Promoting Recovery in Children Who Sustain a Mild Traumatic Brain Injury: The TBI Evaluation and Management (TEaM) Toolkit

促进轻度创伤性脑损伤儿童的康复：TBI 评估和管理 (TEaM) 工具包

• 批准号: 10220816
• 负责人: Harold Kenneth Simon
• 金额: $ 54.91万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-30 至 2022-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10220816
• 关键词: Promoting; Recovery; Children; Who; Sustain

PROJECT SUMMARY In the US, it is estimated that there are over 3.8 million traumatic brain injuries (TBI) annually, which account for approximately 2.5 million emergency department visits each year. For children 14 years of age and younger, there were approximately 640,000 TBI-related emergency department (ED) visits in 2013 [CDC 2018]. Over 80% of TBI is classified as mild (mTBI), with the term concussion used interchangeably [McCrory et al., 2017; Menon et al., 2010]. In addition to EDs, urgent care centers and primary care physicians are also charged with the initial evaluation and management of patients seeking care for mTBI. Despite the benign sounding term, mTBI often has significant short and long-term consequences that can be modified by early identification, intervention and management (Yang et al., 2017; Collins et al., 2016). However, the system of care is fragmented and clinician training on appropriate evaluation, coordination of care and management is limited. To overcome these limitations, the primary aim of this study is to demonstrate that evidence- based practice and education for the patient, caregivers, clinical providers and schools is feasible and will promote recovery following a mild TBI in children and adolescents. We have developed an evidence/best-practices based TBI Evaluation and Management (TEaM) Toolkit aimed at key providers in the system of mTBI healthcare. The TEaM Toolkit leverages the electronic medical record system (eMR) and a targeted training program to improve screening, management, and linkage throughout the continuum, or what we refer to as the neighborhood of care, with a goal of producing an effective and scalable toolkit to promote recovery. !

项目概要 在美国，估计每年有超过 380 万例创伤性脑损伤 (TBI)，其中 每年约有 250 万人次到急诊科就诊。适合 14 岁及 较年轻的患者，2013 年大约有 640,000 例与 TBI 相关的急诊科 (ED) 就诊 [CDC 2018]。超过 80% 的 TBI 被归类为轻度 (mTBI)，术语脑震荡可互换使用 [McCrory 等，2017；梅农等人，2010]。除了急诊室外，急诊中心和初级保健医生也 负责对寻求 mTBI 治疗的患者进行初步评估和管理。尽管是良性的 听起来，mTBI 通常会产生重大的短期和长期后果，可以通过早期干预来改变 识别、干预和管理（Yang 等，2017；Collins 等，2016）。然而，该系统 护理是分散的，临床医生关于适当评估、护理协调和管理的培训缺乏 有限的。为了克服这些局限性，本研究的主要目的是证明证据- 基于患者、护理人员、临床提供者和学校的实践和教育是可行的并且 将促进儿童和青少年轻度 TBI 后的康复。我们开发了一个 基于证据/最佳实践的 TBI 评估和管理 (TEaM) 工具包，针对关键提供商 mTBI 医疗保健系统。 TEaM 工具包利用电子病历系统 (eMR) 和 有针对性的培训计划，以改善整个连续体的筛选、管理和联系，或者什么 我们称之为护理邻里，其目标是制作一个有效且可扩展的工具包来促进 恢复。 ！

项目成果

Implementation of active injury management (AIM) in youth with acute concussion: A randomized controlled trial.

在患有急性脑震荡的青少年中实施主动损伤管理（AIM）：一项随机对照试验。

• DOI: 10.1016/j.cct.2022.106965
• 发表时间: 2022
• 期刊: Contemporary clinical trials
• 影响因子: 2.2
• 作者: Thomas,DG;Erpenbach,H;Hickey,RW;Waltzman,D;Haarbauer-Krupa,J;Nelson,LD;Patterson,CG;McCrea,MA;Collins,MW;Kontos,AP
• 通讯作者: Kontos,AP

Application of the RE-AIM Framework for the Pediatric Mild Traumatic Brain Injury Evaluation and Management Intervention: A Study Protocol for Program Evaluation.

• DOI: 10.3389/fpubh.2021.740238
• 发表时间: 2021
• 期刊: Frontiers in public health
• 影响因子: 5.2
• 作者: Tucker PW;Bull R;Hall A;Moran TP;Jain S;Sathian U;Simon HK;Gioia GA;Ratcliff JJ;Wright DW
• 通讯作者: Wright DW