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Author Neeraj Badjatia

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Admission Features Associated With Paroxysmal Sympathetic Hyperactivity After Traumatic Brain Injury: A Case-Control Study.

Jamie E Podell, Serenity S Miller, Matthew N Jaffa, Mehrnaz Pajoumand, Michael Armahizer, Huanwen Chen, Hemantkumar Tripathi, Gary T Schwartzbauer, Wan-Tsu W Chang, Gunjan Y Parikh, Peter Hu, Neeraj Badjatia,

<h4>Objectives</h4>Paroxysmal sympathetic hyperactivity occurs in a subset of critically ill traumatic brain injury patients and has been associated with worse outcomes after traumatic brain injury. The goal of this study was to identify admission risk factors for the development of paroxysmal sympathetic hyperactivity in traumatic brain injury patients.<h4>Design</h4>Retrospective case-control study ... Read more >>

Crit Care Med (Critical care medicine)
[2021, 49(10):e989-e1000]

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Relationship Between Nutrition Intake and Outcome After Subarachnoid Hemorrhage: Results From the International Nutritional Survey.

Neeraj Badjatia, Alice Ryan, H Alex Choi, Gunjan Y Parikh, Xuran Jiang, Andrew G Day, Daren K Heyland,

<h4>Background</h4>A previous study suggested an association between low caloric intake(CI), negative nitrogen balance, and poor outcome after subarachnoid hemorrhage(SAH). Objective of this multinational, multicenter study was to investigate whether clinical outcomes vary by protein intake(PI) or CI in SAH patients adjusting for the nutritional risk as judged by the modified ... Read more >>

J Intensive Care Med (Journal of intensive care medicine)
[2021, 36(10):1141-1148]

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Pathological Computed Tomography Features Associated With Adverse Outcomes After Mild Traumatic Brain Injury: A TRACK-TBI Study With External Validation in CENTER-TBI.

Esther L Yuh, Sonia Jain, Xiaoying Sun, Dana Pisica, Mark H Harris, Sabrina R Taylor, Amy J Markowitz, Pratik Mukherjee, Jan Verheyden, Joseph T Giacino, Harvey S Levin, Michael McCrea, Murray B Stein, Nancy R Temkin, Ramon Diaz-Arrastia, Claudia S Robertson, Hester F Lingsma, David O Okonkwo, Andrew I R Maas, Geoffrey T Manley, , Opeolu Adeoye, Neeraj Badjatia, Kim Boase, Yelena Bodien, John D Corrigan, Karen Crawford, Sureyya Dikmen, Ann-Christine Duhaime, Richard Ellenbogen, V Ramana Feeser, Adam R Ferguson, Brandon Foreman, Raquel Gardner, Etienne Gaudette, Luis Gonzalez, Shankar Gopinath, Rao Gullapalli, J Claude Hemphill, Gillian Hotz, C Dirk Keene, Joel Kramer, Natalie Kreitzer, Chris Lindsell, Joan Machamer, Christopher Madden, Alastair Martin, Thomas McAllister, Randall Merchant, Lindsay Nelson, Laura B Ngwenya, Florence Noel, Amber Nolan, Eva Palacios, Daniel Perl, Miri Rabinowitz, Jonathan Rosand, Angelle Sander, Gabriella Satris, David Schnyer, Seth Seabury, Arthur Toga, Alex Valadka, Mary Vassar, Ross Zafonte,

<h4>Importance</h4>A head computed tomography (CT) with positive results for acute intracranial hemorrhage is the gold-standard diagnostic biomarker for acute traumatic brain injury (TBI). In moderate to severe TBI (Glasgow Coma Scale [GCS] scores 3-12), some CT features have been shown to be associated with outcomes. In mild TBI (mTBI; GCS ... Read more >>

JAMA Neurol (JAMA neurology)
[2021, 78(9):1137-1148]

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Verticalization for Refractory Intracranial Hypertension: A Case Series.

