{"title":"Psychiatric outcomes and quality of life in adolescents with moderate traumatic brain injury: a 6-month follow-up study.","authors":"Yekta Özkan, Masum Öztürk, Bülent Azman, Ismail Bozkurt","doi":"10.1080/02699052.2025.2549938","DOIUrl":"10.1080/02699052.2025.2549938","url":null,"abstract":"<p><strong>Introduction: </strong>There is limited evidence regarding the association between traumatic brain injury (TBI) and the emergence of new-onset psychiatric disorders in adolescents. This prospective study analysed psychiatric disorders, quality of life, and emotional and behavioral difficulties in adolescents with TBI and orthopedic trauma at a 6-month follow-up.</p><p><strong>Methods: </strong>Adolescents with TBI and a control orthopedic trauma group (without a history of psychiatric disorders) were evaluated using both the Strengths and Difficulties Questionnaire and the Paediatric Quality of Life Inventory.</p><p><strong>Results: </strong>Forty-one adolescents with TBI and 45 with orthopedic injuries were assessed. TBI patients had significantly lower quality of life and higher levels of emotional difficulties. The prevalence of psychiatric disorders was higher in the TBI group (41.5% vs 15.6%). TBI group had higher rates of post-traumatic stress disorder and depression after 6 months. Hospitalization length and GCS scores were correlated with quality of life outcomes. Regression analysis revealed the presence of psychiatric disorders at 6 months was a significant predictor of reduced quality of life.</p><p><strong>Conclusion: </strong>This study highlights a significant association between TBI and poorer quality of life and mental health outcomes in adolescents. Adolescents with TBI had higher rates of psychiatric disorder, more pronounced emotional difficulties, and a lower quality of life.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1062-1075"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain injuryPub Date : 2025-09-01DOI: 10.1080/02699052.2025.2554249
Marc A Silva, Chad K Radwan, Nora B Arriola, Risa Nakase-Richardson
{"title":"Patient Perspectives of a Sleep Apnea Treatment Adherence Intervention Adapted for Persons with Traumatic Brain Injury.","authors":"Marc A Silva, Chad K Radwan, Nora B Arriola, Risa Nakase-Richardson","doi":"10.1080/02699052.2025.2554249","DOIUrl":"10.1080/02699052.2025.2554249","url":null,"abstract":"<p><strong>Objectives: </strong>To summarize patient perspectives after participating in a behavioral intervention designed to improve adherence to positive airway pressure therapy in Veterans with traumatic brain injury (TBI) and obstructive sleep apnea. The four-module adherence intervention was based on Motivational Interviewing and Cognitive Behavior Therapy principles and was adapted for persons with cognitive impairments.</p><p><strong>Methods: </strong>Post-intervention semi-structured interviews were conducted with 13 patients with moderate-to-severe TBI. This qualitative study used a pragmatic and deductive approach with the Health Belief Model as the overarching framework. Two qualitative researchers coded and analyzed data with saturation reached after six interviews.</p><p><strong>Results: </strong>The sample mean age was 51.4 years (SD = 10.8), who were on average 9.4 years post-TBI (SD = 10.1) and 6.8 years (SD = 5.1) post-OSA diagnosis. Patient feedback was organized into four themes that aligned with the Health Belief Model and two themes pertaining to logistics.</p><p><strong>Conclusions: </strong>Participation in this adherence intervention was associated with increased awareness of OSA severity, its impact on them, and treatment benefits. Future research should examine the effectiveness of the intervention in real world clinical settings and obtain consumer input from treating clinicians to optimize the program and patient health and functioning.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain injuryPub Date : 2025-09-01Epub Date: 2025-06-05DOI: 10.1080/02699052.2025.2514158
Xinyi Liu, Shuyue Deng, Lan Kang
