Bispectral index as a predictor of unsalvageable traumatic brain injury.

Abstract:

PRIMARY OBJECTIVE:We aimed to assess the utility of bispectral index (BIS) monitoring to diagnose brain death (BD) in patients with severe traumatic brain injury (TBI). RESEARCH DESIGN AND METHODS:A prospective observational study was conducted for patients with severe TBI between 2012 and 2014. MAIN OUTCOMES AND RESULTS:This study included 62 patients with a mean age of 32.5 ± 10.5 years. Nine patients had BD on admission with a sustainable BIS value of 0. Fifty-three patients were not initially diagnosed with BD with BIS values of 2-56. Forty-four patients deteriorated to BD, and their respective BIS values progressively decreased to 0. Nine patients with mean BIS of 39.2 ± 9.0 recovered and were transferred to a specialized high dependency unit. BIS values showed positive correlation with the Glasgow Coma Score (GCS) on admission (r = 0.43, p = 0.001). Survivors had higher BIS values than those who were initially declared BD or those who died during the hospitalization course (p = 0.001). CONCLUSION:BIS values have a significant correlation with initial GCS and can assist in the early detection of BD in patients with severe acute TBI. Further larger studies are needed to support our findings.

journal_name

Brain Inj

journal_title

Brain injury

authors

Mahmood S,El-Menyar A,Shabana A,Mahmood I,Asim M,Abdelrahman H,Al-Thani H

doi

10.1080/02699052.2017.1330966

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

1382-1386

issue

10

eissn

0269-9052

issn

1362-301X

journal_volume

31

pub_type

杂志文章
  • Concussion history is negatively associated with visual-motor force complexity: evidence for persistent effects on visual-motor integration.

    abstract:OBJECTIVES:Long-term monitoring of concussion recovery requires time- and cost-effective methods. Physiologic complexity may be useful in evaluating visual-motor integration following concussion. The purpose of this study was to quantify the extent to which prior number of concussions influenced visual-motor tracking f...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2018.1444204

    authors: Raikes AC,Schaefer SY,Studenka BE

    更新日期:2018-01-01 00:00:00

  • A case study of amnesia: exploring a paradigm for new semantic learning and generalization.

    abstract:PRIMARY OBJECTIVE:The purpose of this study was to explore and extend previous findings that training with variant items improves generalization performance on novel semantic sentences in an individual with amnesia. RESEARCH DESIGN:A case study of an individual with severe amnesia, Patient T.E., who participated in an...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050801953081

    authors: Stark S,Gordon B,Stark C

    更新日期:2008-03-01 00:00:00

  • Social competence and head injury: a practical approach.

    abstract::Social competence assessment and training has long focused on specific skills within the clinical setting. In addition, emphasis has been placed on identifying deficits relative to an arbitrary, often idiosyncratic metric. In this article, we discuss the importance of the principles that underlie communication and whi...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/026990597123179

    authors: McGann W,Werven G,Douglas MM

    更新日期:1997-09-01 00:00:00

  • Psychological outcome after severe traumatic brain injury in adolescents and young adults: The chronic phase.

    abstract:OBJECTIVES:Young individuals surviving severe traumatic brain injury (TBI) frequently experience a wide range of cognitive, emotional and behavioural consequences. This cross-sectional follow-up study investigated psychological outcome of young survivors in the chronic phase, and whether psychological outcome was assoc...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2017.1363408

    authors: Doser K,Poulsen I,Wuensch A,Norup A

    更新日期:2018-01-01 00:00:00

  • EMA analysis of tongue function in children with dysarthria following traumatic brain injury.

    abstract:PRIMARY OBJECTIVE:To investigate the speed and accuracy of tongue movements exhibited by a sample of children with dysarthria following severe traumatic brain injury (TBI) during speech using electromagnetic articulography (EMA). METHODS AND PROCEDURES:Four children, aged between 12.75-17.17 years with dysarthria foll...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/0269905021000010203

    authors: Murdoch BE,Goozée JV

    更新日期:2003-01-01 00:00:00

  • Zolpidem induces paradoxical metabolic and vascular changes in a patient with PVS.

    abstract:INTRODUCTION:Zolpidem is a non-benzodiazepine drug used for the therapy of insomnia, which has selectivity for stimulating the effect of GABA-A receptors. Recently, a paradoxical arousing effect of zolpidem in patients with severe brain damage has been repeatedly reported. METHODS:A placebo-controlled magnetic resonan...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2013.794961

    authors: Rodriguez-Rojas R,Machado C,Alvarez L,Carballo M,Estevez M,Perez-Nellar J,Pavon N,Chinchilla M,Carrick FR,DeFina P