Brittany Bolduc Lachance, WanTsu Chang, Melissa Motta, Gunjan Parikh, Jamie Podell, Neeraj Badjatia, J Marc Simard, Gary T Schwartzbauer, Nicholas A Morris,

<h4>Background</h4>Severe intracranial hypertension is strongly associated with mortality. Guidelines recommend medical management involving sedation, hyperosmotic agents, barbiturates, hypothermia, and surgical intervention. When these interventions are maximized or are contraindicated, refractory intracranial hypertension poses risk for herniation and death. We describe a novel intervention of verticalization for treating intracranial hypertension refractory ... Read more >>

Neurocrit Care (Neurocritical care)
[2021, :]

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Dynamic Intracranial Pressure Waveform Morphology Predicts Ventriculitis.

Murad Megjhani, Kalijah Terilli, Lakshman Kalasapudi, Justine Chen, John Carlson, Serenity Miller, Neeraj Badjatia, Peter Hu, Angela Velazquez, David J Roh, Sachin Agarwal, Jan Claassen, E S Connolly, Xiao Hu, Nicholas Morris, Soojin Park,

<h4>Background</h4>Intracranial pressure waveform morphology reflects compliance, which can be decreased by ventriculitis. We investigated whether morphologic analysis of intracranial pressure dynamics predicts the onset of ventriculitis.<h4>Methods</h4>Ventriculitis was defined as culture or Gram stain positive cerebrospinal fluid, warranting treatment. We developed a pipeline to automatically isolate segments of intracranial pressure waveforms ... Read more >>

Neurocrit Care (Neurocritical care)
[2021, :]

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Functional Outcomes Over the First Year After Moderate to Severe Traumatic Brain Injury in the Prospective, Longitudinal TRACK-TBI Study.

Michael A McCrea, Joseph T Giacino, Jason Barber, Nancy R Temkin, Lindsay D Nelson, Harvey S Levin, Sureyya Dikmen, Murray Stein, Yelena G Bodien, Kim Boase, Sabrina R Taylor, Mary Vassar, Pratik Mukherjee, Claudia Robertson, Ramon Diaz-Arrastia, David O Okonkwo, Amy J Markowitz, Geoffrey T Manley, , Opeolu Adeoye, Neeraj Badjatia, M Ross Bullock, Randall Chesnut, John D Corrigan, Karen Crawford, Ann-Christine Duhaime, Richard Ellenbogen, V Ramana Feeser, Adam R Ferguson, Brandon Foreman, Raquel Gardner, Etienne Gaudette, Dana Goldman, Luis Gonzalez, Shankar Gopinath, Rao Gullapalli, J Claude Hemphill, Gillian Hotz, Sonia Jain, C Dirk Keene, Frederick K Korley, Joel Kramer, Natalie Kreitzer, Chris Lindsell, Joan Machamer, Christopher Madden, Alastair Martin, Thomas McAllister, Randall Merchant, Laura B Ngwenya, Florence Noel, Amber Nolan, Eva Palacios, Daniel Perl, Ava Puccio, Miri Rabinowitz, Jonathan Rosand, Angelle Sander, Gabriella Satris, David Schnyer, Seth Seabury, Mark Sherer, Arthur Toga, Alex Valadka, Kevin Wang, John K Yue, Esther Yuh, Ross Zafonte,

<h4>Importance</h4>Moderate to severe traumatic brain injury (msTBI) is a major cause of death and disability in the US and worldwide. Few studies have enabled prospective, longitudinal outcome data collection from the acute to chronic phases of recovery after msTBI.<h4>Objective</h4>To prospectively assess outcomes in major areas of life function at 2 ... Read more >>

JAMA Neurol (JAMA neurology)
[2021, 78(8):982-992]

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Repetitive Traumatic Brain Injury Among Older Adults.

