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Real Recovery Time for mTBI: New Study Concludes Difficulties at 1 Year Post-mTBI are Common

A new study published in JAMA Neurology further debunks the myth often heard by defense doctors in litigation: everyone recovers from an mTBI within 6 to 8 weeks.

The study compared the persistent, injury-related functional limitations following mild traumatic brain injuries to those following orthopedic traumas.

The researchers concluded “most patients with mTBI presenting to US level I trauma centers report persistent, injury-related life difficulties at 1 year post injury.” This suggests the need for more systematic follow-ups for patients with mTBI to reduce the risk of chronic issues.

The study examined a total of 1453 patients at 11 level I trauma center emergency departments or inpatient units who met inclusion criteria (ie, mTBI [n = 1154] or peripheral orthopedic traumatic injury [n = 299]). All participants were enrolled in the study within 24 hours of injury. mTBI participants had admission GCS scores of 13 to 15 and clinical head CT scans. Patients with peripheral orthopedic trauma injury served as the control (OTC) group.

Of the 1453 participants, 953 (65.6%) were men; mean (SD) age was 40.9 (17.1) years in the mTBI group and 40.9 (15.4) years in the OTC group.

At two weeks post-injury, most participants (mTBI, 87%; OTC, 93%) reported functional limitations (GOSE <8).

At 12 months post-injury, the percentage of mTBI participants reporting functional limitations was 53% (95% CI, 49%-56%) while the OTC group's percentage was considerably lower, with 38% (95% CI, 30%-45%) still reporting functional limitations. A higher percentage of CT+ patients reported impairment (61%) compared with the mTBI CT− group (49%; relative risk [RR], 1.24; 95% CI, 1.08-1.43) and a higher percentage in the mTBI CT−group compared with the OTC group (RR, 1.28; 95% CI, 1.02-1.60).

Reference:

  • “Recovery After Mild Traumatic Brain Injury in Patients Presenting to US Level I Trauma Centers A Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) Study”, Lindsay D. Nelson, PhD; Nancy R. Temkin, PhD; Sureyya Dikmen, PhD; et al (JAMA Neurol. Published online June 3, 2019)

Zimmer Biomet, Inc. Recalls Spinal Fusion and Long Bone Stimulators Due to Lack of Adequate Validation and Controls to Ensure Product Cleanliness T

Posted by Stephen Osborne | Feb 01, 2019 | 0 Comments

https://www.fda.gov/MedicalDevices/Safety/ListofRecalls/ucm626704.htm The FDA has identified this as a Class I recall the most serious type of recall. Use of these devices may cause serious injuries or death.Recalled Products: Osteogen Implantable Bone Growth Stimulator, SpF PLUS-Mini Implantabl...

Deaths Linked to Vascu-Guard Patch

Posted by Stephen Osborne | Sep 22, 2016 | 0 Comments

Baxter Vascu-Guard Peripheral Vascular Patch Linked to Deaths and Surgical Adverse Events Washington, DC: The FDA has issued a warning regarding Baxter International Inc.'s Vascu-Guard Peripheral Vascular Patch (also referred to as the Vascu-Guard patch). The agency has recently received multipl...

Ski and Snowboard Helmets Recall

Posted by Stephen Osborne | Feb 22, 2016 | 0 Comments

Head USA Recalls Ski and Snowboard Helmets Due to Head Injury Hazard. Click here to read more information regarding this important recall.http://www.cpsc.gov/en/Recalls/2016/Head-USA-Recalls-Ski-and-Snowboard-Helmets/#.VsY2aFeUnsE.email

Honda Issues Recall over Defective Airbags

Posted by Stephen Osborne | Nov 12, 2014 | 0 Comments

American Honda Motor Co. (Honda) has issued a recall concerning defective airbags in certain model year 2001-2005 Honda Civic, 2003-2004 Civic CNG and Element, 2002-2005 CR-V, 2002-2004 Odyssey, 2003-2005 Accord, Pilot, Civic Hybrid, and Acura MDX, 2005 Acura RL and 2006 Honda Ridgeline vehicles ...

Infant Pacifiers Recalled Due to Choking Hazard

Posted by Stephen Osborne | Nov 10, 2014 | 0 Comments

Name of product:Fred & Friends Chill Baby Artiste, Volume and Panic pacifiers Hazard: The pacifiers fail to meet federal safety standards. The beard on the Artiste and the knob on the Volume pacifiers can detach, posing a choking Recall Details This recall involves three styles of Fred &a...

New Studies Show: “CAPS” on Damages Ruin Health Care

Posted by Stephen Osborne | Nov 05, 2014 | 0 Comments

NEW STUDIES SHOW: “CAPS” ON DAMAGES RUIN HEALTH CAREIt is now indisputable that “caps” on compensation in medical malpractice cases (so-called “tortreform”) harm not just injured patients and their families. They are also wrecking health care foreveryone else. Three new studies by esteemed academ...

Uninsured trauma patients are much more likely to die

Posted by Stephen Osborne | Mar 25, 2010 | 0 Comments

The risk of dying from traumatic injuries is 80% higher for those without any insurance, a study says. ER physicians say they're surprised by the findings. By Karen KaplanNovember 17, 2009Los Angeles Times Patients who lack health insurance are more likely to die from car accidents and other tr...

Harvard Medical Practice Study

Posted by Stephen Osborne | Mar 25, 2010 | 0 Comments

Incidence of adverse events and negligence in hospitalizedpatients: results of the Harvard Medical Practice Study I The following is an overview of the study. For the entire study, click here to download the PDF. Background: As part of an interdisciplinary study of medical injury and malpracti...

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