Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury

Lorenz, Laura S.; Doonan, Michael

doi:10.3389/fpubh.2021.753447

Cited by 21 publications

(6 citation statements)

References 35 publications

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“…In addition to these outcomes, the integration of Linkworker or NeuroResource Facilitator into multidisciplinary team meetings has been noted to facilitate comprehensive assessments and connections to other services ( 52 – 54 ). It is noteworthy that the benefit of multidisciplinary teams has also been identified in research with individuals with TBI ( 89 , 90 ) or underserved populations, specifically in tailoring interventions to accommodate for TBI impairments ( 75 , 76 , 91 ). As such, opportunities to integrate linkage programs or services within the broader CJS context should be explored, particularly those that address the noted barriers regarding the cost and resources required to implement linkage programs ( 52 , 54 ).…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation among individuals with traumatic brain injury who intersect with the criminal justice system: A scoping review

et al. 2023

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Traumatic brain injury (TBI), a leading cause of morbidity and mortality globally, is highly prevalent among individuals who intersect with the criminal justice system (CJS). It is well-established that TBI negatively impacts individuals' interactions both within the CJS and upon release and is associated with serious disciplinary charges and higher recidivism rates. Although rehabilitation is fundamental to TBI recovery, it is not known to what extent rehabilitation is available to, or used by, individuals who intersect with the CJS. This scoping review explores the availability and extent of rehabilitation for individuals with TBI who intersect with the CJS, based on available literature. A systematic search of electronic databases (MEDLINE, Embase, Cochrane CENTRAL Register of Clinical Trials, CINAHL, APA PsycINFO, Applied Social Sciences Index and Abstracts, and Proquest Nursing and Allied Health), relevant organizations' websites, and reference lists of eligible articles identified 22 peer-reviewed articles and 2 gray literature reports that met predetermined eligibility criteria. Extracted data were synthesized through a descriptive numerical summary and qualitative content analysis. This review provides evidence that existing rehabilitation interventions are already serving individuals with TBI with a history of CJS involvement; however, they rarely consider or acknowledge TBI or CJS in their interventions. Findings also suggest opportunities to integrate rehabilitation for individuals with TBI who intersect with the CJS through TBI screening, education on TBI within CJS settings, and linkages to the community to facilitate continuity of care. This review also highlights significant gaps in knowledge regarding sex, gender, and other intersecting factors. Research to understand how these experiences impact the rehabilitation process throughout the CJS is urgently needed to enable timely and appropriate rehabilitation and continuity of care for diverse individuals with TBI who intersect with the CJS.

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Section: Discussionmentioning

confidence: 99%

Rehabilitation among individuals with traumatic brain injury who intersect with the criminal justice system: A scoping review

et al. 2023

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“…We acknowledge that we are unable to comment on the effectiveness of the multidisciplinary rehabilitation programs or interventions identified in this review due to potential biases identified during the quality appraisal, including but not limited to selection, reporting, and publication bias. However, multidisciplinary rehabilitation has been demonstrated to result in improved outcomes post-TBI and cost-related savings for the individuals and society (68)(69)(70)(71). As such, utilizing multidisciplinary teams to screen for TBI, conduct functional and cognitive assessments, and adapt programs and/or interventions to accommodate TBI-related impairments should be explored and its impact on outcomes assessed.…”

Section: Opportunities To Adapt Existing Rehabilitation For Individua...mentioning

confidence: 99%

Rehabilitation among individuals experiencing homelessness and traumatic brain injury: A scoping review