Aparna Vadlamani Chauhan, Jack Guralnik, Susan dosReis, John D Sorkin, Neeraj Badjatia, Jennifer S Albrecht,

<h4>Objective</h4>To determine the incidence of and assess risk factors for repetitive traumatic brain injury (TBI) among older adults in the United States.<h4>Design</h4>Retrospective cohort study.<h4>Setting</h4>Administrative claims data obtained from the Centers for Medicare & Medicaid Services' Chronic Conditions Data Warehouse.<h4>Participants</h4>Individuals 65 years or older and diagnosed with TBI between July 2008 ... Read more >>

J Head Trauma Rehabil (The Journal of head trauma rehabilitation)
[2021, :]

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Prognostic Value of Hemorrhagic Brainstem Injury on Early Computed Tomography: A TRACK-TBI Study.

John R Williams, Edwin Nieblas-Bedolla, Abdullah Feroze, Christopher Young, Nancy R Temkin, Joseph T Giacino, David O Okonkwo, Geoffrey T Manley, Jason Barber, Sharon Durfy, Amy J Markowitz, Esther L Yu, Pratik Mukherjee, Christine L Mac Donald, ,

<h4>Background</h4>Traumatic brainstem injury has yet to be incorporated into widely used imaging classification systems for traumatic brain injury (TBI), and questions remain regarding prognostic implications for this TBI subgroup. To address this, retrospective data on patients from the multicenter prospective Transforming Research and Clinical Knowledge in TBI study were studied.<h4>Methods</h4>Patients ... Read more >>

Neurocrit Care (Neurocritical care)
[2021, :]

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Regionalization of Critical Care in the United States: Current State and Proposed Framework From the Academic Leaders in Critical Care Medicine Task Force of the Society of the Critical Care Medicine.

Sharon Leung, Stephen M Pastores, John M Oropello, Craig M Lilly, Samuel M Galvagno, Neeraj Badjatia, Judith Jacobi, Daniel L Herr, Jason David Oliveira, ,

<h4>Objectives</h4>The Society of Critical Care Medicine convened its Academic Leaders in Critical Care Medicine taskforce on February 22, 2016, during the 45th Critical Care Congress to develop a series of consensus papers with toolkits for advancing critical care organizations in North America. The goal of this article is to propose ... Read more >>

Crit Care Med (Critical care medicine)
[2021, :]

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Development of a Resting Energy Expenditure Estimation in Patients Undergoing Targeted Temperature Management with a Surface Gel Pad Temperature Modulating Device.

Neeraj Badjatia, Joseph Haymore, Marc E Voorhees, Kevin Goundry, Corey Lewis, Gabriella Judd, Stephanie Sanchez,

Targeted temperature management (TTM) directly impacts energy expenditure via temperature modulation and shivering associated with temperature modulating devices. We hypothesized that resting energy expenditure (REE) can be accurately estimated utilizing data obtained from a surface gel pad temperature modulating device (TMD) and demographic factors. Baseline demographic data, along with concurrent ... Read more >>

Ther Hypothermia Temp Manag (Therapeutic hypothermia and temperature management)
[2021, :]

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Pain Trajectories Following Subarachnoid Hemorrhage are Associated with Continued Opioid Use at Outpatient Follow-up.

Matthew N Jaffa, Ruchira M Jha, Jonathan Elmer, Adam Kardon, Jamie E Podell, Benjamin E Zusman, Madeleine C Smith, J Marc Simard, Gunjan Y Parikh, Michael J Armahizer, Neeraj Badjatia, Nicholas A Morris,

<h4>Background</h4>Subarachnoid hemorrhage (SAH) is characterized by the worst headache of life and associated with long-term opioid use. Discrete pain trajectories predict chronic opioid use following other etiologies of acute pain, but it is unknown whether they exist following SAH. If discrete pain trajectories following SAH exist, it is uncertain whether ... Read more >>

Neurocrit Care (Neurocritical care)
[2021, :]

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Evidence for Andexanet Alpha in Reversing Intracerebral Hemorrhage due to Factor Xa Inhibitors?