    更新日期:2013-01-01 00:00:00

  • Prolonged grief and depression in caregivers of patients in vegetative state.

    abstract:PRIMARY OBJECTIVE:Several studies have shown that the symptoms of grief are different from symptoms of depression among bereaved family members. The present study is an attempt to replicate these findings among caregivers of patients in a vegetative state. METHODS AND PROCEDURES:Forty-five caregivers of 41 patients in...

    journal_title:Brain injury

    pub_type: 杂志文章,多中心研究

    doi:10.3109/02699051003610490

    authors: Chiambretto P,Moroni L,Guarnerio C,Bertolotti G,Prigerson HG

    更新日期:2010-01-01 00:00:00

  • Reference values for the Balance Error Scoring System as measured by the Tekscan MobileMat™ in a physically active population.

    abstract:OBJECTIVES:The Balance Error Scoring System (BESS) is commonly used to measure postural stability; however, it has demonstrated inconsistent reliability values when administered by humans. The Tekscan MobileMat™ was developed to automate the assessment of BESS errors and eliminate rater subjectivity. The objective of t...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2018.1552021

    authors: Houston MN,Peck KY,Malvasi SR,Roach SP,Svoboda SJ,Cameron KL

    更新日期:2019-01-01 00:00:00

  • Extracorporeal Shock Wave Therapy (ESWT) as a treatment for recurrent Neurogenic Heterotopic Ossification (NHO).

    abstract:PRIMARY OBJECTIVE:To describe the effects of extracorporeal shock wave therapy (ESWT) on neurogenic heterotopic ossification (NHO). RESEARCH DESIGN:A single case study was considered the most appropriate methodology in this situation. METHODS AND PROCEDURES:The subject was a 43 year old female 10 years post-traumatic...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2012.729293

    authors: Reznik JE,Gordon SJ,Barker RN,Keren O,Arama Y,Galea MP

    更新日期:2013-01-01 00:00:00

  • Snoezelen: a controlled multi-sensory stimulation therapy for children recovering from severe brain injury.

    abstract:OBJECTIVE:To investigate the effects of Snoezelen therapy on physiological, cognitive and behavioural changes in children recovering from severe traumatic brain injury (TBI). METHODS:An observational study was conducted to assess the physiological, cognitive and behavioural changes of children recovering from severe T...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050600832635

    authors: Hotz GA,Castelblanco A,Lara IM,Weiss AD,Duncan R,Kuluz JW

    更新日期:2006-07-01 00:00:00

  • Dynamic changes in white matter following traumatic brain injury and how diffuse axonal injury relates to cognitive domain.

    abstract::Objective: The goal is to evaluate longitudinally with diffusion tensor imaging (DTI) the integrity of cerebral white matter in patients with moderate and severe DAI and to correlate the DTI findings with cognitive deficits. Methods: Patients with DAI (n = 20) were scanned at three timepoints (2, 6 and 12 months) afte...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2020.1859615

    authors: Grassi DC,Zaninotto AL,Feltrin FS,Macruz FBC,Otaduy MCG,Leite CC,Guirado VMP,Paiva WS,Santos Andrade C

    更新日期:2021-01-28 00:00:00

  • Quantitative structural neuroimaging of mild traumatic brain injury in the Chronic Effects of Neurotrauma Consortium (CENC): Comparison of volumetric data within and across scanners.

    abstract:BACKGROUND:An important component of the multicentre Chronic Effects of Neurotrauma Consortium (CENC) project is the development of improved quantitative magnetic resonance imaging (MRI) methods, including volumetric analysis. Although many studies routinely employ quality assurance (QA) procedures including MR and hum...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2016.1219063

    authors: Wilde EA,Bigler ED,Huff T,Wang H,Black GM,Christensen ZP,Goodrich-Hunsaker N,Petrie JA,Abildskov T,Taylor BA,Stone JR,Tustison NJ,Newsome MR,Levin HS,Chu ZD,York GE,Tate DF

    更新日期:2016-01-01 00:00:00

  • The course and impact of family optimism in the post-acute period after acquired brain injury.

