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StudiuTraumatisme cranio-cerebraleÎncredere înaltă21.06.2026

Medical Coders' Perspectives on ICD-10-CM Coding Challenges for Head and Brain Injuries in Emergency Departments

This qualitative study examines how medical coders assign diagnostic codes to head and brain injuries in emergency department settings, identifying barriers to precise coding documentation. The research reveals that inadequate clinical documentation and time constraints in triage environments lead to frequent use of nonspecific injury codes, which affects the reliability of TBI surveillance data.

StudiuTraumatisme cranio-cerebraleÎncredere înaltă21.06.2026

History of biological, mechanistic, and clinical understanding of concussion

This review traces the evolution of concussion knowledge from the 10th century to modern times, highlighting Harrison Martland's 1928 postmortem studies of boxers that first documented structural brain changes underlying 'punch drunk' syndrome. The article examines how understanding of concussion's long-term consequences has progressed to include recognition of chronic traumatic encephalopathy (CTE) in athletes and military personnel, and discusses current preventative and therapeutic research directions.

StudiuTraumatisme cranio-cerebraleÎncredere înaltă21.06.2026

Epidemiology of Head Injury and Associations with Clinical and Neuropsychological Outcomes in Older American Indians: Strong Heart Study Data

This epidemiological study examined head injury prevalence and outcomes in 818 older American Indians (mean age 73) from the Strong Heart Study, finding 40% reported prior head injury with 4-6% experiencing loss of consciousness exceeding 20 minutes. Those with previous head injury demonstrated significantly worse depressive symptoms, quality of life, fatigue, and social functioning compared to those without injury history, with male sex and prior stroke identified as independent risk factors.

StudiuTraumatisme cranio-cerebraleÎncredere bună21.06.2026

Convergence insufficiency as a predictor of poor prognosis after acute mild traumatic brain injury

This prospective study evaluated the feasibility of screening for convergence insufficiency (CI) symptoms in emergency department patients with mild traumatic brain injury using the Convergence Insufficiency Symptom Survey (CISS). Higher CISS scores were associated with adverse outcomes including post-concussive symptoms and hospital admission, suggesting oculomotor assessment may help identify patients at risk for poor recovery after mTBI.