Concussion management by paediatricians: a national survey of Canadian paediatricians.

Abstract:

OBJECTIVE:To assess the use of concussion/mild traumatic brain injury (mTBI) guidelines, criteria used in the initiation of return-to-play (RTP) and management of RTP for brain injured children and youth by Canadian paediatricians. METHODS:A cross-sectional survey was mailed through the Canadian Paediatric Surveillance Program to ∼2600 paediatric specialists and sub-specialists. RESULTS:Of 809 respondents (31%), 503 encountered newly diagnosed paediatric concussion/mTBI within the past 12 months, reporting ∼6900 cases. Of the respondents, 96.7% (95% CI = 94.7-98.6%) reported using one or more of the presented concussion/mTBI guidelines in the management of their patients. The most frequently reported criteria (>50%) used to determine asymptomatic status were: free from all concussion symptoms, by patient report (92%), by proxy report (76%), normal physical examination (65%), in school full-time, with usual school performance (53%). Most respondents (84.9%) did not initiate RTP immediately after their patients became asymptomatic. The median time waiting before initiating RTP was 7 days. The median duration of the RTP sequence was 7 days, with considerable variation reported. CONCLUSIONS:Canadian paediatricians frequently encounter patients with concussion/mTBI. Their concussion/mTBI care appears to be consistent with current guidelines, but also shows practice variation, particularly when current guidelines become less proscriptive.

journal_name

Brain Inj

journal_title

Brain injury

authors

Gordon KE,Do MT,Thompson W,McFaull S,Canadian Paediatric Surveillance Program Participants.

doi

10.3109/02699052.2013.862740

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

311-7

issue

3

eissn

0269-9052

issn

1362-301X

journal_volume

28

pub_type

杂志文章
  • Traumatic brain injury and its effects on synaptic plasticity.

    abstract::Animal models have been used to simulate the effects of human head trauma. Some of these models have been further utilized to explore how trauma affects specific mechanisms of synaptic plasticity, a cellular model for memory consolidation. Unfortunately, these studies have been more limited in number in spite of their...

    journal_title:Brain injury

    pub_type: 杂志文章,评审

    doi:10.1080/0269905031000107142

    authors: Albensi BC,Janigro D

    更新日期:2003-08-01 00:00:00

  • Traumatic axonal injury despite clinical phenotype of mild traumatic brain injury: a case report.

    abstract:OBJECTIVES:We report on a patient who suffered traumatic axonal injury (TAI) of various neural tracts despite airbag deployment following mild traumatic brain injury (TBI), which was demonstrated by diffusion tensor tractography (DTT). CASE DESCRIPTION:A 58-year-old female patient suffered from head trauma resulting f...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2017.1376754

    authors: Jang SH,Lee HD

    更新日期:2017-01-01 00:00:00

  • Self-reported symptoms during post-mild traumatic brain injury in acute phase: influence of interviewing method.

    abstract:PRIMARY OBJECTIVE:To examine the role played by two interviewing methods used in the evaluation of acute self-reported symptoms after a mild traumatic brain injury (mTBI). METHOD AND PROCEDURES:A cohort of 354 mTBI-adult participants was recruited over a period of 36 months in emergency rooms of five Canadian trauma h...

    journal_title:Brain injury

    pub_type: 杂志文章,多中心研究

    doi:10.3109/02699052.2010.531881

    authors: Villemure R,Nolin P,Le Sage N

    更新日期:2011-01-01 00:00:00

  • Reducing concussion symptoms among teenage youth: Evaluation of a mobile health app.

    abstract:OBJECTIVE:To evaluate whether a mobile health application that employs elements of social game design could compliment medical care for unresolved concussion symptoms. DESIGN:Phase I and Phase II (open-label, non-randomized, ecological momentary assessment methodology). SETTING:Outpatient concussion clinic. PARTICIP...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2017.1332388

    authors: Worthen-Chaudhari L,McGonigal J,Logan K,Bockbrader MA,Yeates KO,Mysiw WJ

    更新日期:2017-01-01 00:00:00

  • Coping and distress in caregivers of patients with disorders of consciousness.

    abstract:OBJECTIVES:To study depression, anxiety, maladjustment and coping in caregivers of patients in vegetative state (VS) or minimally conscious state (MCS). MATERIALS AND METHODS:Fifty-three caregivers of 43 patients with VS or MCS were assessed using Beck Anxiety Inventory, Beck Depression Inventory, maladjustment scale ...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2013.793402

    authors: Cruzado JA,Elvira de la Morena MJ

    更新日期:2013-01-01 00:00:00

  • Event-related potential indices of visual attention following moderate to severe closed head injury.

    abstract::Covert orientation of visual attention was studied in eight closed head injury (CHI) subjects who fixated warning cues and pressed a button at peripheral target onset. Directional cues (arrows) indicated the most probable (p = 0.8) side of target occurrence while neutral cues (crosses) gave no directional information....

