Download or read book Traumatic Brain Injury in Iowa written by Ousmane Diallo and published by . This book was released on 2012 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: Executive summary: Purpose of the report: Traumatic brain injury (TBI) is the most debilitating outcome of injury and is a major public health problem in Iowa. Individuals who have sustained TBIs must have access to trauma care, specialized rehabilitation, long-term disease management and individualized services in order to live healthy and satisfying lives. The Iowa Brain Injury Resource Network (IBIRN), which is one among many services offered by Brain Injury Association of Iowa (BIAIA), is defined as an "information and support system created to begin meeting the needs of Iowa families experiencing brain injury and the providers that assist them."1 This evaluation study set out to determine the impact of IBIRN on the lives of Iowans living with a brain injury and their families via a four-part survey. -- Methods: A retrospective cohort study design was implemented using a self-reported questionnaire to compare survivors of TBI identified from the IBIRN client list and those identified from the State Trauma Registry (STR). The analysis was limited to describing the differences between the IBIRN clients and the STR group. Statistical testing were implemented using Chi-square and Mantel Haenszel tests for categorical variables and student t-test for continuous variables. A p. value of 0.10 was considered significant. Results Highlights: Compared to STR group, IBIRN clients were more likely to receive services available to TBI survivors. They were 14 times more likely to have used the BIAIA helpline (59% vs. 5%), five times more likely to receive services through the "Brain Injury Waver" (31% vs. 10%), and three times more likely to attend support groups for people living with brain injury and their families (33% vs. 10%). Moreover, IBIRN clients were 10 times more likely to apply for social security disability insurance (74% vs. 10%) and five times more likely to receive services using other Medicaid wavers (26% vs. 5%). Over all 37% of the survey respondents were offered a tote bag. IBIRN clients were more likely than the STR group to have received the tote bag (42% vs. 25%). Among IBIRN clients who accepted the tote bag, 89% found it useful compared to 40% from STR. This finding is significant as IBIRN clients were five times more likely to report the tote bag as useful. The outreach letters that IDPH sent every quarter did not have their desired effect. Only 26% of IBIRN clients and 15% of STR group reported receiving the letters. IBIRN clients were more likely to report obstacles to receiving services compared to STR group. They were more likely to report dissatisfaction in the amount of professional help and services being provided (43% vs. 15%); more likely to report fewer resources for TBI related problems (74% vs. 25%) and having little confidence on the quality of care provided (38% vs. 15%). IBIRN clients were more likely to report negative health and social outcomes. They were less likely to rate their "health during the last four weeks" as good or very good (62% vs. 85%) and more likely to report anger and frustration within the last four weeks (57% vs. 35%). However, there were no differences between the two groups in the proportion of individuals who reported wanting to hurt themselves, feeling sad or depressed, having social and emotional support, being satisfied with life and seeing great health improvement. With regard to community reintegration as estimated by work status, IBIRN clients presented a higher proportion of unemployed (40% vs. 10%) and a higher increase in the proportion of retirees compared to the STR group. Before the occurrence of TBI, there were no retirees in the IBIRN group compared to 20% in the STR group. After the injury, 29% of the IBIRN group retired compared to 30%. Conclusion and recommendations: This evaluation finds that IBIRN has a positive impact in the lives of its clients. IBIRN clients seem to be more responsive and knowledgeable about services offered to TBI survivors. However, this does not translate into better perception of access to care and better health and social outcomes. IBIRN clients reported more obstacles in the SOS scale and more issues related to physical and emotional health. The main explanation of these findings may be the severity of the TBI. Designing better screening tool to identify TBI clients is recommended to the BIAIA. As for IDPH, trauma coordinators should collect better information on TBI patient by verifying addresses and telephone numbers.

