Evidence map›Paper›PMID 30465440›Full record

ArticleBrain injury2019

Discourse recovery after severe traumatic brain injury: exploring the first year.

Elise Elbourn, Belinda Kenny, Emma Power, Cynthia Honan, Skye McDonald, Robyn Tate, Audrey Holland, Brian MacWhinney, Leanne Togher

Abstract read
In one paragraph

Article in Brain injury, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Elise Elbourna Faculty of Health Sciences , The University of Sydney , Lidcombe , Australia.ORCID 0000-0003-2398-5036
Belinda Kennya Faculty of Health Sciences , The University of Sydney , Lidcombe , Australia.ORCID 0000-0002-5054-7309
Emma Powera Faculty of Health Sciences , The University of Sydney , Lidcombe , Australia.ORCID 0000-0002-2638-0406
Cynthia Honanb School of Medicine , The University of Tasmania , Hobart , Australia.ORCID 0000-0001-5735-4270
Skye McDonaldc School of Psychology , University of New South Wales , Sydney , Australia.ORCID 0000-0003-0723-6094
Robyn Tatea Faculty of Health Sciences , The University of Sydney , Lidcombe , Australia.
Audrey Hollandd Speech, Language and Hearing Sciences , The University of Arizona , Tucson , USA.
Brian MacWhinneye Department of Psychology , Carnegie Mellon University , Pittsburgh , USA.
Leanne Toghera Faculty of Health Sciences , The University of Sydney , Lidcombe , Australia.ORCID 0000-0002-4518-6748

Funding

RHDBank Database DevelopmentR01DC008524 · NIDCD · CARNEGIE-MELLON UNIVERSITY · PI BRIAN MACWHINNEY · 2007 to 2026
$7.0M
A shared database for the study of the development of language fluencyR01DC015494 · NIDCD · CARNEGIE-MELLON UNIVERSITY · PI MACWHINNEY, BRIAN · 2016 to 2020
$1.6M
NIDCD NIH HHS R01 DC008524NIDCD NIH HHS R01 DC015494
6 · The paper itself

Abstract

objectivesAlthough much is known about discourse impairment, little is known about discourse recovery after severe traumatic brain injury (TBI). This paper explores discourse recovery across the critical first year, controlling for pre-injury, injury and post-injury variables. DESIGN AND

methodsAn inception cohort comprising 57 participants with severe TBI was examined at 3, 6, 9 and 12 months post-injury and compared to a cross-section of matched healthy control participants. A narrative discourse task was analyzed with main concept analysis (MCA). A mixed linear model approach was used to track recovery controlling for pre-injury, injury and post-injury variables.

resultsAn upward trajectory of recovery was observed, with peak periods of improvement between 3-6 and 9-12 months and all time points were significantly below controls. Years of education and PTA duration were significant covariates in the recovery model. Presence of aphasia also influenced the recovery model.

conclusionsIndividuals with TBI typically improve over the first year, however many will continue to have discourse deficits at 12 months. Years of education, PTA duration and aphasia should be considered when planning services. The 3-6- and 9-12-month periods may offer optimal periods for discourse recovery and increased supports may be beneficial between 6-9 months.

Indexed as

Recovery of FunctionAdolescentAdultAgedAphasiaBrain Injuries, TraumaticCohort StudiesCommunicationCommunication DisordersCross-Sectional StudiesEducational StatusEmploymentFemaleHumansLongitudinal StudiesMalecognitive-communicationdiscourserecoveryspeech pathologyTraumatic brain injury

Identifiers

PMID30465440
PMCPMC8906198

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.