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Traumatic Brain Injury (TBI)—Long-Term Care

Jeremy Golding, FAAFP, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Traumatic brain injury (TBI) is caused by external trauma to the brain and may result in chronic impairment of physical, cognitive, and psychosocial function.

  • Mild TBI (mTBI) is synon...

DIAGNOSIS

HISTORY

  • Most symptoms begin immediately but may manifest as many as 30 days after the primary injury (1) .

  • New symptoms: those that manifest 30 days or more after the primary injury are unlik...

TREATMENT

GENERAL MEASURES

  • Most patients with chronic symptoms after mTBI are best managed in the primary care setting with a symptom-driven approach in management.

  • Screening for depression

  • Multidiscipli...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Regularly scheduled primary care appointments are recommended. 

DIET

Ensure adequate hydration and nutrition. 

PATIENT EDUCATION

  • Brain Injury Networ...

REFERENCES

1
Department of Veterans Affairs, Department of Defense. VA/DoD clinical practice guideline for the management of concussion-mild traumatic brain injury. Washington, DC: Department of Vetera...

CODES

ICD10

  • S06.0X0S Concussion without loss of consciousness, sequela

  • S06.9X9S Unsp intracranial injury w LOC of unsp duration, sequela

  • S06.0X1S Concussion w LOC of 30 minutes or less, sequela

  • S06.0X2S C...

CLINICAL PEARLS

  • TBI can cause chronic neurologic and nonneurologic manifestations.

  • Recovery from TBI is a slow process and is best managed by a primary care provider with regular scheduled appointments...

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