{"title":"Progress in hyperbaric oxygen therapy for neonatal hypoxic-ischemic encephalopathy: mechanisms and combination therapies.","authors":"Xinyi Liu, Shuyue Deng, Lan Kang","doi":"10.1080/02699052.2025.2514158","DOIUrl":"10.1080/02699052.2025.2514158","url":null,"abstract":"<p><strong>Purpose of research: </strong>This review explores the therapeutic potential of hyperbaric oxygen therapy (HBOT) in treating neonatal hypoxic-ischemic encephalopathy (HIE), focusing on its mechanisms of action, combination strategies, and current research gaps.</p><p><strong>Principal results: </strong>HBOT enhances neuroprotection by increasing arterial oxygen content, promoting neural tissue repair, modulating gene expression, and reducing oxidative stress. When combined with therapies such as therapeutic hypothermia, neurotrophic agents, antioxidants, or phenobarbital, HBOT exhibits synergistic effects. Clinical studies have demonstrated superior outcomes with HBOT-hypothermia combinations versus monotherapies. However, current literature lacks stratified analyses based on HIE severity, head-to-head comparisons of combination strategies, and long-term follow-up data. Moreover, most existing reviews focus solely on mechanisms, underrepresenting clinical applications.</p><p><strong>Conclusions: </strong>HBOT holds promise as a non-invasive adjunct therapy for neonatal HIE, especially in combination with established treatments. Its safety has improved with advances in neonatal care, allowing broader clinical use. Nonetheless, standardized protocols, stratified clinical trials, and molecular-level studies are needed to optimize therapeutic strategies and enhance outcomes in affected infants.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"984-992"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain injuryPub Date : 2025-09-01Epub Date: 2025-06-17DOI: 10.1080/02699052.2025.2514159
Nikoleta Odorico, Mackenzie Kauth, Sarah Butt, Kylie Mallory, Nick Reed, Anne W Hunt
{"title":"Online concussion resources for young children and caregivers: a systematic search.","authors":"Nikoleta Odorico, Mackenzie Kauth, Sarah Butt, Kylie Mallory, Nick Reed, Anne W Hunt","doi":"10.1080/02699052.2025.2514159","DOIUrl":"10.1080/02699052.2025.2514159","url":null,"abstract":"<p><strong>Introduction: </strong>In Canada, concussions are common among children aged 3-12 years. Caregivers play a vital role in their child's post-concussion care, highlighting the need for resources tailored to children and caregivers. Although many online pediatric concussion resources exist, their suitability for younger children and caregivers remains unclear.</p><p><strong>Objective: </strong>To identify and assess the quality, readability, usability, and suitability of online concussion resources for children aged 3-12 years and their caregivers.</p><p><strong>Methods: </strong>A four-phased systematic search strategy was used and involved: 1) searching Canadian children's hospital websites, 2) applying pre-established inclusion/exclusion criteria, 3) evaluating content quality, and 4) evaluating resources for suitability, readability, and usability.</p><p><strong>Results: </strong>The search yielded 738 resources.17 met the final criteria. Among these, 82.4% (<i>n</i> = 14) required the ability to read text, 11.8% (<i>n</i> = 2) specified the age of the resource targeted, and 5.9% (<i>n</i> = 1) focused on return to play beyond organized sport.</p><p><strong>Conclusions: </strong>The identified resources offer accurate concussion information for children and caregivers, but lack specificity for their intended audience and accessibility for nonreaders. Future resources should consider specifying the intended age group, improving accessibility for nonreaders, and including information about important activities for this age group such as returning to active play.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"993-999"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain injuryPub Date : 2025-09-01Epub Date: 2025-05-31DOI: 10.1080/02699052.2025.2513615
Stavros Matsoukas, Sean Inzerillo, Raymond V Wedderburn, Eric L Legome, Konstantinos Margetis, Divaldo Camara
