scholarly journals Utilization and Costs of Health Care after Geriatric Traumatic Brain Injury

2012 ◽  
Vol 29 (10) ◽  
pp. 1864-1871 ◽  
Author(s):  
Hilaire J. Thompson ◽  
Sharada Weir ◽  
Frederick P. Rivara ◽  
Jin Wang ◽  
Sean D. Sullivan ◽  
...  
Folia Medica ◽  
2020 ◽  
Vol 62 (1) ◽  
pp. 105-111 ◽  
Author(s):  
Alexandrina Nikova ◽  
Ivaylo Dimitrov ◽  
Theodossios Birbilis ◽  
Lora Zaharieva

Objective: Traumatic brain injury (TBI) due to transport accidents is a serious cause of death and disability. In every case, however, quick response and a proper health care are required.   Materials and methods: We collected 10-year data retrospectively from the laboratory of forensic science and toxicology in Montana, Bulgaria with the intention to show the importance of neurosurgical care in the traumatology and its connection to mortality rate.   Results: 124 cadavers were included with significant male predominance. The data analysis shows that the mortality rate at the hospitals without neurosurgical facilities and the mortality at the scene of the accident is the same for traffic brain injuries. Furthermore, we found that the age has no correlation with the mortality rate.   Conclusion: Road injuries are the most common type of brain injury. We believe that the outcome of these TBIs depends on the availability of a neurosurgical unit.


Author(s):  
Kelly Knollman-Porter ◽  
Jessica A. Brown ◽  
Tracey Wallace ◽  
Shelby Spitz

Purpose People with mild traumatic brain injury (mTBI) may experience deficits in cognition or communication that go unnoticed by first-line health care providers (FHPs). Speech-language pathologists (SLPs) assess and treat these domains yet are often underrepresented on mTBI multidisciplinary teams. This study's aim was to evaluate FHPs' reported knowledge of and referral practices to SLPs for individuals across the life span with mTBI. Method Physicians, physician assistants, nurse practitioners, nurses, and athletic trainers ( n = 126) completed an online survey, including two Likert scale questions and one free response question relating to SLPs' role in mTBI. Results More than half of FHPs rate their knowledge of the SLP's role in mTBI management as low (somewhat knowledgeable, 29%; not very knowledgeable, 23%). Similarly, nearly two thirds of FHPs indicated rarely (19%) or never (44%), referring to SLPs for management of patients with mTBI. The majority of FHPs' open responses on the role of the SLP in mTBI management were incomplete, with many including domains that were not relevant to an SLP's role in the management of mTBI (e.g., dysphagia). Within the article, we provide results overall and according to individual profession. Conclusions Results suggest a majority of FHPs lack knowledge in the role of the SLP in the management of mTBI, which may underpin the low referral patterns reported by FHPs for SLP services. Future educational efforts for FHPs regarding the role of SLPs in mTBI care are necessary.


2020 ◽  
Vol 5 (1) ◽  
pp. 81-87
Author(s):  
Juliet Haarbauer-Krupa ◽  
Michael Brink

Background Children ages 5 years and younger have the highest incidence of emergency department visits for traumatic brain injury (TBI) and are most at risk for the effects of a TBI. Because they are not yet enrolled in formal school, there is not a direct pathway from health care to school that can offer a pathway for monitoring and care. The purpose of this article is to describe existing literature on preschool children with TBI and illustrate a model of care in the community for this population. Method Literature review and model program description were performed in this study. Findings Preschool children are typically seen annually for well visits by their pediatricians who can inquire about a TBI history and make appropriate referrals. Children in this age group are likely to be enrolled in day care and preschool settings where screenings and evaluations are conducted for parent and teacher concerns. A current model operating in Pennsylvania and Colorado is promising for identifying and serving children. Additional resources in existing systems can also help children obtain school supports. Discussion Children who experience a TBI prior to formal school entry are most likely to be in existing systems of health care and preschool/day care that can ask about a child's TBI history and screen for the impact of the TBI. Speech-language pathologists, who serve many existing systems where preschool children attend school and day care, can play a critical role in assessment and needs identification for preschool children.


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