Content

Content - Volume 45, Issue 8

Editors choice in this issue

The complexity of traumatic brain injury
Nada Andelic, Juan Carlos Arango-Lasprilla, Cecilie Røe
Foreword
Pages: 708-709
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All articles

Traumatic brain injury in Scandinavian countries: Recent research and new frontiers
Nada Andelic, Juan Carlos Arango-Lasprilla, Cecilie Røe
Pages: 707-842
Scientific Abstract  PDF
The complexity of traumatic brain injury
Nada Andelic, Juan Carlos Arango-Lasprilla, Cecilie Røe
Foreword
Pages: 708-709
Scientific Abstract  HTML  PDF
REVIEW ARTICLE
Techniques and strategies in neurocritical care originating from Southern Scandinavia
Carl-Henrik Nordström, Troels Halfeld Nielsen, Anne Jacobsen
Objective: To describe innovations in neurocritical care originating from university hospitals in southern Scandinavia over a period of 50 years. Discussion: Several techniques and strategies that are now included in clinical routine were initially developed in southern Scandinavia: continuous recording of intracranial pressure, monitoring of cerebral blood flow, analyses of cerebral energy meta ...
Pages: 710-717
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ORIGINAL REPORT
Management of mild traumatic brain injuries in emergency departments in Sweden: Evidence of a change in clinical practice
Samuel Carlsson, Jean-Luc af Geijerstam
Objective: A study published in 2000 on the acute clinical management of mild traumatic brain injuries in Sweden showed that these patients were routinely admitted to hospital for observation. This study aims to compare current clinical management of mild traumatic brain injury with clinical practice a decade ago. Design: Questionnaire to senior residents in all emergency departments in Swe ...
Pages: 718-720
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ORIGINAL REPORT
Brain pathology after mild traumatic brain injury: An exploratory study by repeated magnetic resonance examination
Marianne Lannsjö, Raili Raininko, Mariana Bustamante , Charlotta von Seth , Jörgen Borg
Objective: To explore brain pathology after mild traumatic brain injury by repeated magnetic resonance examination. Design: A prospective follow-up study. Subjects: Nineteen patients with mild traumatic brain injury presenting with Glasgow Coma Scale (GCS) 14–15. Methods: The patients were examined on day 2 or 3 and 3–7 months after the injury. The magnetic resonance protocol compris ...
Pages: 721-728
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ORIGINAL REPORT
Motor proficiency in children with mild traumatic brain injury compared with a control group
Ewa Dahl, Ingrid Emanuelson
Objective: To assess motor proficiency and movement disorders in children with mild traumatic brain injury compared with an uninjured control group. Inclusion criteria were based on the definitions issued by the American Congress of Rehabilitation Medicine. Subjects: A group of 27 children with mild traumatic brain injury (age range 4–17 years) and a control group of 79 healthy children. Me ...
Pages: 729-733
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ORIGINAL REPORT
Severe traumatic brain injury in Norway: Impact of age on outcome
Cecilie Roe, Toril Skandsen, Audny Anke, Tiina Ader, Anne Vik, Stine Borgen Lund, Unn Mannskow, Snorre Sollid, Terje Sundstrøm, Morten Hestnes, Nada Andelic
Objective: The aim of this study was to investigate the influence of age on mortality and 3-month outcome in a Norwegian cohort of patients with severe traumatic brain injury (TBI). Methods: Norwegian residents ≥ 16 years of age who were admitted with a severe TBI to the country’s 4 major trauma centres in 2009 and 2010 were included, as were adults (16– 64 years) and elderly pat ...
Pages: 734-740
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ORIGINAL REPORT
Disorders of consciousness after severe traumatic brain injury: A Swedish-Icelandic study of incidence, outcomes and implications for optimizing care pathways
Alison K. Godbolt, Catharina Nygren DeBoussard, Maud Stenberg, Marie Lindgren, Trandur Ulfarsson, Jörgen Borg
Background: Very severe traumatic brain injury may cause disorders of consciousness in the form of coma, unresponsive wakefulness syndrome (also known as vegetative state) or minimally conscious state. Previous studies of outcome for these patients largely pre-date the 2002 definition of minimally conscious state. Objectives: To establish the numbers of patients with disorder of consciousness at ...