{"title":"Unraveling key determinants of cranial decompression in isolated severe traumatic brain injury: insights from a national trauma database.","authors":"Stavros Matsoukas, Sean Inzerillo, Raymond V Wedderburn, Eric L Legome, Konstantinos Margetis, Divaldo Camara","doi":"10.1080/02699052.2025.2513615","DOIUrl":"10.1080/02699052.2025.2513615","url":null,"abstract":"<p><strong>Background: </strong>Severe isolated traumatic brain injury (TBI) represents a complex and understudied population. Limited evidence exists on predictors of cranial decompression. This study aims to quantify the rate and identify factors associated with cranial decompression in severe isolated TBI using a large national database.</p><p><strong>Methods: </strong>Data from the 2019-2021 American College of Surgeons Trauma Quality Program was analyzed. Severe TBI was defined as a head Abbreviated Injury Scale (AIS) score ≥ 3. Demographics, vitals, comorbidities, and in-hospital complications were assessed using multivariable models to identify predictors of cranial decompression.</p><p><strong>Results: </strong>A total of 303,766 adults with severe isolated TBI were included (mean age 59.8; 64.2% male; 75.0% white). Cranial decompression was performed in 13.5% (<i>n</i> = 41,045). Univariate analysis showed significant differences in demographics, mechanism of injury, ICU admission, CT findings, midline shift, cerebral monitoring, blood product use, and complications. Multivariable analysis revealed that males, younger age, falls as the mechanism of injury, higher GCS, ICU admission, CT findings, need for cerebral monitoring, presence of midline shift, thromboembolism prophylaxis, and requirement for blood product transfusions, were strong predictors of cranial decompression.</p><p><strong>Conclusion: </strong>This study provides valuable insights into the independent predictors for the need of cranial decompression in severe isolated TBI patients.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1034-1041"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain injuryPub Date : 2025-09-01DOI: 10.1080/02699052.2025.2553324
Wenjing Meng, Florin Vaida, Emily L Dennis, Elisabeth A Wilde, Joanna Jacobus, Xia Yang, Michael Cheng, Emily A Troyer, Everett L Delfel, Tracy Abildskov, John R Hesselink, Erin D Bigler, Jeffrey E Max
{"title":"Differential effects of sport type on brain versus orthopedic injury and sports benefits in the adolescent brain cognitive development study.","authors":"Wenjing Meng, Florin Vaida, Emily L Dennis, Elisabeth A Wilde, Joanna Jacobus, Xia Yang, Michael Cheng, Emily A Troyer, Everett L Delfel, Tracy Abildskov, John R Hesselink, Erin D Bigler, Jeffrey E Max","doi":"10.1080/02699052.2025.2553324","DOIUrl":"https://doi.org/10.1080/02699052.2025.2553324","url":null,"abstract":"<p><strong>Background: </strong>Sports participation benefits children but increases the risk of mild traumatic brain injury (mTBI) and orthopedic injury (OI). This study examines risks of mTBI vs. OI associated with specific sports and benefits of sports participation.</p><p><strong>Method: </strong>This is a cross-sectional study analyzing baseline data from the Adolescent Brain Cognitive Development (ABCD) Study, with a sample of 11,055 children aged 9-10. Generalized linear mixed-effects models were used to examine whether the risks of mTBI and OI differed across individual sports.</p><p><strong>Results: </strong>Compared to children who had not participated in climbing, those who participated had a higher risk of mTBI than OI (ratio of odds ratio = 1.881, <i>p</i> = 0.013). Sports participation was associated with better behavioral/emotional outcomes, with stronger benefits for mTBI children compared to those with no injury (<i>p</i> = 0.043), but no significant difference between mTBI and OI groups.</p><p><strong>Conclusion: </strong>Different sports have distinct risks for mTBI and OI in children. Behavioral benefits of sports were more pronounced for children with mTBI than for uninjured children but similar between mTBI and OI groups. While causal connections cannot be established with the current study design, these findings suggest the need for sport-specific and injury-specific strategies to mitigate risks and maximize benefits of youth sports.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain injuryPub Date : 2025-09-01Epub Date: 2025-05-30DOI: 10.1080/02699052.2025.2509162
Mohini Vadalia, Naveen K Yadav
