Publications by authors named "Mary Carlile"
Background: Deep venous thrombosis (DVT) is a major cause of mortality and morbidity after traumatic brain injury (TBI). There is no consensus regarding appropriate screening, prophylaxis, or treatment during acute rehabilitation.
Methods: This prospective observational study evaluated prophylactic anticoagulation during rehabilitation in patients with TBI aged 16 years or older admitted to 12 TBI Model Systems rehabilitation centers (July 2004-December 2007).
Objective: To determine whether older persons are at increased risk for progressive functional decline after traumatic brain injury (TBI).
Design: Longitudinal cohort study.
Setting: Traumatic Brain Injury Model Systems (TBIMS) rehabilitation centers.
Objective: Ethnic disparities have been demonstrated in several diseases, but not in trauma. We hypothesized that access to acute rehabilitation and long-term functional outcomes among traumatic brain injury (TBI) patients are influenced by patient race and ethnicity.
Methods: Patients with severe TBI (Abbreviated Injury Scale [AIS] score, 3-5) who were discharged alive from initial hospitalization were recruited from an urban Level I trauma center (1998-2005).
Background: Assessment of injury severity is important in the management of patients with brain trauma. We aimed to analyze the usefulness of the head abbreviated injury score (AIS), the injury severity score (ISS), and the Glasgow Coma Scale (GCS) as measures of injury severity and predictors of outcome after traumatic brain injury (TBI).
Methods: Data were prospectively collected from 410 patients with TBI.
Statistical information showing an upward trend in trauma and health care costs for injured motorcycle riders in recent years has been presented by the Centers for Disease Control and Prevention, the National Center for Injury Prevention and Control, the National Highway Traffic Safety Administration, the National Trauma Data Bank, the Texas Department of Health (TDH), and the EMS/Trauma Registry. Using the National Hospital Discharge Survey and the TDH Bureau of State Health Data and Policy Analysis, the TDH Injury Epidemiology and Surveillance Program confirms this alarming development. Current Texas motorcycle laws in the Transportation Code (revised 661.
View Article and Find Full Text PDFObjective: To determine national patterns of screening, prophylaxis, and treatment of deep venous thrombosis (DVT) following traumatic brain injury (TBI) within the Traumatic Brain Injury Model Systems (TBIMS).
Design: e-mail survey instrument.
Setting: Multicenter Regional TBIMS.
Clinical trials aimed at developing therapies for traumatic brain injury (TBI) require outcome measures that are reliable, validated, and easily administered. The most widely used of these measures, the Glasgow Outcome Scale (GOS) and the GOS-Extended (GOS-E), have been criticized as suffering from ceiling effects. In an attempt to develop a more useful and dynamic outcome measure, the Functional Status Examination (FSE) was developed, which grades outcome across 10 functional domains.
View Article and Find Full Text PDFBackground: Late posttraumatic seizures are a common complication of moderate and severe traumatic brain injury. Inheritance of the apolipoprotein E (APOE) epsilon4 allele is associated with increased risk of Alzheimer disease, progression to disability in multiple sclerosis, and poor outcome after traumatic brain injury.
Objective: To determine whether inheritance of APOE epsilon4 is associated with increased risk of developing late posttraumatic seizures.