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Patient-Centered Approaches to Cognitive Assessment in Acute TBI

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Abstract

Purpose of the Review

The purpose of this article is to help clinicians understand how underlying pathophysiologies and medical comorbidities associated with acute traumatic brain injury (TBI) can impact assessment of cognition during the initial stages of recovery. Clinicians can use information from this article to develop assessment plans rooted in patient-centered care.

Recent Findings

The authors conducted a review of the literature related to the assessment of cognition in acute TBI, focusing on pathophysiology, medical comorbidities, and assessment approaches.

Summary

Results indicated that TBI pathophysiologies associated with white and gray matter changes make many patients vulnerable to cognitive deficits. Acute comorbidities such as psychological and pain status influence cognitive abilities as well. The current approaches to cognitive assessment can be limited in many ways, though by using the patient’s neuropathological profile, noted comorbidities, and other patient specific factors, clinicians can potentially improve the effectiveness of assessment.

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Authors and Affiliations

  1. Department of Communication Sciences and Disorders, North Carolina Central University, 700 Cecil Street, Durham, NC, 27707, USA

    Leslie W. Johnson

  2. Department of Rehabilitation Services, University of North Carolina Hospitals, Chapel Hill, NC, USA

    Carley Prenshaw & Amber Corbin

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Correspondence to Leslie W. Johnson.

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Johnson, L.W., Prenshaw, C. & Corbin, A. Patient-Centered Approaches to Cognitive Assessment in Acute TBI. Curr Neurol Neurosci Rep 23, 59–66 (2023). https://doi.org/10.1007/s11910-023-01253-7

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