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699059409151006

    authors: Cremona-Meteyard SL,Geffen GM

    更新日期:1994-08-01 00:00:00

  • Social and behavioural effects of traumatic brain injury in children.

    abstract::Traumatic brain injury (TBI) is the leading cause of death and permanent disability in children and adolescents. Although cognitive and behavioural effects have now been reported for all degrees of TBI severity in children, other aspects of functioning which might be related (such as psychosocial adjustment), have bee...

    journal_title:Brain injury

    pub_type: 临床试验,杂志文章

    doi:10.1080/026990598122755

    authors: Andrews TK,Rose FD,Johnson DA

    更新日期:1998-02-01 00:00:00

  • Factors increasing the risk of suicide after traumatic brain injury: a state-of-the-science review of military and civilian studies.

    abstract::Primary Objective: Survey TBI literature to identify evidence of risk for post-injury suicide. Literature Selection: Search terms ((traumatic brain injury OR TBI) AND (suicidality OR suicidal behaviour OR suicidal ideation)) entered in PubMed, OVID Medline, PsychInfo, and Web of Science for papers published in print 0...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2020.1861656

    authors: McIntire KS,Crawford KA,Perrin PB,Sestak JL,Aman K,Walter LA,Page DB,Wen H,Randolph BO,Brunner RC,Novack TL,Niemeier JP

    更新日期:2021-01-18 00:00:00

  • Eye movement and online bisection task in unilateral patients with neglect: a new look to the 'gradient effect'.

    abstract:PRIMARY OBJECTIVE:The present study explored the behavioural and eye-movement measures in spatial unilateral neglect in response to a bisection task. RESEARCH DESIGN:Four right neglect patients were considered and compared with 11 control subjects during an online task (segment bisection). METHODS AND PROCEDURES:Eye-...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2012.750739

    authors: Balconi M,Amenta S,Sozzi M,Cannatà AP,Pisani L

    更新日期:2013-01-01 00:00:00

  • Virtual reality gaming as a neurorehabilitation tool for brain injuries in adults: A systematic review.

    abstract:OBJECTIVE:Evidence of the effectiveness of virtual reality (VR) in motor and cognitive rehabilitation for traumatic brain injury (TBI) continues to be mixed. Therefore, we conducted a systematic literature review in accordance with PRISMA guidelines to strategically evaluate the strength of evidence supporting the use ...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2020.1802779

    authors: Aulisio MC,Han DY,Glueck AC

    更新日期:2020-08-23 00:00:00

  • Traumatic brain injury rehabilitation in Riyadh, Saudi Arabia: Time to rehabilitation admission, length of stay and functional outcome.

    abstract:OBJECTIVES:(1) Describe trends in time to rehabilitation admission and rehabilitation length of stay (LOS), (2) compare functional independence at discharge from rehabilitation between patients who arrived directly from acute care versus those from elsewhere and (3) identify independent predictors of functional outcome...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2017.1286386

    authors: Qannam H,Mahmoud H,Mortenson WB

    更新日期:2017-01-01 00:00:00

  • Post-traumatic stress symptoms and psychological functioning in children of parents with acquired brain injury.

    abstract:INTRODUCTION/OBJECTIVES:The effect of parental brain injury on children has been relatively little investigated. This study examines post-traumatic stress symptoms (PSS) and psychological functioning in children with a parent with an acquired brain injury. PARTICIPANTS, MATERIALS AND METHODS:The participants were 35 p...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2011.579933

    authors: Kieffer-Kristensen R,Teasdale TW,Bilenberg N

    更新日期:2011-01-01 00:00:00

  • 'We are the forgotten victims': Perspectives of adult siblings of persons with traumatic brain injury.

    abstract:PRIMARY OBJECTIVE:This study determined how the lives of a cross-national sample of adult siblings had changed since their brothers and sisters incurred a traumatic brain injury. RESEARCH DESIGN:A total of 272 participants provided responses to the question, 'How is your life different since your sibling had a TBI?' R...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2010.514317

    authors: Degeneffe CE,Olney MF

    更新日期:2010-01-01 00:00:00

  • Effects of ULEM apparatus on motor function of patients with stroke. m.

    abstract:OBJECTIVE:To investigate the effects of upper limbs' encircling motion (ULEM) apparatus on motor function of patients with stroke. STUDY DESIGN:This study adopted a single-blind, prospective, randomized control design. From July 2003 to September 2005, 44 inpatients suffering from stroke in Jiangsu Province Hospital w...