Download or read book Traumatic Brain Injury in Iowa written by Ousmane Diallo and published by . This book was released on 2012 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose of the Report: Traumatic Brain Injury (TBI) is a major public health problem in Iowa. The numbers and rates of hospitalizations and emergency department (ED) visits resulting from TBI are steadily increasing. On the backdrop of decreasing TBI service funds appropriated to the Iowa Department of Public Health, this report intends to present a better picture of the silent epidemic using vital records and hospital discharge data to raise awareness among policymakers, researchers and the general public about the magnitude and cost of TBI in Iowa. Results Highlights: From 2006 to 2008, there were, on average, 545 TBI-related deaths per year. For every death from TBI in Iowa, there were three Iowans hospitalized and 32 who sought services in an emergency department. During the reporting period, on average, 33% of Iowans who lost their lives to injury (1,672), 10% of those hospitalized (16,289) or 7% of those who visited the emergency department visits (258,660) because of injury, did so because of TBI. -- Iowa's TBI age-adjusted mortality rate is consistent with the national rate. The mortality rate stayed close to 18 deaths per 100,000 Iowans with an age-adjusted rate of 17 per 100,000. The mortality rate for counties with less than 10,000 was 33 deaths per 100,000 and was 2.3 times greater than in counties with more than 50,000 people. -- The Iowa age-adjusted hospitalization rate in 2006 was significantly lower than the national rate. The county rate distribution showed that counties with less than 50,000 people had a greater rate of hospitalizations and ED visits. -- TBI mortality and morbidity cases were predominantly Caucasian males. Individuals over the age of 65 were more likely to die or be hospitalized for TBI. For ED visits, the age distribution displayed a bimodal distribution in the form of a U-shape with a higher peak among people 24 years and younger. -- Nearly 70% of TBI deaths and over 80% of the TBI hospitalizations and ED visits were due to unintentional injuries. Intentional injuries, including suicide attempts and assaults, constituted 28% of TBI deaths, 6% of TBI hospitalizations and 9% of TBI ED visits. -- The three leading causes of TBI deaths were motor vehicle crashes (MVC), falls and firearms. Falls were the leading cause of TBI hospitalizations and ED visits, with almost twice the magnitude of the next two causes [MVC and struck by or against (being struck on the head by an object or the head hitting against an object such as the floor or a wall)] combined. -- The leading cause of TBI death among Whites was MVC followed by falls, whereas in African Americans the leading cause of TBI related death was firearms followed by MVC. -- MVC was the main cause of TBI deaths for all Iowans under the age of 35 followed by firearms. The proportion of deaths due to MVC equaled the proportion of firearms deaths in Iowans between the ages of 35 and 54. Among the 55 to 64 years old, firearms were the leading cause of TBI related deaths in Iowa. Males were more likely than females to die, be hospitalized or visit the ED because of motor vehicle crashes and "being struck by or against". -- The average length of stay (LOS) for two leading cause of TBI, MVC and falls, was 4 and days, respectively. In terms of magnitude, falls had a higher total number of hospital stays compared to MVC. -- From 2006 to 2008, individuals who were hospitalized for TBI were discharged from the hospital back to their home (60.0%), to a long term care facility (16.7%), to a rehabilitation program (7.7%). Meanwhile, the remainder was transferred to another inpatient hospital (8.4%) and died (7.0%) during hospitalization. The magnitude of cases discharged to long-term care and rehabilitation programs brings to focus the issue of disability that can occur after a traumatic brain injury. -- Fifty-two percent of these hospitalizations and emergency department costs were paid for by private funds. Federal funding, including Medicaid and Medicare contributed to 40% of the costs of care. State and local funds (including workers compensation) carried 11 to 15% of the costs. -- Conclusions: Although this report shows a stable trend of traumatic brain injury rates in Iowa, the burden of TBI is increasing among males and older adults. TBI deaths, hospitalizations and ED visits have different characteristics by race, gender and county size. The true cost of TBI is not limited to hospital charges due to the proportion of cases that require ongoing care, services and supports including long-term care. To more fully understand the cost burden in Iowa, a more in-depth analysis is required. The state of Iowa has supported preventive services to TBI survivors for several years. With these difficult financial times, an evaluation of TBI services may bring forth evidence for the continued need and increase for these programs.

Download or read book Iowa State Plan for Brain Injury 2013 2017 written by and published by . This book was released on 2013 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Traumatic Brain Injury in Iowa written by Ousmane Diallo and published by . This book was released on 2007 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the Centers for Disease Control and Prevention, unintentional injury is the fifth leading cause of death for all age groups and the first leading cause of death for people from 1 to 44 years of age in the United States, while homicide remains the 2nd leading cause of death for 15 to 24 years old (CDC, 2006). In 2004, there were approximately 144,000 deaths due to unintentional injuries in the US; 53% of which represent people over 45 years of age (CDC, 2004). With 20,322 suicidal deaths and 13,170 homicidal deaths, intentional injury deaths affect mostly people under 45 years old. On average, there are 1,150 unintentional deaths per year in Iowa. In 2004, 37% of unintentional deaths were due to motor vehicle accidents (MTVCC) occurring across all age ranges and 30% were due to falls involving persons over 65 years of age 82% of the time (IDPH Health Stat Div., 2004). The most debilitating outcome of injury is traumatic brain injury, which is characterized by the irreversibility of its damages, long-term effects on quality of life, and healthcare costs. The latest data available from the CDC estimated that, nationally, 50,000 traumatic brain injured (TBI) people die each year; three times as many are hospitalized and more than twenty times as many are released from emergency room (ER) departments (CDC, 2006). Besides the TBI registry, brain injury data is also captured through three other data sources: 1) death certificates; 2) hospital inpatient data; and, 3) hospital outpatient data. The inpatient and outpatient hospital data are managed by the Iowa Hospital Association, which provides to Iowa Department of Public Health the hospital data without personal identifiers. (The hospitals send reports to the Agency of Health Care Research and Quality, which developed the Health Care Utilization Project and its product, the National Inpatient Sample). Methods: This report presents data about TBI hospitalizations and ER visits and not individual TBI cases from 2003 to 2005. The TBI patients were selected from the inpatient and outpatient hospital record database using the ICD9 codes identified by the Iowa Legislature as defining brain injuries (Iowa Code). The cause and type of injury was determined by the external causes of injury (E codes). The data was analyzed using the SAS software, and whenever possible a Chi-square test was applied to measure statistical significance at the 95% confidence interval.