    abstract:OBJECTIVE:To investigate the course and impact of family optimism in the post-acute stage of acquired brain injury. METHODS:At Time 1, 30 family relatives of in-patients in rehabilitation units and 30 relatives of patients recently discharged from such units completed questionnaires relating to their emotional health,...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2015.1004754

    authors: Riley GA,Hough A,Meader LM,Brennan AJ

    更新日期:2015-01-01 00:00:00

  • Is high PEEP ventilation strategy safe for acute respiratory distress syndrome after severe traumatic brain injury?

    abstract:PRIMARY OBJECTIVE:To investigate the safety and efficacy of high positive end-expiratory pressure (PEEP) ventilation strategy for acute respiratory distress syndrome (ARDS) after traumatic brain injury. RESEARCH DESIGN:A case report and discussion based on literature review. METHODS AND PROCEDURES:This article report...

    journal_title:Brain injury

    pub_type: 杂志文章,评审

    doi:10.3109/02699052.2012.660514

    authors: Lou M,Xue F,Chen L,Xue Y,Wang K

    更新日期:2012-01-01 00:00:00

  • Assessment of needs, psychological impact and quality of life in families of patients with locked-in syndrome.

    abstract:OBJECTIVE:Family needs of patients with acquired brain injuries have been studied for about three decades. In this study, we assessed the needs, the quality of life and the psychological state of relatives of patients with locked-in syndrome (LIS). DESIGN:A survey was carried out using the family needs' questionnaire ...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2017.1347277

    authors: Lugo Z,Pellas F,Blandin V,Laureys S,Gosseries O

    更新日期:2017-01-01 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

  • The development of the therapeutic working alliance, patients' awareness and their compliance during the process of brain injury rehabilitation.

    abstract:PURPOSE:To examine the development and interaction of the therapeutic alliance, patients' compliance and awareness during the process of brain injury rehabilitation and the role of demographic and injury related variables in this process. Subjects were 86 patients who underwent a holistic neuropsychological outpatient ...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050600664772

    authors: Schönberger M,Humle F,Teasdale TW

    更新日期:2006-04-01 00:00:00

  • The effects of mild traumatic brain injury on postural control.

    abstract:PRIMARY OBJECTIVE:The purpose of this study was to investigate the effects of mild traumatic brain injury (mTBI) on multiple postural indices that characterize body sway behaviour. METHODS AND PROCEDURES:The body's centre of pressure (COP) displacement was recorded from 11 individuals with a history of mTBI (29.4 ± 6....

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2016.1225982

    authors: Degani AM,Santos MM,Leonard CT,Rau TF,Patel SA,Mohapatra S,Danna-Dos-Santos A

    更新日期:2017-01-01 00:00:00

  • Parental alcohol misuse is a powerful predictor for the risk of traumatic brain injury in childhood.

    abstract:BACKGROUND:Although the positive relationship between parental alcohol use and children's injuries is well established, it is not known whether parental alcohol misuse is a risk factor for traumatic brain injuries (TBIs) of their children and whether subjects with childhood TBI have hazardous drinking habits in adolesc...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050701553221

    authors: Winqvist S,Jokelainen J,Luukinen H,Hillbom M

    更新日期:2007-09-01 00:00:00

  • Characterizing 'mild' in traumatic brain injury with proton MR spectroscopy in the thalamus: Initial findings.

    abstract:OBJECTIVE:Although most mild traumatic brain injury (mTBI) patients suffer any of several post-concussion symptoms suggestive of thalamic involvement, they rarely present with any MRI-visible pathology. The aim here, therefore, is to characterize their thalamic metabolite levels with proton MR spectroscopy (1H-MRS) com...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050701630383

    authors: Kirov I,Fleysher L,Babb JS,Silver JM,Grossman RI,Gonen O

    更新日期:2007-10-01 00:00:00

  • Articulatory function following traumatic brain injury in childhood: a perceptual and instrumental analysis.

    abstract:PRIMARY OBJECTIVE:To investigate the articulatory function of a group of children with traumatic brain injury (TBI), using both perceptual and instrumental techniques. RESEARCH DESIGN:The performance of 24 children with TBI was assessed on a battery of perceptual (Frenchay Dysarthria Assessment, Assessment of Intellig...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050410001719961

    authors: Cahill LM,Murdoch BE,Theodoros DG

    更新日期:2005-01-01 00:00:00

  • Assessing recovery in middle cerebral artery stroke using functional MRI.

