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Marital Stability Over 10 Years Following Traumatic Brain Injury
Objective: To examine the stability of marriage from the time of traumatic brain injury (TBI) to 10 years postinjury. Design: Retrospective cohort. Setting: TBI Model Systems centers. Participants: In total, 1423 participants in the TBI Model Systems National Database who experienced TBI 10 years prior and were married at the time of injury. Interventions: Not applicable. Main Outcome Measure: Remaining married to the same partner from the time of injury to 10-year follow-up. Results: At 10 years, 66% (938) remained married to the same person. Significant associations were foun...
Source: The Journal of Head Trauma Rehabilitation - July 1, 2021 Category: Neurology Tags: Focus on Clinical Research and Practice Source Type: research

Effects of Recurrent Mild Traumatic Brain Injuries on Incidence, Severity, and Recovery of Concussion in Young Student-Athletes
Objective: To examine the effects of recurrent concussions on the incidence, severity, and recovery of significant neurocognitive dysfunction (SND) in young athletes. Setting: Various US youth sports organizations that utilize Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) for baseline and postinjury concussion testing. Participants: Data from 11 563 ImPACT baseline evaluations of US student-athletes aged 12 to 22 years were separated into 2 cohorts: subjects reporting 2 or more previous concussions (PC; n = 976 baseline evaluations) at baseline and a control group reporting zero prev...
Source: The Journal of Head Trauma Rehabilitation - July 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Healthcare Providers' Self-Reported Pediatric Mild Traumatic Brain Injury Diagnosis, Prognosis, and Management Practices: Findings From the 2019 DocStyles Survey
Conclusion: This study highlights several important information gaps regarding pediatric mTBI diagnosis and management. Further efforts to improve adoption of guideline recommendations may be beneficial to ensure optimal outcomes for children following an mTBI. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - July 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Feasibility and Acceptability of a Telephone-Based Intervention for Hispanic Children to Promote Treatment Adherence After Traumatic Brain Injury: A Pilot Study
Conclusions: Findings support feasibility and acceptability of a culturally relevant program to facilitate transitions of care for Hispanic children with TBI. A future randomized trial is warranted to determine the efficacy of the intervention on long-term treatment adherence and the child's post-TBI function. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - July 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Vestibular, Oculomotor, and Balance Functions in Children With and Without Concussion
Conclusions: No vestibular, oculomotor, or balance measures were significantly different between children with concussion and children without concussion, suggesting these measures may not be useful in the evaluation of a child with concussion and vestibular and/or oculomotor symptoms. Future research should investigate age effects and other vestibular and oculomotor tests to identify objective findings that better relate to vestibular and/or ocular symptoms in children with concussion. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - July 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Cognitive Recovery During Inpatient Rehabilitation Following Pediatric Traumatic Brain Injury: A Pediatric Brain Injury Consortium Study
Conclusions: This work establishes a multicenter Pediatric Brain Injury Consortium and characterized the demographics and clinical course of cognitive recovery during inpatient rehabilitation of pediatric patients with TBI to aid in prospective study design. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - July 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Novel Claims-Based Outcome Phenotypes in Survivors of Pediatric Traumatic Brain Injury
Conclusions: Unsupervised machine learning identified postdischarge phenotypes at high risk for morbidities. Most phenotype predictors are available early in the hospitalization and can be used for prognostic enrichment of clinical trials targeting mitigation or treatment of domain-specific morbidities. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - July 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Cognitive Fatigue in Pediatric Traumatic Brain Injury: A Meta-Analysis and Scoping Review
Conclusions: Cognitive fatigue is a common symptom in children who experience a TBI of any severity. Additional research is needed to determine the course of cognitive fatigue, elucidate the relations between cognitive fatigue and secondary factors, and to build clinically useful assessment and treatment methods. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - July 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

From the Editors—A Welcome and a THANK YOU!
No abstract available (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - July 1, 2021 Category: Neurology Tags: From the Editor Source Type: research

Successful Community Discharge Among Older Adults With Traumatic Brain Injury in Skilled Nursing Facilities
Conclusion: Among older adults with TBI who discharge to an SNF, sociodemographic and functional status characteristics are associated with successful discharge and may be useful to clinicians for discharge planning. Acute injury severity indices may have limited utility in predicting discharge disposition once a patient is admitted to an SNF for post–acute care. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Predictors for 30-Day Readmissions After Traumatic Brain Injury
Conclusion: These data highlight those at risk for 30-day readmission across a diverse population of TBI at a large medical center. Interventions such as health literacy education or patient navigation may help mitigate 30-day readmission for at-risk patients. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Evaluating Negative Attributions in Persons With Brain Injury: A Comparison of 2 Measures
Objectives: To compare construct and predictive validity, readability, and time-to-administer of 2 negative attribution measures in participants with traumatic brain injury (TBI). Setting: Two TBI rehabilitation hospitals. Participants: Eighty-five adults with complicated mild to severe TBI. Main Measures: Negative attributions (intent, hostility, and blame) and anger responses to hypothetical scenarios were measured with the Epps scenarios and the Ambiguous Intention Hostility Questionnaire (AIHQ). Trait aggression was measured with the Buss-Perry Aggression Questionnaire (BPAQ). Results: A...
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

miRNAs as Potential Biomarkers for Traumatic Brain Injury: Pathway From Diagnosis to Neurorehabilitation
Conclusions: There is evidence of differential miRNA expression in TBI in both human and animal models; however, gaps need to be filled in terms of replication using rigorous, standardized methods to isolate a consistent set of miRNA changes. Longitudinal studies in TBI are needed to understand how miRNAs could be implemented as biomarkers in clinical practice. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Healthcare Utilization Following Traumatic Brain Injury in a Large National Sample
Conclusion: In this population of individuals who maintained insurance coverage following TBI, results suggest that TBI may have a limited impact on nonrehabilitation HCU at the population level. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Age-Related Changes in the Association Between Traumatic Brain Injury and Dementia in Older Men and Women
This study included 4760 patients who received a first TBI diagnosis between 1995 and 2010 (index date), and 4760 patients without TBI who were matched to those with TBI by age, sex, index year, Charlson Comorbidity Index, alcohol dependence, and physician (index date: a randomly selected visit date). Design: Retrospective cohort study. Main measures: Incidence of dementia in the decade following index date. Results: Within 10 years of index date, 8.8% of men with TBI and 4.8% of those without TBI were diagnosed with dementia, while the respective figures were 9.0% and 6.7% in women (P values (Source: ...
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research