{"title":"Neurophysiological and visual effects of cannabis, nicotine, and e-cigarettes on patients with TBI: a literature review.","authors":"Mohini Vadalia, Naveen K Yadav","doi":"10.1080/02699052.2025.2509162","DOIUrl":"10.1080/02699052.2025.2509162","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this literature review was to assess and evaluate the neurophysiological and visual effects of cannabis, nicotine, and e-cigarettes on patients with traumatic brain injury (TBI).</p><p><strong>Methods: </strong>In this review, a literature search was performed using PubMed and Google Scholar resources. In addition, a literature search within cited references was also performed for this review. A total of seventy-two(72) publications as referenced were used for this review.</p><p><strong>Discussion: </strong>This literature review is intended to address the neurophysiological and visual impairments of patients with TBI through a systematic review to identify the side effects of substance abuse disorders (SUDs) and specifically describe the impacts of cannabis, nicotine, and e-cigarettes on TBI patients, and conclude the current findings.</p><p><strong>Conclusion: </strong>This systematic evaluation is beneficial for the healthcare community and provides the potential to better assess the effects of these different harmful substances on patients who have suffered trauma to their brains.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"973-983"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain injuryPub Date : 2025-09-01Epub Date: 2025-06-03DOI: 10.1080/02699052.2025.2513616
Laurie Dubois, Bénédicte Dussault, Alexandra Ribon-Demars, Valérie Poulin, Marie-Christine Ouellet, Simon Beaulieu-Bonneau
{"title":"Cognitive functioning following mild stroke in adults aged 18 to 64 years: association with participation.","authors":"Laurie Dubois, Bénédicte Dussault, Alexandra Ribon-Demars, Valérie Poulin, Marie-Christine Ouellet, Simon Beaulieu-Bonneau","doi":"10.1080/02699052.2025.2513616","DOIUrl":"10.1080/02699052.2025.2513616","url":null,"abstract":"<p><strong>Objectives: </strong>This cross-sectional study aims to describe objective and subjective cognitive functioning and to explore the relationship between cognition, participation, fatigue, and psychological symptoms, in adults aged 18-64 with mild stroke.</p><p><strong>Methods: </strong>Fifty-seven adults (mean age = 52 years; 51% women) who were hospitalized after a mild stroke were recruited. They completed a short telephone cognitive assessment and online questionnaires on average six months after stroke (range: 3-13).</p><p><strong>Results: </strong>Results suggest that mean scores of cognitive tests fell within the average normative range, although an underestimation of cognitive impairment cannot be ruled out. Moreover, compared to a normal distribution, a greater proportion of participants had average or below average cognitive performances. The most common subjective cognitive complaints were mental slowness (54% of sample), memory difficulties (51%), concentration difficulties 51%), and multitasking (47%). Objective cognitive performance was not associated with subjective cognitive complaints. Subjective cognitive complaints, performance on a cognitive flexibility test, and symptoms of anxiety, depression, post-traumatic stress, and fatigue significantly correlated with participation. Subjective cognitive functioning was the most significantly associated factor with participation according to regression analyses.</p><p><strong>Conclusion: </strong>These results raise the importance of implementing rehabilitation services that target cognitive complaints to promote better participation in this population.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1042-1051"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain injuryPub Date : 2025-09-01Epub Date: 2025-05-29DOI: 10.1080/02699052.2025.2512782
María-José Bracho, Darinka Radovic, Héctor Ureta, Christian Salas