Michael J Armahizer, Neeraj Badjatia,

Stroke (Stroke)
[2021, 52(6):2106-2108]

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Studies Utilizing Therapeutic Hypothermia and Targeted Temperature Management.

Neeraj Badjatia, Benjamin S Abella, Kees H Polderman, Romergryko G Geocadin, Robert Silbergleit,

Ther Hypothermia Temp Manag (Therapeutic hypothermia and temperature management)
[2021, 11(2):71-75]

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A prospective, real-world, clinical pharmacokinetic study to inform lacosamide dosing in critically ill patients undergoing continuous venovenous haemofiltration (PADRE-02).

Shamir N Kalaria, Michael Armahizer, Paul McCarthy, Neeraj Badjatia, Jogarao V Gobburu, Mathangi Gopalakrishnan,

<h4>Aims</h4>Although the use of continuous renal replacement therapy (CRRT) has increased, limited dosing information exists on the effect of CRRT on antiepileptic drug pharmacokinetics. The objectives of this practice-based study are to evaluate the pharmacokinetics of lacosamide and recommend individualized dosing recommendations in critically ill patients receiving continuous venovenous haemofiltration ... Read more >>

Br J Clin Pharmacol (British journal of clinical pharmacology)
[2021, :]

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Early Stage Longitudinal Subcortical Volumetric Changes following Mild Traumatic Brain Injury.

Jiachen Zhuo, Li Jiang, Chandler Sours Rhodes, Steven Roys, Karthikamanthan Shanmuganathan, Hegang Chen, Jerry L Prince, Neeraj Badjatia, Rao P Gullapalli,

<b>Objective</b>: To investigate early brain volumetric changes from acute to 6 months following mild traumatic brain injury (mTBI) in deep gray matter regions and their association with patient 6-month outcome.<b>Methods</b>: Fifty-six patients with mTBI underwent MRI and behavioral evaluation at acute (<10 days) and approximately 1 and 6 months post injury. Regional volume ... Read more >>

Brain Inj (Brain injury)
[2021, 35(6):725-733]

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Comparison of a Continuous Noninvasive Temperature to Monitor Core Temperature Measures During Targeted Temperature Management.

Melissa Wagner, Krista Lim-Hing, Mary Ann Bautista, Brigid Blaber, Taghi Ryder, Joseph Haymore, Neeraj Badjatia,

<h4>Background</h4>Temperature modulating devices (TMD) currently utilize core temperature measurements during targeted temperature management (TTM) that are currently limited to esophageal (Et), bladder (Bt), or rectal (Rt) temperatures. We assessed the ability of a continuous noninvasive temperature monitor to accurately approximate core temperature during TTM.<h4>Methods</h4>All patients undergoing TTM using a gel ... Read more >>

Neurocrit Care (Neurocritical care)
[2021, 34(2):449-455]

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Association of Refractory Pain in the Acute Phase After Subarachnoid Hemorrhage With Continued Outpatient Opioid Use.

Matthew N Jaffa, Jamie E Podell, Madeleine C Smith, Arshom Foroutan, Adam Kardon, Wan-Tsu W Chang, Melissa Motta, Gunjan Y Parikh, Kevin N Sheth, Neeraj Badjatia, Michael J Armahizer, J Marc Simard, Nicholas A Morris,

<h4>Objective</h4>Little is known about the prevalence of continued opioid use following aneurysmal subarachnoid hemorrhage (aSAH) despite guidelines recommending their use during the acute phase of disease. We sought to determine prevalence of opioid use following aSAH and test the hypothesis that acute pain and higher inpatient opioid dose increased outpatient ... Read more >>

Neurology (Neurology)
[2021, 96(19):e2355-e2362]

Cited: 1 time

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Impact of Fever Prevention in Brain-Injured Patients (INTREPID): Study Protocol for a Randomized Controlled Trial.