    journal_title:Brain injury

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/02699050701633064

    authors: Wang T,Wang X,Wang H,He X,Su J,Zhu Y,Dong Y

    更新日期:2007-10-01 00:00:00

  • Educational professionals' understanding of childhood traumatic brain injury.

    abstract:PRIMARY OBJECTIVES:To determine the understanding of educational professionals around the topic of childhood brain injury and explore the factor structure of the Common Misconceptions about Traumatic Brain Injury Questionnaire (CM-TBI). RESEARCH DESIGN:Cross-sectional postal survey. METHODS AND PROCEDURES:The CM-TBI ...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2012.722262

    authors: Linden MA,Braiden HJ,Miller S

    更新日期:2013-01-01 00:00:00

  • Pharmacological management of Dysautonomia following traumatic brain injury.

    abstract:PRIMARY OBJECTIVE:To document and critically evaluate the likely effectiveness of pharmacological treatments used in a sample of patients with Dysautonomia and to link these findings to previously published literature. RESEARCH DESIGN:Retrospective case control chart review. METHODS AND PROCEDURES:Data were collected...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050310001645775

    authors: Baguley IJ,Cameron ID,Green AM,Slewa-Younan S,Marosszeky JE,Gurka JA

    更新日期:2004-05-01 00:00:00

  • The effects of a song-singing programme on the affective speaking intonation of people with traumatic brain injury.

    abstract:PRIMARY OBJECTIVE:To examine changes in the relationship between intonation, voice range and mood following music therapy programmes in people with traumatic brain injury. RESEARCH DESIGN:Data from four case studies were pooled and effect size, ANOVA and correlation calculations were performed to evaluate the effectiv...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050400005150

    authors: Baker F,Wigram T,Gold C

    更新日期:2005-07-01 00:00:00

  • Pre-injury psychosocial and demographic predictors of long-term functional outcomes post-TBI.

    abstract:OBJECTIVE:To determine whether pre-injury psychosocial and demographic factors differentially influence long-term functional outcomes post-TBI. SETTING:Urban rehabilitation hospital. PARTICIPANTS:149 individuals, ages 16-75, who sustained a mild complicated, moderate or severe TBI, were enrolled in a TBI Model System...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2017.1374467

    authors: Seagly KS,O'Neil RL,Hanks RA

    更新日期:2018-01-01 00:00:00

  • Applicability of traumatic brain injury rehabilitation interventions in natural disaster settings.

    abstract::Objective: To evaluate published traumatic brain injury (TBI) clinical practice guidelines (CPGs) and assess rehabilitation intervention recommendations for applicability in disaster settings. Methods: Recommendations for rehabilitation interventions were synthesized from currently published TBI CPGs, developed by the...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2019.1641748

    authors: Lee SY,Amatya B,Judson R,Truesdale M,Reinhardt JD,Uddin T,Xiong XH,Khan F

    更新日期:2019-01-01 00:00:00

  • Individual and group treatment for patients with acquired brain injury in comprehensive rehabilitation.

    abstract:PRIMARY OBJECTIVE:The aim of this study was to investigate the hypothesis that group rehabilitation is more effective than individual treatments and provides an improvement in clinical outcomes similar to that achieved by individual treatments alone. RESEARCH DESIGN:Two groups of patients were placed in different reha...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2014.910698

    authors: Vestri A,Peruch F,Marchi S,Frare M,Guerra P,Pizzighello S,Meneghetti S,Nutbrown A,Martinuzzi A

    更新日期:2014-01-01 00:00:00

  • Family environment influences emotion recognition following paediatric traumatic brain injury.

    abstract:OBJECTIVE:This study investigated the relationship between family functioning and performance on two tasks of emotion recognition (emotional prosody and face emotion recognition) and a cognitive control procedure (the Flanker task) following paediatric traumatic brain injury (TBI) or orthopaedic injury (OI). METHODS:A...

    journal_title:Brain injury

    pub_type: 杂志文章,多中心研究

    doi:10.3109/02699052.2010.523047

    authors: Schmidt AT,Orsten KD,Hanten GR,Li X,Levin HS

    更新日期:2010-01-01 00:00:00

  • Rapid evaluation of S-100 serum levels. Case report and comparison to previous results.

