scholarly journals Training on the Regional Brain Injury Rehabilitation Unit: six months registrar experience

1991 ◽  
Vol 15 (3) ◽  
pp. 152-153
Author(s):  
J. Lewin
Keyword(s):  
Brain Injury ◽  
Large Population ◽  
Recovery Phase ◽  
Behavioural Disorders ◽  
Early Recovery ◽  
Rehabilitation Unit ◽  
Injury Rehabilitation ◽  
Physical Problems ◽  
Regional Brain ◽  
Early Recovery Phase

There is an increasingly large population of those who are chronically disabled as the result of brain injury (Jennett & Macmillan, 1981). These injuries can be the result of trauma, infections, tumours, hypoglycemia, anoxia or other damaging conditions. The large majority of rehabilitation units cater for physical problems only. However, it has been recognised that patients with brain injury often develop behavioural disorders during the early recovery phase and in a few cases these persist (Eames & Wood, 1989).

scholarly journals In-patient neuropsychiatric brain injury rehabilitation

2000 ◽  
Vol 24 (7) ◽  
pp. 264-266 ◽  
Author(s):  
Fernando Lazaro ◽  
Rob Butler ◽  
Simon Fleminger
Keyword(s):  
Brain Injury ◽  
Verbal Aggression ◽  
Clinical Implications ◽  
Severe Brain Injury ◽  
Rehabilitation Unit ◽  
Injury Rehabilitation ◽  
Physical Problems ◽  
Cognitive Behavioural ◽  
Wide Range ◽  
The Mean

Aims and MethodTo discuss the service offered by an in-patient neuropsychiatric brain injury rehabilitation unit. To examine the demographic details of patients admitted to the unit. To find the commonest reasons for referral.ResultsThe notes of 78 patients admitted to the unit, over a two-year period, were examined. Seventy-three per cent were male and the mean age was 45 years. Seventy-five per cent of admissions had a severe brain injury. Two-thirds of the patients were admitted within six months of their injury. The most common reasons for referral were memory difficulties (n=61), verbal aggression (n=31) and temper control(n=25).Clinical ImplicationsIn-patient neuropsychiatric brain injury rehabilitation units offer management of patients referred with a wide range of cognitive, behavioural, functional and physical problems.

Return of Memory and Sleep Efficiency Following Moderate to Severe Closed Head Injury

2008 ◽  
Vol 23 (4) ◽  
pp. 320-326 ◽  
Author(s):  
Michael J. Makley ◽  
Lisa Johnson-Greene ◽  
Patrick M. Tarwater ◽  
Andrew J. Kreuz ◽  
J. Spiro ◽  
...  
Keyword(s):  
Brain Injury ◽  
Head Injury ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Closed Head Injury ◽  
Recovery Phase ◽  
Sleep Efficiency ◽  
Rehabilitation Unit ◽  
Closed Head ◽  
Unit Increase

Objective. Sleep disturbance is common in the subacute recovery phase following brain injury. A previous study from the authors' group found 68% of patients with closed head injury (CHI) had disrupted sleep on a rehabilitation unit. In the present study, the authors investigated whether improvement in sleep efficiency correlates with duration of posttraumatic amnesia (PTA) after CHI. Methods. Fourteen CHI patients were enrolled and followed prospectively. Mechanism of injury included motor vehicle accident, fall, and blunt assault. An actigraph was placed on each subject's wrist within 72 hours of admission to the rehabilitation unit and recorded data for the duration of their stay. A minimum of 7 days of continuous actigraphy data was obtained on all subjects. PTA was measured daily using the Orientation Log (O-LOG). Results. Seventy-eight percent of subjects had mean week-1 sleep efficiency scores of ≤63%. Patients admitted having already cleared PTA had significantly better week-1 sleep efficiency scores than those with ongoing amnesia ( P = .032). For those patients admitted with ongoing PTA, each 10-unit increase in sleep efficiency score correlated with 1 unit increase in O-LOG score ( P = .056). Conclusions. Disrupted sleep is common in the postacute stage following CHI. Improved sleep efficiency correlates with resolution of PTA. Decreased sleep efficiency may negatively affect memory return after traumatic brain injury. Actigraphy is uniquely suited to study the sleep patterns of these patients.

scholarly journals The role of precipitation losses in producing the rapid early recovery phase of the Great Magnetic Storm of February 1986

1998 ◽  
Vol 103 (A4) ◽  
pp. 6801-6814 ◽  
Author(s):  
J. U. Kozyra ◽  
M.-C. Fok ◽  
E. R. Sanchez ◽  
D. S. Evans ◽  
D. C. Hamilton ◽  
...  
Keyword(s):  
Magnetic Storm ◽  
Recovery Phase ◽  
Early Recovery ◽  
Early Recovery Phase

Family Needs on an Inpatient Brain Injury Rehabilitation Unit

2018 ◽  
Vol 33 (4) ◽  
pp. 228-236 ◽  
Author(s):  
Jeffrey S. Kreutzer ◽  
Jennifer H. Marwitz ◽  
Daniel W. Klyce ◽  
Kathryn P. Wilder Schaaf ◽  
Adam P. Sima ◽  
...  
Keyword(s):  
Brain Injury ◽  
Family Needs ◽  
Rehabilitation Unit ◽  
Injury Rehabilitation

Abstract 17270: Prognostic Impact of Ventricular Ectopy During the Recovery Phase of Stress Testing: A Meta-Analysis

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_1) ◽  
Author(s):  
Muhammad T Ayub ◽  
Muhammad S Khan ◽  
Sagar Ranka ◽  
Muhammad Ishaq ◽  
Muhammad F Khalid ◽  
...  
Keyword(s):  
Stress Testing ◽  
Meta Analysis ◽  
Recovery Phase ◽  
Prognostic Impact ◽  
Ventricular Ectopy ◽  
Early Recovery ◽  
Premature Ventricular Contractions ◽  
Risk Of Death ◽  
All Cause Mortality ◽  
Early Recovery Phase

Introduction: Ventricular ectopy after exercise, due to parasympathetic activity, predicts an increased risk of death in population-based cohorts. We sought to examine the composite risk of all cause mortality in patients with premature ventricular contractions (PVCs) in the early recovery phase of stress testing. Methods: PubMed, Medline & EMBASE were queried for all English language articles from 1993 to 2017. The primary outcome was incidence of all cause mortality in patients with frequent PVCs during recovery phase (RPV) of stress testing. Frequent PVCs were defined as the presence of seven or more ventricular premature beats/min, frequent ventricular couplets, ventricular bigeminy or trigeminy, or any other form of ventricular tachycardia or ventricular fibrillation. Meta-analysis of the main outcome was performed using a weighted random effects model. Results: A total of four observational studies including 38765 patients were retrieved. Data for 2065 patients with RPV was pooled. A comparative analysis of PVC vs Infrequent/Non-PVC group showed a calculated risk ratio for all cause mortality of 1.8 (95% CI 1.36-2.38; p=0.001). I 2 statistic for heterogeneity testing was 82.8% (Fig.1). Conclusion: Frequent premature ventricular contractions during early recovery phase of stress testing are associated with increased all cause mortality as compared to patients with infrequent or no PVCs.

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