Download or read book Injury in Iowa written by Iowa. Bureau of Emergency Medical Services and published by . This book was released on 1996 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Mild Traumatic Brain Damage Seminar written by and published by . This book was released on 1991* with total page 179 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Traumatic brain injury in children and adolescents written by Elsa Arroyos-Jurado and published by . This book was released on 2002 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Sensitivity to Future Consequences and Conversational Cues Following Traumatic Brain Injury written by Elizabeth Diane Reiss and published by . This book was released on 1996 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Gulf War and Health written by Institute of Medicine and published by National Academies Press. This book was released on 2009-03-02 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: The seventh in a series of congressionally mandated reports on Gulf War veterans health, this volume evaluates traumatic brain injury (TBI) and its association with long-term health affects. That many returning veterans have TBI will likely mean long-term challenges for them and their family members. Further, many veterans will have undiagnosed brain injury because not all TBIs have immediately recognized effects or are easily diagnosed with neuroimaging techniques. In an effort to detail the long term consequences of TBI, the committee read and evaluated some 1,900 studies that made up its literature base, and it developed criteria for inclusion of studies to inform its findings. It is clear that brain injury, whether penetrating or closed, has serious consequences. The committee sought to detail those consequences as clearly as possible and to provide a scientific framework to assist veterans as they return home.

Download or read book Management of Adults with Traumatic Brain Injury written by David Brian Arciniegas and published by American Psychiatric Pub. This book was released on 2013 with total page 598 pages. Available in PDF, EPUB and Kindle. Book excerpt: Management of Adults with Traumatic Brain Injury is an up-to-the-minute, comprehensive, and useful text designed to support busy physicians, nurses, and mental health professionals working with persons with traumatic brain injury (TBI) and their families. Understanding and improving outcomes after TBI requires consideration of the effects of biomechanical forces on the brain and the interactions between the injury, the person experiencing it, and the psychosocial context in which TBI and its consequences occur. A multidisciplinary approach to the management of persons with TBI therefore is essential. Accordingly, this book presents and synthesizes the work of internationally recognized brain injury clinicians, scientists, and educators who were selected by a team of editors with backgrounds in psychiatry, neurology, psychology, and physiatry. This broad range of perspectives enhances understanding and provides nuanced yet practical information on the neuropsychiatric management of persons with TBI. Evidence-informed, concise, and clinically rich, Management of Adults with Traumatic Brain Injury will be of enormous value to health care providers grappling with the neurological and mental health consequences of this widespread public health problem.

Download or read book Communicative Abilities Following Tramatic Brain Injury in Children and Adolescents written by Julie A. G. Stierwalt and published by . This book was released on 1997 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Head Cases written by Michael Paul Mason and published by Macmillan + ORM. This book was released on 2008-04-01 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Head Cases takes us into the dark side of the brain in an astonishing sequence of stories, at once true and strange, from the world of brain damage. Michael Paul Mason is one of an elite group of experts who coordinate care in the complicated aftermath of tragic injuries that can last a lifetime. On the road with Mason, we encounter survivors of brain injuries as they struggle to map and make sense of the new worlds they inhabit. Underlying each of these survivors' stories is an exploration of the brain and its mysteries. When injured, the brain must figure out how to heal itself, reorganizing its physiology in order to do the job. Mason gives us a series of vivid glimpses into brain science, the last frontier of medicine, and we come away in awe of the miracles of the brain's workings and astonished at the fragility of the brain and the sense of self, life, and order that resides there. Head Cases "[achieves] through sympathy and curiosity insight like that which pulses through genuine literature" (The New York Sun); it is at once illuminating and deeply affecting.

Download or read book Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-05-20 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans reviews the process by which the VA assesses impairments resulting from traumatic brain injury for purposes of awarding disability compensation. This report also provides recommendations for legislative or administrative action for improving the adjudication of veterans' claims seeking entitlement to compensation for all impairments arising from a traumatic brain injury.

Download or read book Mild Traumatic Brain Injury written by Richard J. Roberts and published by Plural Publishing. This book was released on 2010-11-15 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Translational Research in Traumatic Brain Injury written by Daniel Laskowitz and published by CRC Press. This book was released on 2016-04-21 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme

Download or read book Traumatic Brain and Spinal Cord Injury written by Cristina Morganti-Kossmann and published by Cambridge University Press. This book was released on 2012-07-19 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents the most up-to-date clinical and experimental research in neurotrauma in an illustrated, accessible, comprehensive volume.

Download or read book Love Zac written by Reid Forgrave and published by Algonquin Books. This book was released on 2021-09-07 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The story of a young man from small-town Iowa who decided to take his own life rather than continue his losing battle against the traumatic brain injuries (CTE) he had sustained as a no-holds-barred high school football player, and at the same time a larger story about the hot-button issues that football raises about masculinity and violence, and about what values we want to instill in our kids"--