    abstract:PRIMARY OBJECTIVE:To understand the temporal evolution of brain reorganization during recovery from stroke. RESEARCH DESIGN:A patient who suffered left middle cerebral artery stroke 9 months earlier was studied on three occasions, approximately 1 month apart. METHODS AND PROCEDURES:Brain activation was studied using ...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050500149858

    authors: Nair DG,Fuchs A,Burkart S,Steinberg FL,Kelso JA

    更新日期:2005-12-01 00:00:00

  • Factors related to recovery after mild traumatic brain injury.

    abstract:PRIMARY OBJECTIVES:To study the variables that relate to outcome after mild traumatic brain injury (TBI). METHODS AND PROCEDURES:Sixty-seven adults with disappointing recoveries after mild TBI most occurring in a compensation or litigation context were studied with regard to pre-injury, neuro-trauma, physical, emotion...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050500110264

    authors: Mooney G,Speed J,Sheppard S

    更新日期:2005-11-01 00:00:00

  • A further study on the sustained attention response to task (SART): the effect of age, gender and education.

    abstract::The present study aimed to investigate the potential effect of age, gender and education upon the theoretically sound measure of sustained attention--Sustained Attention Response to Task (SART)--amongst a control sample and patients with traumatic brain injury (TBI). The SART is a simple and brief computer-assisted pr...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050110034325

    authors: Chan RC

    更新日期:2001-09-01 00:00:00

  • An Internet training intervention for people with traumatic brain injury: barriers and outcomes.

    abstract:PRIMARY OBJECTIVE:To test whether people with cognitive-linguistic impairments following traumatic brain injury could learn to use the Internet using specialized training materials. RESEARCH DESIGN:Pre-post test design. METHODS AND PROCEDURES:Seven participants were each matched with a volunteer tutor. Basic Internet...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050400013659

    authors: Egan J,Worrall L,Oxenham D

    更新日期:2005-08-10 00:00:00

  • Life satisfaction related to work re-entry after brain injury: a longitudinal study.

    abstract:PURPOSE:The aim of this study was to assess the subjective life satisfaction after brain injury and its relation to work re-entry. METHOD:The research design was a longitudinal study. Thirty-six individuals answered a questionnaire at 3 and 6 years after admittance to a rehabilitation programme. The questionnaire addr...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/0269905031000110508

    authors: Johansson U,Bernspång B

    更新日期:2003-11-01 00:00:00

  • Screening for substance abuse in individuals with traumatic brain injury.

    abstract:PRIMARY OBJECTIVE:To determine the utility of the CAGE, the Brief Michigan Alcohol Screening Test (BMAST) and the Substance Abuse Subtle Screening Inventory (SASSI-3) with individuals with traumatic brain injury (TBI), two studies were conducted examining the accuracy, sensitivity and specificity of these instruments. ...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/0269905031000149506

    authors: Ashman TA,Schwartz ME,Cantor JB,Hibbard MR,Gordon WA

    更新日期:2004-02-01 00:00:00

  • A prospective study of early versus late craniectomy after traumatic brain injury.

    abstract:BACKGROUND:Decompressive craniectomy is an important method for managing traumatic brain injury (TBI). At present, controversies about this procedure exist, especially about the optimum operative time for patients with TBI. METHODS:A prospective study was performed at the First Affiliated Hospital, College of Medicine...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699052.2011.608214

    authors: Wen L,Wang H,Wang F,Gong JB,Li G,Huang X,Zhan RY,Yang XF

    更新日期:2011-01-01 00:00:00

  • Differential pathways of psychological distress in spouses vs. parents of people with severe traumatic brain injury (TBI): multi-group analysis.

    abstract:PRIMARY OBJECTIVE:A contemporary model of psychological stress based on an amalgamation of Conservation of Resources theory and the McMaster Model of Family Functioning was devised to compare the effects of neurobehavioural impairments on family functioning and psychological distress in spouses and parents caring for r...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699050903302336

    authors: Anderson MI,Simpson GK,Morey PJ,Mok MM,Gosling TJ,Gillett LE

    更新日期:2009-11-01 00:00:00

  • What kind of consciousness is minimal?

    abstract:PRIMARY OBJECTIVE:A comparison between unitary and non-unitary views on minimal consciousness. RESEARCH DESIGN:First, unitary (all-or-none) and non-unitary (gradual or continuous) models of consciousness are defined as they have been developed in both philosophy and neurophysiology. Then, the implications of these ide...

    journal_title:Brain injury

    pub_type: 杂志文章,评审

    doi:10.3109/02699052.2014.920523

    authors: Kotchoubey B,Vogel D,Lang S,Müller F

    更新日期:2014-01-01 00:00:00