited by 9 publications

(6 citation statements)

References 91 publications

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“…18 Injury severity was categorized into mild TBI (GCS 15 to 13, loss of consciousness duration #30 minutes, posttraumatic amnesia duration #1 hour) without risk factors (mild RF-TBI, n = 24) or with $1 risk factor (mild RF+ TBI, n = 52) and moderate/severe TBI (GCS 12 to 3, loss of consciousness duration $30 minutes, posttraumatic amnesia duration $1 hour; n = 37). 19 …”

Section: Injury Severitymentioning

confidence: 99%

Pediatric Traumatic Brain Injury and Attention Deficit

Königs

Heij

Sluijs³

et al. 2015

Pediatrics

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BACKGROUND: We investigated the impact of pediatric traumatic brain injury (TBI) on attention, a prerequisite for behavioral and neurocognitive functioning.METHODS: Children aged 6 to 13 years who were diagnosed with TBI (n = 113; mean 1.7 years postinjury) were compared with children with a trauma control injury (not involving the head) (n = 53). TBI severity was defined as mild TBI with or without risk factors for complicated TBI (mild RF+ TBI, n = 52; mild RF2 TBI, n = 24) or moderate/severe TBI (n = 37). Behavioral functioning was assessed by using parent and teacher questionnaires, and the Attention Network Test assessed alerting, orienting, and executive attention. Ex-Gaussian modeling determined the contribution of extremely slow responses (lapses of attention) to mean reaction time (MRT). RESULTS:The TBI group showed higher parent and teacher ratings of attention and internalizing problems, higher parent ratings of externalizing problems, and lower intelligence than the control group (P , .05, d $ 0.34). No effect of TBI on alerting, orienting, and executive attention was observed (P $ .55). MRT was slower in the TBI group (P = .008, d = 0.45), traced back to increased lapses of attention (P = .002, d = 0.52). The mild RF2 TBI group was unaffected, whereas the mild RF+ TBI and moderate/severe TBI groups showed elevated parent ratings of behavior problems, lower intelligence, and increased lapses of attention (P # .03, d $ 0.48). Lapses of attention fully explained the negative relation between intelligence and parent-rated attention problems in the TBI group (P = .02).CONCLUSIONS: Lapses of attention represent a core attention deficit in children with mild RF+ TBI (even in the absence of intracranial pathology) or moderate/severe TBI, and relate to daily life problems after pediatric TBI. WHAT'S KNOWN ON THIS SUBJECT:Attention is a prerequisite for neurocognitive and behavioral functioning, having a crucial role in academic and social child development. Children with traumatic brain injury have pronounced deficits in attention, but the nature and consequences of these deficits remain unclear.WHAT THIS STUDY ADDS: Lapses of attention represent a core attention deficit after pediatric mild traumatic brain injury with risk factors for complicated traumatic brain injury, or moderate/severe traumatic brain injury. Importantly, lapses of attention explain the relation between intelligence and parent-rated attention problems.

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Section: Injury Severitymentioning

confidence: 99%

Pediatric Traumatic Brain Injury and Attention Deficit

Königs

Heij

Sluijs³

et al. 2015

Pediatrics

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“…Studies showed that handing out discharge information and scheduling routinely follow-up sessions could reduce these post-traumatic symptoms. 10,11 However, still little is known about the optimal treatment of mTBI and there is no consensus about management of these patients. 12 Therefor, variation in structure and process of mTBI care is expected, which may result in variation in outcome.…”

Section: Introductionmentioning

confidence: 99%

Management of Mild Traumatic Brain Injury at the Emergency Department and Hospital Admission in Europe: A Survey of 71 Neurotrauma Centers Participating in the CENTER-TBI Study

Foks

Cnossen

Dippel

et al. 2017

Journal of Neurotrauma

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Previous studies have indicated that there is no consensus about management of mild traumatic brain injury (mTBI) at the emergency department (ED) and during hospital admission. We aim to study variability between management policies for TBI patients at the ED and hospital ward across Europe. Centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study received questionnaires about different phases of TBI care. These questionnaires included 71 questions about TBI management at the ED and at the hospital ward. We found differences in how centers defined mTBI. For example, 40 centers (59%) defined mTBI as a Glasgow Coma Scale (GCS) score between 13-15 and 26 (38%) as a GCS score between 14-15. At the ED various guidelines for the use of head CT in mTBI patients were used; 32 centers (49%) used national guidelines, 10 centers (15%) local guidelines and 14 centers (21%) used no guidelines at all. Also differences in indication for admission between centers were found. After ED discharge, 7 centers (10%) scheduled a routine follow-up appointment, while 38 (54%) did so only after ward admission. In conclusion, large between-center variation exists in policies for diagnostics, admission and discharge decisions in patients with mTBI at the ED and in hospital. Guidelines are not always operational in centers, and reported policies systematically diverge from what is recommended in those guidelines. The results of this study may be useful in the understanding of mTBI care in Europe and show the need for further studies on the effectiveness of different policies on outcome.

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“…In Europa ereignen sich jährlich 200 bis 300 Unfälle mit Hirnverletzungen pro 100 000 Einwohner 1 . Dabei zählen Stürze, Sportverletzungen und Auto- oder Fahrradunfälle zu den häufigsten Ursachen.…”

Section: Epidemiologie Und Klassifikation Von Schädel-hirn-traumataunclassified

Die Begutachtung des leichten Schädel-Hirn-Traumas

Plohmann¹

2021

PiD - Psychotherapie im Dialog

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Mild Traumatic Brain Injury

Cited by 9 publications

References 91 publications

Pediatric Traumatic Brain Injury and Attention Deficit

Pediatric Traumatic Brain Injury and Attention Deficit

Management of Mild Traumatic Brain Injury at the Emergency Department and Hospital Admission in Europe: A Survey of 71 Neurotrauma Centers Participating in the CENTER-TBI Study

Die Begutachtung des leichten Schädel-Hirn-Traumas

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