et al. 2022

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Traumatic brain injury (TBI) is disproportionately prevalent among individuals experiencing homelessness. While rehabilitation is critical to facilitating recovery after TBI, there is currently limited information on the extent to which rehabilitation is provided to individuals experiencing homelessness and TBI. If unaddressed, this knowledge gap can perpetuate TBI-related challenges and contribute to a repetitive cycle of TBI and homelessness. This scoping review explored the extent to which rehabilitation, including the types of rehabilitation interventions, are available to, or used by, individuals experiencing homelessness and TBI. A systematic search of electronic databases (MEDLINE, Embase, Cochrane CENTRAL Register of Clinical Trials, CINAHL, APA PsycINFO, Applied Social Sciences Index and Abstracts, and Proquest Nursing and Allied Health) was conducted to identify peer-reviewed articles that met predetermined eligibility criteria. Gray literature and reference lists of eligible articles were also searched for relevant content. A descriptive numerical summary of extracted data was conducted, and qualitative analytic techniques were applied to analyze the data. Fifteen peer-reviewed articles and three gray literature reports were included, describing interventions for individuals experiencing homelessness and TBI (N = 4), rehabilitation for individuals experiencing homelessness without specific inclusion criteria for TBI (N = 11), and rehabilitation interventions that included individuals experiencing homelessness and TBI, without specific inclusion criteria for experiences of homelessness or TBI (N = 3). This review demonstrates that rehabilitation programs or interventions for this population already exist, and those that are focused on individuals experiencing homelessness are already serving individuals with TBI. Findings highlight opportunities to adapt existing rehabilitation for individuals who experience homelessness and TBI through screening for TBI, conducting cognitive and functional assessments, and tailoring interventions with multidisciplinary teams. Education and training for healthcare professionals working with individuals experiencing homelessness and TBI should be explored, including structured education and training, collaboration with a multidisciplinary team, and co-development of educational materials with service users. Research that considers the rehabilitation needs of diverse individuals experiencing homelessness and TBI is urgently needed.

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“…Тяжелые социальные последствия инсульта и большие экономические затраты побуждают медицинское сообщество к совершенствованию мер профилактики и лечения острого нарушения мозгового кровообращения [1,2], реабилитационных подходов [3][4][5] и прогнозирования последствий острой мозговой катастрофы [6][7][8]. Высокое систолическое артериальное давление (САД) является одним из основных модифицированных факторов риска инсульта, обусловливающих его тяжесть [9][10][11].…”

Section: Introductionunclassified

Recovery Dynamics in Patients with Ischemic Stroke Depending on the Blood Pressure Indicators and Its Variability

Ефремова

Bondarenko

Камышникова

et al. 2023

Arhivʺ vnutrennej mediciny

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The study aims to neurological and functional recovery in patients after ischemic stroke depending on blood pressure (BP) parameters and its variability.Materials and methods: We examined 150 patients with ischemic stroke and arterial hypertension (AH) who were hospitalized in the neurological department (76 (50,7 %) men and 74 (49,3 %) women, mean age 67,4±7,3 years). All patients underwent standard physical and laboratory examinations, measurement of blood pressure in dynamics; The National Institutes of Health Stroke Scale (NIHSS) was used to assess the severity of neurological deficits at the time of admission to the hospital, in the dynamics of the acute period (up to 21 days) and on the 21st day.Results: It was found that the consequences of the acute period of stroke depend on the level of blood pressure and its variability at the beginning of the ac ute period. A more than 50 percent probability of a decrease in the NIHSS score by half (from baseline) is predicted if the patient has a standard deviation (SD) systolic blood pressure (SBP) less than 12,4 mm Hg on days 1–3. In addition, SD SBP on days 1–3 and 1–6 days, and SD diastolic blood pressure (DBP) from 1 to 3 days are the most significant in assessing the relationship with the degree of functional impairment at the end of the acute period of stroke.Conclusion: The level of blood pressure and its variability during the acute period of ischemic stroke makes it possible to predict the severity of the neurological deficit and the functional consequences of stroke in the recovery period (up to 21 days).

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Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury

Cited by 21 publications

References 35 publications

Rehabilitation among individuals with traumatic brain injury who intersect with the criminal justice system: A scoping review

Rehabilitation among individuals with traumatic brain injury who intersect with the criminal justice system: A scoping review

Rehabilitation among individuals experiencing homelessness and traumatic brain injury: A scoping review

Recovery Dynamics in Patients with Ischemic Stroke Depending on the Blood Pressure Indicators and Its Variability

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