Brain injury rehabilitation

On behalf of Parker Thorson posted in Brain Injury on Friday, August 21, 2015.

Anticholinergics are a class of drug used to treat depression, insomnia and bladder problems. They often have been administered to patients in California who are recovering from a traumatic brain injury. However, new research has indicated that the drugs may actually interfere with the treatment and rehabilitation of patients with brain injuries.

Researchers in the United Kingdom studied patients with injuries to the brain or the spine who were treated in a neuro-rehabilitative hospital unit. Many of the patients were given anticholinergics for pain and urinary incontinence, common complications of injuries of the brain and spinal cord. However, the researchers found that the patients with higher level of anticholinergics stayed longer in the rehabilitation unit than patients with lower levels of the drugs.

California researchers say TBI guidelines may not be enough

On behalf of Parker Thorson posted in Brain Injury on Friday, August 7, 2015.

In the 1990s, the Brain Trauma Foundation came out with new guidelines to help treat patients after suffering a head injury. However, a recently-published study of 734 adults admitted to 14 trauma centers in Los Angeles in 2009 and 2010 shows that following those guidelines may not result in better outcomes for patients. The study, which was conducted by the Los Angeles County Trauma Consortium, found that there was no link between following those guidelines and the likelihood of that patient dying.

Overall, the mortality rate for patients was 20 to 50 percent. When adjusted for risk factors such as age or other medical conditions, the mortality rate was between 24.3 percent and 56.7 percent. The study also found that less than half of patients who should have gotten intracranial pressure monitoring or received a craniotomy if necessary actually did so.