{"title":"Knowledge, familiarity and discrimination toward acquired brain injury in Chile: findings from the public, general practitioners and neurorehabilitation professionals.","authors":"María-José Bracho, Darinka Radovic, Héctor Ureta, Christian Salas","doi":"10.1080/02699052.2025.2512782","DOIUrl":"10.1080/02699052.2025.2512782","url":null,"abstract":"<p><strong>Background: </strong>Stigma toward acquired brain injury (ABI) is often driven by a lack of knowledge and familiarity, which may reduce willingness to interact with survivors, affecting their well-being and recovery.</p><p><strong>Methods: </strong>This study explored the relationship between ABI knowledge, familiarity, and willingness to interact among the general public (<i>n</i> = 308), general practitioners (<i>n</i> = 105), and neurorehabilitation professionals (<i>n</i> = 123). A cross-sectional survey of 536 participants assessed knowledge (Common Misconceptions About Traumatic Brain Injury Questionnaire), familiarity (Familiarity Scale), and willingness to interact (Social Interaction Scale). Data were analyzed using Rasch modeling, principal component analysis, non-parametric tests, and a multivariate linear model.</p><p><strong>Results: </strong>Knowledge and familiarity explained a small yet significant portion of the variance in willingness to interact. Misconceptions were most common in the general public, yet general practitioners and rehabilitation professionals also showed gaps in understanding invisible impairments, and recovery. Rehabilitation professionals had the highest work-related familiarity, while general practitioners showed the highest willingness to interact.</p><p><strong>Discussion: </strong>Findings highlight the need for psychoeducation and contact-based interventions to reduce misconceptions and improve attitudes toward ABI survivors. Enhancing knowledge and familiarity may help reduce stigma, emphasizing the importance of further research and targeted interventions.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1000-1015"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain injuryPub Date : 2025-08-29DOI: 10.1080/02699052.2025.2547019
Simona Ferioli, Caroline Schnakers, Alfonso Magliacano, Nathan Zasler, Cecilia Ismari, Rita Formisano, Olivia Gosseries, Petra Maurer-Karattup, Erika Molteni, Brooke Murtaugh, Beth Slomine, Aurore Thibaut, Anna Estraneo
{"title":"Centers for patients with prolonged disorder of consciousness: a preliminary international map.","authors":"Simona Ferioli, Caroline Schnakers, Alfonso Magliacano, Nathan Zasler, Cecilia Ismari, Rita Formisano, Olivia Gosseries, Petra Maurer-Karattup, Erika Molteni, Brooke Murtaugh, Beth Slomine, Aurore Thibaut, Anna Estraneo","doi":"10.1080/02699052.2025.2547019","DOIUrl":"https://doi.org/10.1080/02699052.2025.2547019","url":null,"abstract":"<p><strong>Introduction: </strong>Prolonged disorders of consciousness (pDoC) patients require specialized care to support recovery and manage complications, but information regarding the location and scope of dedicated centers is lacking. We conducted an international survey among specialists in this field to identify centers serving this population and developed a publicly available online resource for care providers, families, stakeholders, and neuroscientists involved in the care and management of people with pDoC.</p><p><strong>Methods: </strong>A 17-question survey was distributed online between May 2022 and May 2024 to IBIA (International Brain Injury Association) members and sent to other professional societies involved in pDoC care. Responses were then grouped and analyzed based on geographic regions (Europe/UK, USA, and others).</p><p><strong>Results: </strong>We collected data from 153 centers across 35 countries. Most centers indicated they accepted patients of all etiologies and ages, with regional differences in length of stay, access pathways, and discharge criteria. Nearly all centers were reported to provide caregiver training and counseling. A link to the map with centers contact information had been published on the IBIA website (https://www.internationalbrain.org/membership/ibia-special-interest-groups/disorders-of-consciousness-special-interest-group/disorders-of-consciousness-programs-project).</p><p><strong>Discussion and conclusions: </strong>Our survey allowed the creation of the first preliminary international map of centers specialized in pDoC available online to families and providers. Future efforts are needed to identify other relevant centers of care, increase geographical representation, and foster collaboration to improve care accessibility and outcomes for patients with pDoC.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}