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Traumatic Brain Injury (TBI): Clinical Updates and Perspectives

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A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Brain Injury".

Deadline for manuscript submissions: 13 June 2024 | Viewed by 2079

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Special Issue Editor

Dr. Anna Antoni

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Guest Editor

Department of Orthopedics and Trauma-Surgery, Medical University of Vienna, 1090 Vienna, Austria
Interests: polytrauma; traumatic brain injury; pelvis and acetabulum fractures

Special Issue Information

Dear Colleagues,

Traumatic brain injury (TBI) causes a high number of deaths, disabilities and impairments worldwide. TBI of all grades mandates the cooperation of various medical fields. Emergency medicine, anaesthesia, trauma surgery, neurosurgery, radiology, neurology, psychiatry, rehabilitation and other fields must collaborate to achieve good outcomes. Hence, this Special Issue, titled "Traumatic Brain Injury (TBI): Clinical Updates and Perspectives", aims to provide an overview of the latest advancements and future perspectives in the specialties involved in the management of TBI.

This Special Issue focuses on various aspects of TBI, including diagnosis, prognosis, management (surgical and non-surgical) and rehabilitation:

Guidelines for the management of mild TBI, TBI and antithrombotic therapy, imaging for TBI;
Multimodal neuromonitoring;
Artificial intelligence;
Surgical techniques;
Neurocognitive impairment after TBI;
Biomarkers;
Rehabilitation after experiencing TBI;
Other clinical updates and perspectives related to the field of TBI.

We are inviting researchers to submit their original research or review papers related to these areas. By doing so, you will contribute to the evaluation of current approaches and advancement of management strategies for TBI.

Dr. Anna Antoni
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

traumatic brain injury
mild traumatic brain injury
moderate traumatic brain injury
severe traumatic brain injury
concussion
rehabilitation
guidelines

Published Papers (4 papers)

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Research

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14 pages, 541 KiB

Open AccessArticle

Athlete Fear Avoidance, Depression, and Anxiety Are Associated with Acute Concussion Symptoms in Athletes

by Ilana Patlan, Gabrielle Gamelin, Kosar Khalaj, Tristan Castonguay and Geoffrey Dover

J. Clin. Med. 2024, 13(8), 2401; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13082401 - 20 Apr 2024

Viewed by 222

Abstract

Background: Assessing sport-related concussions in athletes presents challenges due to symptom variability. This study aimed to explore the relationship between acute concussion symptoms and athlete fear avoidance, pain catastrophizing, depression, and anxiety. Anxiety and depression have previously been associated with the number of symptoms after a concussion, but no prior research has examined the possible link between athlete fear avoidance and acute concussion symptoms. Methods: Thirty-four collegiate athletes (mean age = 20.9 ± 1.8 years) were assessed within 48 h of a concussion using the Sport Concussion Assessment Tool 5, Athlete Fear Avoidance Questionnaire (AFAQ), Pain Catastrophizing Scale, and Hospital Anxiety and Depression Scale. Results: Results showed a significant association between the athlete fear avoidance and the number of concussion symptoms (r = 0.493, p = 0.003), as well as depression and anxiety measured by HADS (r = 0.686, p < 0.001). Athlete fear avoidance and HADS scores were predictors of symptom severity, explaining 41% of the variance (p = 0.001). Athletes with higher fear avoidance tended to report more symptoms post concussion. Conclusions: This study underscores the link between athlete fear avoidance, anxiety, depression, and the severity of concussion symptoms. Administering the AFAQ to assess athlete fear avoidance at the initial assessment of a concussion may be helpful in interpreting the symptoms of an acute concussion. Full article

(This article belongs to the Special Issue Traumatic Brain Injury (TBI): Clinical Updates and Perspectives)

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13 pages, 3340 KiB

Open AccessArticle

Evolution of Severe Closed Head Injury: Assessing Ventricular Volume and Behavioral Measures at 30 and 90 Days Post-Injury

by Serena Campana, Luca Cecchetti, Martina Venturi, Francesco Buemi, Cristina Foti, Antonio Cerasa, Carmelo Mario Vicario, Maria Chiara Carboncini and Francesco Tomaiuolo

