Comparison of Common Outcome Measures for Assessing Independence in Patients Diagnosed with Disorders of Consciousness: A Traumatic Brain Injury Model Systems Study

Article Critical Care Medicine

Traumatic Brain Injury: What Is a Favorable Outcome?

David A. Zuckerman et al.

Summary: The outcomes of TBI are diverse and not standardized, with dichotomization of outcomes into favorable and unfavorable categories potentially limiting detection of treatment effects and impacting decision-making processes.

JOURNAL OF NEUROTRAUMA (2022)

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Article Rehabilitation

Brain Injury Functional Outcome Measure (BI-FOM): A Single Instrument Capturing the Range of Recovery in Moderate-Severe Traumatic Brain Injury

John Whyte et al.

Summary: The study aimed to develop a measure of global functioning after moderate-severe TBI, resulting in the Brain Injury Functional Outcome Measure (BI-FOM) with extended range, high reliability, improved unidimensionality, and potential for telephone follow-up. The BI-FOM offers substantial advantages over the FIM in global function assessment for individuals with brain injury.

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION (2021)

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Article Clinical Neurology

Recovery of Consciousness and Functional Outcome in Moderate and Severe Traumatic Brain Injury

Robert G. Kowalski et al.

Summary: This study found that most patients with TBI initially experienced DOC, and it persisted in some patients after rehabilitation, but the majority of those with persisting DOC recovered consciousness during rehabilitation.

JAMA NEUROLOGY (2021)

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Article Critical Care Medicine

A Manual for the Glasgow Outcome Scale-Extended Interview

Lindsay Wilson et al.

Summary: The Glasgow Outcome Scale-Extended (GOSE) is widely used for assessing global disability and recovery after traumatic brain injury, but achieving consistency in its application is challenging. The manual provides guidance on assessment principles, administering the interview, handling borderline cases, and discussing the properties of GOSE. Recommendations for assessor training, accreditation, and monitoring are also outlined.

JOURNAL OF NEUROTRAUMA (2021)

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Article Clinical Neurology

Pathological Computed Tomography Features Associated With Adverse Outcomes After Mild Traumatic Brain Injury A TRACK-TBI Study With External Validation in CENTER-TBI

Esther L. Yuh et al.

Summary: Pathological CT features after mild traumatic brain injury (mTBI) were found to have different prognostic implications, with some patterns of injury associated with worse outcomes than others. This study supports the need for TBI-specific education and systematic follow-up for patients with mTBI and specific CT features.

JAMA NEUROLOGY (2021)

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Article Clinical Neurology

Functional Outcomes Over the First Year After Moderate to Severe Traumatic Brain Injury in the Prospective, Longitudinal TRACK-TBI Study

Michael A. McCrea et al.

Summary: This study prospectively assessed outcomes in major areas of life function at 2 weeks and 3, 6, and 12 months after moderate to severe traumatic brain injury (msTBI). The results showed that patients with msTBI frequently demonstrated major functional gains and recovery of independence between 2 weeks and 12 months postinjury, cautioning against early, definitive prognostic statements suggesting poor outcomes.

JAMA NEUROLOGY (2021)

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Review Clinical Neurology

The Traumatic Brain Injury Model Systems National Database: A Review of Published Research

Samantha Tso et al.

Summary: The study reviewed works using TBIMS data for analysis in the past 5 years and found that most studies focused on specific outcome measures, with some also considering data aspects. Sample sizes varied greatly, with 42 longitudinal studies assessing follow-up from 1 to 5 years. TBIMS is a valuable resource for large-sample longitudinal TBI outcome analyses, but the main limitation mentioned in the studies was generalizability.

NEUROTRAUMA REPORTS (2021)

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Article Critical Care Medicine