scholarly journals Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Work ◽  
2017 ◽  
Vol 58 (1) ◽  
pp. 51-62 ◽  
Author(s):  
Karthik Mani ◽  
Bryan Cater ◽  
Akshay Hudlikar
BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e041581
Author(s):  
Reema Shafi ◽  
Angela Colantonio

IntroductionReturning to work and sustaining employment can be a significant challenge for traumatic brain injury (TBI) survivors. Within the literature, there is recurring support for the role of workplace accommodations in effective and early return-to-work (RTW). To date, however, there has been a lack of systematic reviews exploring the specific role of workplace accommodations within the context of RTW after TBI. The primary objective of this protocol is to outline the methodological approach that will be undertaken to systematically review the literature and to assess the effectiveness of workplace accommodations in facilitating RTW.Methods and analysisA total of nine databases will be searched systematically using the concepts ‘Brain injury,’ ‘RTW’ and ‘Job Accommodations.’ Study selection will be performed independently by three reviewers, based on predetermined eligibility criteria through two rounds of screening using, first, the title and abstract, followed by a full-text search. Extracted information will include the study’s purpose, design, and setting; the data source and type; the severity of TBI and the diagnostic criterion used; a comprehensive description of the intervention provided; the RTW outcome variables and the statistical methods used, etc. The data will be tabulated and narratively synthesised. Systematic review registration: This protocol has been registered with International Prospective Register of Systematic Reviews.Ethics and disseminationAs this review intends to use pre-existing published studies hence research ethics board approvals will not be required. Nevertheless, this review will follow the ethical and governance standards in the data management and presentation of results. The findings from this review will potentially be published in a peer-reviewed scientific journal (electronically and in print). The results of this review will be presented at both national/international conferences and shared with stakeholders influencing RTW practices.PROSPERO registration numberCRD42016043517.


2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Carolyn W. Graham ◽  
Michael D. West ◽  
Jessica L. Bourdon ◽  
Katherine J. Inge ◽  
Hannah E. Seward

Brain Injury ◽  
2018 ◽  
Vol 32 (13-14) ◽  
pp. 1623-1636 ◽  
Author(s):  
Ben Bloom ◽  
Stephen Thomas ◽  
Jette Møller Ahrensberg ◽  
Rachel Weaver ◽  
Alex Fowler ◽  
...  

2017 ◽  
Vol 43 (5) ◽  
pp. E14 ◽  
Author(s):  
Fawaz Al-Mufti ◽  
Krishna Amuluru ◽  
Abhinav Changa ◽  
Megan Lander ◽  
Neil Patel ◽  
...  

OBJECTIVELittle is known regarding the natural history of posttraumatic vasospasm. The authors review the pathophysiology of posttraumatic vasospasm (PTV), its associated risk factors, the efficacy of the technologies used to detect PTV, and the management/treatment options available today.METHODSThe authors performed a systematic review in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the following databases: PubMed, Google Scholar, and CENTRAL (the Cochrane Central Register of Controlled Trials). Outcome variables extracted from each study included epidemiology, pathophysiology, time course, predictors of PTV and delayed cerebral ischemia (DCI), optimal means of surveillance and evaluation of PTV, application of multimodality monitoring, modern management and treatment options, and patient outcomes after PTV. Study types were limited to retrospective chart reviews, database reviews, and prospective studies.RESULTSA total of 40 articles were included in the systematic review. In many cases of mild or moderate traumatic brain injury (TBI), imaging or ultrasonographic studies are not performed. The lack of widespread assessment makes finding the true overall incidence of PTV a difficult endeavor. The clinical consequences of PTV are important, given the morbidity that can result from it. DCI manifests as new-onset neurological deterioration that occurs beyond the timeframe of initial brain injury. While there are many techniques that attempt to diagnose cerebral vasospasm, digital subtraction angiography is the gold standard. Some predictors of PTV include SAH, intraventricular hemorrhage, low admission Glasgow Coma Scale (GCS) score (< 9), and young age (< 30 years).CONCLUSIONSGiven these results, clinicians should suspect PTV in young patients presenting with intracranial hemorrhage (ICH), especially SAH and/or intraventricular hemorrhage, who present with a GCS score less than 9. Monitoring and regulation of CNS metabolism following TBI/ICH-induced vasospasm may play an important adjunct role to the primary prevention of vasospasm.


Brain Injury ◽  
2013 ◽  
Vol 27 (13-14) ◽  
pp. 1516-1527 ◽  
Author(s):  
Mikhail Saltychev ◽  
Merja Eskola ◽  
Olli Tenovuo ◽  
Katri Laimi

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