Pages: 741-748
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ORIGINAL REPORT
Sex-differences in symptoms, disability, and life satisfaction three years after mild traumatic brain injury: A population-based cohort study
Johan Styrke, Peter Sojka, Ulf Björnstig, Per-Olov Bylund, Britt-Marie Stålnacke
Objective: To investigate sex differences in symptoms, structure of symptoms, disability and life satisfaction 3 years after mild traumatic brain injury. Secondary aims were to find risk factors for adverse outcome. Design: Population-based cohort study. Patients: The cohort comprised 137,000 inhabitants at risk in a defined population served by a single hospital in northern Sweden. Patients att ...
Pages: 749-757
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ORIGINAL REPORT
Long-term follow-up of patients with mild traumatic brain injury: A mixed-method study
Sara Åhman, Britt-Inger Saveman , Johan Styrke, Ulf Björnstig, Britt-Marie Stålnacke
Objective: To characterize the long-term consequences of mild traumatic brain injury regarding post-concussion symptoms, post-traumatic stress, and quality of life; and to investigate differences between men and women. Design: Retrospective mixed-methods study. Subjects/patients and methods: Of 214 patients with mild traumatic brain injury seeking acute care, 163 answered questionnaires concern ...
Pages: 758-764
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ORIGINAL REPORT
Factors affecting participation after traumatic brain injury
Jerry Larsson, Ann Björkdahl, Eva Esbjörnsson, Katharina S. Sunnerhagen
Objective: The aim of this work was to explore the extent to which social, cognitive, emotional and physical aspects influence participation after a traumatic brain injury (TBI). Design/subjects: An explorative study of the patient perspective of participation 4 years after TBI. The cohort consisted of all patients (age range 18–65 years), presenting in 1999–2000, admitted to the hospit ...
Pages: 765-770
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ORIGINAL REPORT
Fatigue, psychosocial adaptation and quality of life one year after traumatic brain injury and suspected traumatic axonal injury; evaluations of patients and relatives: A pilot study
Eva Esbjörnsson, Thomas Skoglund, Katharina S. Sunnerhagen
Objective: To describe fatigue and its relationship to cognition, psychosocial adjustment, quality of life (QoL), work status and relative’s experiences 12 months after suspected traumatic axonal injury (TAI). Methods: Eighteen patients were assessed with the Daily Fatigue Impact Scale (D-FIS), the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS), the European Quest ...
Pages: 771-777
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ORIGINAL REPORT
Cognitive activity limitations one year post-trauma in patients admitted to sub-acute rehabilitation after severe traumatic brain injury
Jens Bak Sommer, Anne Norup, Ingrid Poulsen, Jesper Morgensen
Objective: To examine cognitive activity limitations and predictors of outcome 1 year post-trauma in patients admitted to sub-acute rehabilitation after severe traumatic brain injury. Subjects: The study included 119 patients with severe traumatic brain injury admitted to centralized sub-acute rehabilitation in the Eastern part of Denmark during a 5-year period from 2005 to 2009. Methods: Leve ...
Pages: 778-784
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ORIGINAL REPORT
Health-related Quality of Life 12 months after severe traumatic brain injury: A prospective nationwide cohort study
Helene L. Soberg, Cecilie Roe, Audny Anke, Juan Carlos Arango-Lasprilla, Toril Skandsen, Unni Sveen, Nicole von Steinbüchel, Nada Andelic
Objective: To assess health-related quality of life in individuals with severe traumatic brain injury at 12 months post-injury, applying the Quality of Life after Brain Injury (QOLIBRI) instrument, and to study the relationship between injury-related factors, post-injury functioning and health-related quality of life. Design/subjects: The study is part of a prospective, Norwegian multicentre stud ...
