Prospective Evaluation of the Nature, Course, and Impact of Acute Sleep Abnormality After Traumatic Brain Injury

Nakase‐Richardson, Risa; Sherer, Mark; Barnett, Scott D.; Yablon, Stuart A.; Evans, Clea C.; Kretzmer, Tracy; Schwartz, Daniel P.; Modarres, Mo

doi:10.1016/j.apmr.2013.01.001

Cited by 84 publications

(79 citation statements)

References 43 publications

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“…Reportedly, up to 1.7 million Americans suffers TBI yearly, with 70% of those deemed mild (Wickwire et al 2016;Mathias and Alvaro 2012). Of those who sustain TBI, recent estimates suggest that 30-66% of patients experience some type of sleep disturbance (Wickwire et al 2016;Mathias and Alvaro 2012;Nakase-Richardson et al 2013;Chan and Feinstein 2015). Sleep disturbances in post-TBI patients can present acutely or can emerge as a chronic issue during the recovery phase, occasionally lasting years from the initial injury (Wickwire et al 2016).…”

Section: Introductionmentioning

confidence: 99%

“…However, there is no current consensus on what constitutes these time frames as it relates to the emergence of sleep disturbances following TBI. The acute phase for sleep disruption has been described as occurring anywhere from 1 week up to one year post-injury, while the chronic phase has been felt to begin six months to a year following TBI (Wickwire et al 2016;Nakase-Richardson et al 2013;Chan and Feinstein 2015;Pillar et al 2003;Baumann et al 2007;Sommerauer et al 2013;Raikes and Schaefer 2016;Watson et al 2007;Imbach et al 2015). In this review, we designate the acute phase up to six months post-injury, with the chronic phase six months or greater.…”

Section: Introductionmentioning

confidence: 99%

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A review of sleep disturbances following traumatic brain injury

Zuzuárregui

Bickart

Kutscher

2018

Sleep Science Practice

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Background: Sleep disorders are common following traumatic brain injury (TBI). Methods: We review the literature regarding sleep disturbances in the acute and chronic phase following TBI in both the adult and pediatric population. Results: Acute and chronic disruption of sleep commonly follows TBI and contributes to morbidity commonly seen post-injury in both adults and children. This includes the direct effect of TBI leading to sleep disruption, as well as sleep disorders resulting from TBI itself. Pre-TBI neurocognitive testing is important to determine a baseline prior to injury, while disrupted sleep can also prolong recovery after TBI. Early recognition of sleep disturbances post-injury can lead to earlier treatment and limit the sequelae of TBI, as well as assist in recovery. Conclusion: We suggest that evaluation for sleep disturbances following TBI is a critical component of post-TBI assessment and management.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A review of sleep disturbances following traumatic brain injury

Zuzuárregui

Bickart

Kutscher

2018

Sleep Science Practice

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“…This makes it difficult to compare results across studies and to draw conclusions about sleepand fatigue changes after TBI [10,11]. Nevertheless, post-TBI sleep problems and fatigue are often consistently experienced as the most severe and distressing symptoms [5], interfering with recovery, rehabilitation treatment and negatively impacting the quality of life [12]. Furthermore, despite the magnitude and impact of these phenomena, the etiology is still debated and no efficacious treatments have been established [13].…”

Section: Introductionmentioning

confidence: 99%

“…The more frequent mild TBI's are considered as trivial and benign injuries as opposed to less prevalent moderate to severe injuries, which are associated with longlasting consequences for the patients and their environment [3]. Due to the high individual and societal costs associated with extensive rehabilitation needs and chronic disability, moderate to severe TBI represents a critical public health issue [4], with fatigue and sleep problems playing significant roles in the recovery process [5,6]. Between 30% to 70% of the patients experience fatigue [7] and a meta-analysis indicated that 53% experience sleep problems [8].…”

Section: Introductionmentioning

confidence: 99%

Unraveling the Biopsychosocial Factors of Fatigue and Sleep Problems After Traumatic Brain Injury: Protocol for a Multicenter Longitudinal Cohort Study (Preprint)

Bruijel¹,

Stapert²,

Vermeeren³

et al. 2018

Preprint

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Background: Fatigue and sleep problems are common after traumatic brain injury (TBI) and are experienced as highly distressing symptoms, playing a significant role in the recovery trajectory and can drastically impact the quality of life and societal participation of the patient and their family and friends. However, the etiology and development of these symptoms is still uncertain. Objective: The aim of this study is to examine the development of fatigue and sleep problems following moderate to severe TBI and explore the changes in underlying biological (pain, brain damage), psychological (emotional state) and social (support family, participation) factors across time. Methods: Longitudinal multicenter observational cohort study with four measurement points (3, 6, 12 and 18 months post injury) including subjective questionnaires and cognitive tasks, preceded by 7 nights of actigraphy combined with a sleep diary. Recruitment of 137 moderate to severe TBI patients presenting at emergency and neurology departments or rehabilitation centers across the Netherlands is anticipated. Results: The evolution of fatigue and sleep problems following TBI and their association with possible underlying biological (pain, brain damage), psychological (emotional state) and social (support family, participation) factors will be examined. Conclusion:To the authors' knowledge this study is the first study that examines the development of both post-TBI fatigue and sleep longitudinally within a biopsychosocial model in moderate to severe TBI using both subjective and objective measures. Identification of modifiable factors such as mood and psychosocial stressors may give direction to the development of interventions for fatigue and sleep problems post-TBI.

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“…Beyin hasarından sonraki ilk on gün içinde hastaların yaklaşık üçte birinde, hasardan altı hafta sonrasında ise %50'den fazlasında uyku bozuklukları bildirilmektedir (1). Ağır beyin hasarı olan hastaların akut dönemde %84'ünde, travmadan bir ay sonra ise %66'sında uyku ve uyanıklık bozuklukları bildirilmektedir (2). Travmatik beyin hasarı olgularında görülen uyku bozuklukları insomni (%29), hipersomni (%28), sirkadiyen ritim bozukluğu, uykuyla ilişkili solunum bozukluğu ve uykuyla ilişkili davranış bozukluklarıdır (3).…”

Section: Introductionunclassified