The Litigation Complexity of Posttraumatic Headaches

Hubbard, Jack E.; Hodge, Samuel D.

doi:10.1007/s11916-021-00954-3

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…31 Furthermore, other studies have highlighted that being involved in a litigation process or having a psychiatric condition such as depression or post-traumatic stress disorder (PTSD) can increase the prevalence of HA after TBI, aggravate it, and prolong its recovery. 20,23,38,84 Therefore, it would be important that future studies consider these issues to minimize heterogeneity and perhaps be able to perform subanalyses or metaregressions using these factors as moderators.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: a systematic review and meta-analysis on the past 14 years

Babiloni

Bouferguene

Exposto

et al. 2023

Pain

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The most recent prevalence estimate of post-traumatic headache (PTH) after traumatic brain injury (TBI) in veterans and civilians dates back to 2008. The prevalence was found to be 57.8%, with surprising higher rates (75.3%) in mild TBI when compared with those with moderate/severe TBI (32.1%). However, the revision of mild TBI diagnostic criteria and an historic peak of TBI in the elderly individuals attributed to the ageing population may lead to different results. Thus, we conducted a systematic review and meta-analysis to assess the updated prevalence of PTH during the past 14 years only in civilians. A literature search was conducted following PRISMA guidelines guided by a librarian. Screening, full-text assessment, data extraction, and risk of bias assessment were performed blindly by 2 raters. Meta-analysis of proportions using the Freeman and Tukey double arcsine method of transformation was conducted. Heterogeneity, sensitivity analysis, and meta-regressions were performed with the predictors: year of publication, mean age, sex, TBI severity, and study design. Sixteen studies were selected for the qualitative analysis and 10 for the meta-analysis. The overall prevalence estimate of PTH was 47.1%, (confidence interval = 34.6, 59.8, prediction intervals = 10.8, 85.4), being similar at different time points (3, 6, 12, and 36+ months). Heterogeneity was high, and none of the meta-regressions were significant. The overall prevalence of PTH after TBI over the past 14 years remains high even if assessed only in civilians. However, the prevalence rates attributed to mild and moderate/severe TBI were similar, differing significantly from previous reports. Efforts are needed to improve TBI outcomes.

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Section: Discussionmentioning

confidence: 99%

The prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: a systematic review and meta-analysis on the past 14 years

Babiloni

Bouferguene

Exposto

et al. 2023

Pain

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“…By analysing genetic variations, healthcare professionals can potentially identify patients who may have different drug metabolism rates or drug receptor sensitivities. This information can help tailor intrathecal drug therapy to each patient, optimizing drug selection and dosage for better pain management outcomes [34][35][36].…”

Section: Pharmacogenomicsmentioning

confidence: 99%

Current Advancements and Complications in Intrathecal Drug Delivery System

MANNAN,

FAHAD,

AMJAD

et al. 2023

Int J Pharm Pharm Sci

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Intrathecal drug delivery systems (IDDS) have emerged as a valuable treatment option for patients with chronic pain who have failed to achieve adequate relief with conventional therapies. These systems provide targeted delivery of medications directly to the cerebrospinal fluid, resulting in improved pain control and reduced systemic side effects. However, the use of IDDS is not without potential complications and considerations that must be addressed to ensure optimal patient outcomes. This comprehensive review examines the various complications associated with IDDS and the considerations that healthcare providers and patients need to be aware of. Surgical complications, such as infection, bleeding, spinal fluid leaks, and nerve damage, are discussed, along with strategies to minimize these risks. Device malfunctions, including pump failure, catheter issues, and electronic problems, are explored, highlighting the importance of regular monitoring and maintenance. Medication-related side effects, such as nausea, sedation, and respiratory depression, are addressed, emphasizing the need for close monitoring and appropriate dosage adjustments. Long-term considerations, including tolerance to medication, physical dependence, and withdrawal symptoms, are also examined, emphasizing the significance of gradual tapering and proper discontinuation protocols. The review underscores the importance of regular follow-up appointments to assess the system's functionality, medication dosages, and patient response to treatment. By proactively managing and addressing complications, healthcare providers can optimize pain relief and minimize adverse effects, ensuring the long-term effectiveness and safety of IDDS.

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The Postconcussion Syndrome and Posttraumatic Headaches in Civilians, Soldiers, and Athletes

Evans

2024

Neurologic Clinics

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The Litigation Complexity of Posttraumatic Headaches

Cited by 4 publications

References 22 publications

The prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: a systematic review and meta-analysis on the past 14 years

The prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: a systematic review and meta-analysis on the past 14 years

Current Advancements and Complications in Intrathecal Drug Delivery System

The Postconcussion Syndrome and Posttraumatic Headaches in Civilians, Soldiers, and Athletes

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