Pages: 785-791
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ORIGINAL REPORT
Severe traumatic brain injuries in Northern Sweden: A prospective 2-year study
Maud Stenberg, Lars-Owe Koskinen, Richard Levi, Britt-Marie Stålnacke
To assess: (i) the clinical characteristics and injury descriptors of patients with severe traumatic brain injury in Northern Sweden admitted to the single Neurotrauma Center (NC) serving this region; (ii) the care pathway of patients from injury to 3 months after discharge from the NC; and (iii) the outcomes at 3 months post-injury. Population-based prospective 2-year cohort study. Patients ag ...
Pages: 792-800
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ORIGINAL REPORT
Impact of personal and environmental factors on employment outcome two years after moderate-to-severe traumatic brain injury
Marit V. Forslund, Cecilie Roe, Juan Carlos Arango-Lasprilla, Solrun Sigurdardottir, Nada Andelic
Objectives: To describe employment outcomes and assess the impact of personal and environmental factors on employment outcomes 2 years after moderate-to-severe traumatic brain injury. Design/subjects: A prospective cohort of 100 patients with moderate-to-severe traumatic brain injury, aged 16–55 years, hospitalized in a Trauma Referral Centre during the period 2005–2007 and followed up ...
Pages: 801-807
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ORIGINAL REPORT
Depressive symptoms and psychological distress during the first five years after traumatic brain injury: Relationship with psychosocial stressors, fatigue and pain
Solrun Sigurdardottir, Nada Andelic, Cecilie Roe, Anne-Kristine Schanke
Objective: To determine the prevalence of depressive symptoms among individuals with traumatic brain injury (TBI) and to identify predictors of depressive symptoms and psychological distress. Design: A longitudinal study with assessments at 3 months, 1 year and 5 years after injury. Subjects: A total of 118 individuals (29% females; mean age 32.5; range 16–55 years) with mild-to-severe TBI ...
Pages: 808-814
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Fifteen-year follow-up of upper limb function in children with moderate to severe traumatic brain injury
Anne-Christine Åhlander, Marika Persson, Ingrid Emanuelson
Objective: To describe the impaired fine-motor skills in patients with traumatic brain injury acquired in childhood. Design: A total of 165 patients with traumatic brain injury, aged 0–17 years, injured during the period 1987–1991, were identified. Fifteen years post-injury a questionnaire was sent to the patients. Twenty-six of the subjects had upper limb problems, 15 of whom agreed to ...
Pages: 815-819
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ORIGINAL REPORT
Clinically significant changes in the emotional condition of relatives of patients with severe traumatic brain injury during sub-acute rehabilitation
Anne Norup, Karin Spangsberg Kristensen, Ingrid Poulsen, Christina Löfvquist Nielsen, Erik Lykke Mortensen
Objective: To investigate clinically significant change in the emotional condition of relatives of patients with severe traumatic brain injury during sub-acute rehabilitation. Methods: Participants were 62 pairs of relatives and patients. Relatives completed the anxiety and depression scales from the Symptom Checklist-90-R (SCL-90-R) when the patients were admitted to sub-acute rehabilitation and ...
Pages: 820-826
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ORIGINAL REPORT
Neuropsychological intervention in the acute phase: A pilot study of emotional wellbeing of relatives of patients with severe brain injury Anne Norup, Lars Siert, Erik Lykke Mortensen
Anne Norup, Lars Siert, Erik Lykke Mortensen
This pilot study investigated the effects of acute neuropsychological intervention for relatives of patients with severe brain injury. Participants were enrolled in an intervention group comprising 39 relatives, and a control group comprising 47 relatives. The intervention consisted of supportive and psycho-educational sessions with a neuropsychologist in the acute care setting. The intervention ...
Pages: 827-834
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ORIGINAL REPORT
Quality of life after traumatic brain injury: Finnish experience of the QOLIBRI in residential rehabilitation
Sini-Tuuli Siponkoski , Lindsay Wilson, Nicole von Steinbüchel, Jaana Sarajuuri, Sanna Koskinen
Objective: To evaluate health-related quality of life of traumatic brain injury patients who have received intensive multidisciplinary residential rehabilitation. To examine the psychometric characteristics of the Finnish Quality of Life after Brain Injury (QOLIBRI) questionnaire. Subjects: A total of 157 adults with TBI, up to 15 years post-injury, who had been treated in the Käpylä Rehabi ...
Pages: 835-842
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