    abstract::The aim of this case report is to describe the time course of S-100 serum levels of a patient, after severe head injury, whose blood sample could be drawn very soon after injury. The results were compared to a group of patients in which a correlation between S-100 serum levels and outcome after traumatic brain injury ...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/026990599121584

    authors: Rothoerl RD,Woertgen C,Holzschuh M,Metz C,Brawanski A

    更新日期:1999-05-01 00:00:00

  • RLIPostC protects against cerebral ischemia through improved synaptogenesis in rats.

    abstract:OBJECTIVE:Remote limb ischemic post-conditioning (RLIPostC) has been shown to be neuroprotective in cerebral ischemia, whereas the effect of RLIPostC on synaptogenesis remains elusive. In the present study, we investigated the effects of RLIPostC on synaptogenesis in an experimental stroke rat model. METHODS:Sprague-D...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2018.1483029

    authors: Wang Y,Zhang Z,Zhang L,Yang H,Shen Z

    更新日期:2018-01-01 00:00:00

  • Characteristics and outcomes of a home and community-based neurorehabilitation programme.

    abstract::The potential clinical and financial advantages of providing neurorehabilitation directly in patients' homes and communities have recently been discussed. However, the specific characteristics and outcomes of a coordinated, interdisciplinary, home-based programme does not currently exist in the rehabilitation literatu...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/026990599121430

    authors: Pace GM,Schlund MW,Hazard-Haupt T,Christensen JR,Lashno M,McIver J,Peterson K,Morgan KA

    更新日期:1999-07-01 00:00:00

  • The McMaster family assessment device and clinical rating scale: questionnaire vs interview in childhood traumatic brain injury.

    abstract::Two modalities of family assessment based on the McMaster Model of Family Functioning (MMFF), including a self-report questionairre (Family Assessment Device-FAD) and a clinical interview (McMaster Structured Interview For Families-McSIFF) as scored on the McMaster Clinical Rating Scale (MCRS) were compared in an atte...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050400024961

    authors: Barney MC,Max JE

    更新日期:2005-09-01 00:00:00

  • Method of symptom assessment influences cognitive, affective and somatic post-concussion-like symptom base rates.

    abstract:PRIMARY OBJECTIVE:To investigate whether assessment method influences the type of post-concussion-like symptoms. METHODS AND PROCEDURES:Participants were 73 Australian undergraduate students (Mage = 24.14, SD = 8.84; 75.3% female) with no history of mild traumatic brain injury (mTBI). Participants reported symptoms ex...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2014.915988

    authors: Edmed SL,Sullivan KA

    更新日期:2014-01-01 00:00:00

  • The effects of amantadine on traumatic brain injury outcome: a double-blind, randomized, controlled, clinical trial.

    abstract:INTRODUCTION:Amantadine, as a dopamine receptor agonist, may stimulate and help the recovery of the nervous system after traumatic brain injury (TBI). METHODS:We performed this study as a double-blind, randomized, controlled clinical trial with target population including all patients with TBI who scored nine or lower...

    journal_title:Brain injury

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/02699052.2018.1476733

    authors: Ghalaenovi H,Fattahi A,Koohpayehzadeh J,Khodadost M,Fatahi N,Taheri M,Azimi A,Rohani S,Rahatlou H

    更新日期:2018-01-01 00:00:00

  • Risperidone treatment of motor restlessness following anoxic brain injury.

    abstract:PRIMARY OBJECTIVE:This paper examined the use of an atypical neuroleptic medication, risperidone, in reducing the excessive motor activity of an adolescent with an anoxic brain injury following cardiac arrest from a lightning strike. Lower extremity restlessness caused the patient to develop skin breakdown and interfer...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/0269905021000013192

    authors: Silver BV,Collins L,Zidek KA

    更新日期:2003-03-01 00:00:00

  • Identification of rehabilitation problems after head injury.

    abstract::We have reported a large study of patients admitted to hospital following head injury in the city of Glasgow over one calendar year. This showed 1000 patients still to be disabled one year after their injury. In order to see whether the difficulties reported by these patients represented needs for rehabilitation servi...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050210154231

    authors: Roy CW,Thornhill S,Teasdale GM

    更新日期:2002-12-01 00:00:00

  • Cognitive correlates of pragmatic language comprehension in adult traumatic brain injury: A systematic review and meta-analyses.

    abstract::Effective pragmatic comprehension of language is critical for successful communication and interaction, but this ability is routinely impaired following Traumatic Brain Injury (TBI) (1,2). Individual studies have investigated the cognitive domains associated with impaired pragmatic comprehension, but there remains lit...

    journal_title:Brain injury

    pub_type: 杂志文章,meta分析,评审

    doi:10.1080/02699052.2017.1341645

    authors: Rowley DA,Rogish M,Alexander T,Riggs KJ

    更新日期:2017-01-01 00:00:00