Optimizing the electronic medical record to improve patient care and conduct quality improvement initiatives in a concussion specialty clinic.

: To use the electronic medical record (EMR) to optimize patient care, facilitate documentation, and support quality improvement and practice-based research in a concussion (mild traumatic brain injury; mTBI) clinic.: We built a customized structured clinical documentation support (SCDS) toolkit for patients in a concussion specialty clinic. The toolkit collected hundreds of fields of discrete, standardized data.

Investigating ioflupane I injection and single photon emission tomography as an imaging biomarker for long-term sequelae following mild traumatic brain injury.

Objective: To determine whether there were differences in clinical outcomes for ioflupane I injection (DaTscan) and single photon emission tomography consistent with early Parkinson's disease (PD) among individuals with a history of mild traumatic brain injury (mTBI).

Methods: We performed a case-control study among patients presenting to the Emergency Room (ER) during 2006-2013 with mTBI (cases, n = 34) or without mTBI (controls, n = 33). We performed clinical and imaging measurements in cases and controls at least 1-year post-presentation to the ER (average three years four months).

Effect of Concussion on Performance of National Football League Players.

Purpose: Lingering neurologic injury after concussion may expose athletes to increased risk if return to play is premature. The authors explored whether on-field performance after concussion is a marker of lingering neurologic injury.

Design: Retrospective cohort study on 1882 skill-position players who played in the National Football League (NFL) during 2007-2010.

A Clinical Approach to the Diagnosis of Traumatic Encephalopathy Syndrome: A Review.

Importance: Chronic traumatic encephalopathy (CTE) refers to pathologic changes that have been found in some individuals with a history of repetitive traumatic impact to the head (hereinafter referred to as head trauma). These changes cannot be assessed during the clinical evaluation of a living patient.

Observations: The neuropathologic features, taxonomy, history, role of biomarkers in diagnosis, and existing criteria of CTE are reviewed.