Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective
Abstract Background Traumatic brain injury (TBI) is a global public health challenge, affecting about 69 million individuals annually and being one of the leading causes of mortality. It has adverse consequences in terms of cognitive and physical functioning, which makes rehabilitation interventions...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Medicine |
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| Online Access: | https://doi.org/10.1186/s12916-023-03009-z |
| _version_ | 1797559176265728000 |
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| author | Franklin Chu Buh Peter J. A. Hutchinson Fahim Anwar |
| author_facet | Franklin Chu Buh Peter J. A. Hutchinson Fahim Anwar |
| author_sort | Franklin Chu Buh |
| collection | DOAJ |
| description | Abstract Background Traumatic brain injury (TBI) is a global public health challenge, affecting about 69 million individuals annually and being one of the leading causes of mortality. It has adverse consequences in terms of cognitive and physical functioning, which makes rehabilitation interventions an integral part of its management. Early neuro-rehabilitation guidelines for traumatic brain injury have not yet been developed and implemented in most of Africa especially Sub-Saharan Africa. Body We aimed with this Opinion to propose a collective reflection on the development and implementation of early neuro-rehabilitation guidelines as an integral part of the care in traumatic brain injury. The different aspects to be considered for reflection have been highlighted: Traumatic brain injury severity to be considered in early neuro-rehabilitation; who should be assessed and receive early neurorehabilitation, barriers to be considered for early neurorehabilitation; what early neurorehabilitation to be considered; the different phases involved in rehabilitation after mild, moderate, and severe TBI; and lastly, what perspective for the creation of neurorehabilitation teams. In conclusion, neuro-rehabilitation should start at the time of admission and should continue from the intensive care unit through the community for the moderate-to-severe traumatic brain injury population. However, mild TBI should also be considered for long-term follow-up in the community due to the fact that some mild traumatic brain injury patients might develop chronic cognitive problems or fatigue with time. Conclusion Neurorehabilitation should start at the time of admission and continue from the intensive care unit through the community for the moderate-to-severe traumatic brain injury population. There is a need to develop, agree on, and implement guidelines on early neuro-rehabilitation interventions for patients with moderate to severe traumatic brain injury in the African region, where disparities in care are common reality. |
| first_indexed | 2024-03-10T17:40:44Z |
| format | Article |
| id | doaj.art-59eca0067940454bb483b05460724d9c |
| institution | Directory Open Access Journal |
| issn | 1741-7015 |
| language | English |
| last_indexed | 2024-03-10T17:40:44Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medicine |
| spelling | doaj.art-59eca0067940454bb483b05460724d9c2023-11-20T09:41:22ZengBMCBMC Medicine1741-70152023-08-012111810.1186/s12916-023-03009-zEarly neuro-rehabilitation in traumatic brain injury: the need for an African perspectiveFranklin Chu Buh0Peter J. A. Hutchinson1Fahim Anwar2Department of Animal Biology and Conservation, Faculty of Science, University of BueaDepartment of Clinical Neuroscience, University of CambridgeDepartment of Rehabilitation Medicine, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation TrustAbstract Background Traumatic brain injury (TBI) is a global public health challenge, affecting about 69 million individuals annually and being one of the leading causes of mortality. It has adverse consequences in terms of cognitive and physical functioning, which makes rehabilitation interventions an integral part of its management. Early neuro-rehabilitation guidelines for traumatic brain injury have not yet been developed and implemented in most of Africa especially Sub-Saharan Africa. Body We aimed with this Opinion to propose a collective reflection on the development and implementation of early neuro-rehabilitation guidelines as an integral part of the care in traumatic brain injury. The different aspects to be considered for reflection have been highlighted: Traumatic brain injury severity to be considered in early neuro-rehabilitation; who should be assessed and receive early neurorehabilitation, barriers to be considered for early neurorehabilitation; what early neurorehabilitation to be considered; the different phases involved in rehabilitation after mild, moderate, and severe TBI; and lastly, what perspective for the creation of neurorehabilitation teams. In conclusion, neuro-rehabilitation should start at the time of admission and should continue from the intensive care unit through the community for the moderate-to-severe traumatic brain injury population. However, mild TBI should also be considered for long-term follow-up in the community due to the fact that some mild traumatic brain injury patients might develop chronic cognitive problems or fatigue with time. Conclusion Neurorehabilitation should start at the time of admission and continue from the intensive care unit through the community for the moderate-to-severe traumatic brain injury population. There is a need to develop, agree on, and implement guidelines on early neuro-rehabilitation interventions for patients with moderate to severe traumatic brain injury in the African region, where disparities in care are common reality.https://doi.org/10.1186/s12916-023-03009-zEarly neurorehabilitationTraumatic brain injuryAfrican perspective |
| spellingShingle | Franklin Chu Buh Peter J. A. Hutchinson Fahim Anwar Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective BMC Medicine Early neurorehabilitation Traumatic brain injury African perspective |
| title | Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective |
| title_full | Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective |
| title_fullStr | Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective |
| title_full_unstemmed | Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective |
| title_short | Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective |
| title_sort | early neuro rehabilitation in traumatic brain injury the need for an african perspective |
| topic | Early neurorehabilitation Traumatic brain injury African perspective |
| url | https://doi.org/10.1186/s12916-023-03009-z |
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