J. Clin. Med. 2024, 13(3), 874; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13030874 - 02 Feb 2024

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Abstract

Background: Assessing functional outcomes in Severe Closed Head Injury (SCHI) is complex due to brain parenchymal changes. This study examines the Ventricles to Intracranial Volume Ratio (VBR) as a metric for these changes and its correlation with behavioral scales. Methods: Thirty-one SCHI patients were included. VBR was derived from CT scans at 3, 30, and 90 days post-injury and compared with Levels of Cognitive Functioning (LCF), Disability Rating Scale (DRS), and Early Rehabilitation Barthel Index (ERBI) assessments at 30 and 90 days. Results: Ten patients were excluded post-decompressive craniectomy or ventriculoperitoneal shunt. Findings indicated a VBR decrease at 3 days, suggesting acute phase compression, followed by an increase from 30 to 90 days, indicative of post-acute brain atrophy. VBR correlated positively with the Marshall score in the initial 72 h, positioning it as an early indicator of subsequent brain atrophy. Nevertheless, in contrast to the Marshall score, VBR had stronger associations with DRS and ERBI at 90 days. Conclusions: VBR, alongside behavioral assessments, presents a robust framework for evaluating SCHI progression. It supports early functional outcome correlations informing therapeutic approaches. VBR’s reliability underscores its utility in neurorehabilitation for ongoing SCHI assessment and aiding clinical decisions. Full article

(This article belongs to the Special Issue Traumatic Brain Injury (TBI): Clinical Updates and Perspectives)

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13 pages, 234 KiB

Open AccessArticle

Validity of the Norwegian Version of the Needs and Provision Complexity Scale (NPCS) in Patients with Traumatic Brain Injury and Atraumatic Subarachnoid Hemorrhage

by Marit V. Forslund, Ida M. H. Borgen, Tanja Karic, Ingerid Kleffelgård, Solveig L. Hauger, Marianne Løvstad, Marleen R. van Walsem, Emilie I. Howe, Cathrine Brunborg, Nada Andelic and Cecilie Røe

J. Clin. Med. 2024, 13(3), 752; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13030752 - 28 Jan 2024

Viewed by 600

Abstract

There is a lack of validated measures in Scandinavian languages to track healthcare service needs and delivery for patients with neurological disabilities. The aim of the present study was to validate the Norwegian version of the clinician and patient Needs and Provision Complexity Scale (NPCS) Needs and Gets. Data on the NPCS from 60 adult patients with traumatic brain injury or atraumatic subarachnoid hemorrhage and symptoms lasting >5 months were assessed for inter-rater/test–retest reliability and agreement, as well as concurrent validity with the Neurological Impairment Scale (NIS), the Functional Independence Measure (FIM), and the Community Integration Questionnaire (CIQ). The clinician NPCS showed good–excellent inter-rater reliability, and the patient NPCS demonstrated good–excellent test–retest reliability. Absolute agreement was moderate–excellent across all clinician and patient items. Concurrent validity was significant, with large correlations between clinician NPCS-Needs and the NIS and FIM total scores, and small–medium correlations between the clinician and patient NPCS-Gets and the NIS and FIM total scores. There were no significant correlations between the NPCS and the CIQ. The study findings support the use of the Norwegian version of the NPCS to assess met and unmet healthcare and support needs for Norwegian-speaking adults with neurological disabilities. Full article

(This article belongs to the Special Issue Traumatic Brain Injury (TBI): Clinical Updates and Perspectives)

Other

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15 pages, 1019 KiB

Open AccessSystematic Review

Nursing Interventions to Prevent Secondary Injury in Critically Ill Patients with Traumatic Brain Injury: A Scoping Review

by Rita Figueiredo, Cidália Castro and Júlio Belo Fernandes

J. Clin. Med. 2024, 13(8), 2396; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13082396 - 19 Apr 2024

Viewed by 291

Abstract

Background: Traumatic brain injury is a prevalent health issue with significant social and economic impacts. Nursing interventions are crucial in preventing secondary injury and improving patient prognosis. This scoping seeks to map and analyze the existing scientific evidence on nursing interventions aimed at preventing secondary injuries in critically ill patients with traumatic brain injury. Methods: The review was conducted according to Arksey and O’Malley’s methodological framework. The electronic databases Pubmed, MEDLINE Complete, CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, Cochrane Central Register of Controlled Trials, and Cochrane Clinical Answers were consulted in May 2023. We included articles published in English and Portuguese between 2010 and 2023. Results: From the initial search, 277 articles were identified, with 15 meeting the inclusion criteria for the review. Nursing interventions for TBI patients include neuromonitoring, therapeutics, analytical surveillance, professional training, and family support. Nurses play a crucial role in detecting neurological changes, administering treatments, monitoring metabolic markers, training staff, and involving families. These interventions aim to prevent secondary injury and improve patient outcomes. Conclusions: By prioritizing evidence-based practice and utilizing innovative technologies, nurses enhance TBI patient care and contribute to overall well-being. Full article

(This article belongs to the Special Issue Traumatic Brain Injury (TBI): Clinical Updates and Perspectives)

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