David M Greer, Jaime Ritter, Raimund Helbok, Neeraj Badjatia, Sang-Bae Ko, Mary Guanci, Kevin N Sheth,

<h4>Background</h4>Multiple studies demonstrate that fever/elevated temperature is associated with poor outcomes in patients with vascular brain injury; however, there are no conclusive studies that demonstrate that fever prevention/controlled normothermia is associated with better outcomes. The primary objective of the INTREPID (Impact of Fever Prevention in Brain-Injured Patients) trial is to ... Read more >>

Neurocrit Care (Neurocritical care)
[2021, :]

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Triage of Patients with Intracerebral Hemorrhage to Comprehensive Versus Primary Stroke Centers.

Nikhil M Patel, Quincy K Tran, Paul Capobianco, Timothy Traynor, Michael J Armahizer, Melissa Motta, Gunjan Y Parikh, Neeraj Badjatia, Wan-Tsu Chang, Nicholas A Morris,

<h4>Objectives</h4>The management of patients admitted with intracerebral hemorrhage (ICH) mostly occurs in an ICU. While guidelines recommend initial treatment of these patients in a neurocritical care or stroke unit, there is limited data on which patients would benefit most from transfer to a comprehensive stroke center where on-site neurosurgical coverage ... Read more >>

J Stroke Cerebrovasc Dis (Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association)
[2021, 30(5):105672]

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Safety and Feasibility of a Novel Transnasal Cooling Device to Induce Normothermia in Febrile Cerebrovascular Patients.

Neeraj Badjatia, Nidhi Gupta, Stephanie Sanchez, Joseph Haymore, Hemantkumar Tripathi, Rushil Shah, Casey Hannan, Harikrishna Tandri,

<h4>Background</h4>Inducing normothermia with surface cooling temperature modulating devices (TMDs) is cumbersome and often associated with significant shivering. We tested the safety and feasibility of a novel transnasal evaporative cooling device to induce and maintain normothermia in febrile patients following ischemic and hemorrhagic stroke.<h4>Methods</h4>A single-center study utilizing the CoolStat® transnasal cooling ... Read more >>

Neurocrit Care (Neurocritical care)
[2021, 34(2):500-507]

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Temperature Management in Neurological and Neurosurgical Intensive Care Unit.

Patrick Lyden, Rishi Gupta, Mypinder Sekhon, Neeraj Badjatia,

Ther Hypothermia Temp Manag (Therapeutic hypothermia and temperature management)
[2021, 11(1):7-9]

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Tractography-Pathology Correlations in Traumatic Brain Injury: A TRACK-TBI Study.

Amber L Nolan, Cathrine Petersen, Diego Iacono, Christine L Mac Donald, Pratik Mukherjee, Andre van der Kouwe, Sonia Jain, Allison Stevens, Bram R Diamond, Ruopeng Wang, Amy J Markowitz, Bruce Fischl, Daniel P Perl, Geoffrey T Manley, C Dirk Keene, Ramon Diaz-Arrastia, Brian L Edlow, ,

Diffusion tractography magnetic resonance imaging (MRI) can infer changes in network connectivity in patients with traumatic brain injury (TBI), but the pathological substrates of disconnected tracts have not been well defined because of a lack of high-resolution imaging with histopathological validation. We developed an <i>ex vivo</i> MRI protocol to analyze ... Read more >>

J Neurotrauma (Journal of neurotrauma)
[2021, 38(12):1620-1631]

Cited: 3 times

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Low-Dose Intravenous Heparin Infusion After Aneurysmal Subarachnoid Hemorrhage is Associated With Decreased Risk of Delayed Neurological Deficit and Cerebral Infarction.

Matthew J Kole, Aaron P Wessell, Beatrice Ugiliweneza, Gregory J Cannarsa, Enzo Fortuny, Jesse A Stokum, Phelan Shea, Timothy Chryssikos, Nicolas K Khattar, George A Crabill, David L Schreibman, Neeraj Badjatia, Dheeraj Gandhi, E Francois Aldrich, Robert F James, J Marc Simard,

<h4>Background</h4>Patients who survive aneurysmal subarachnoid hemorrhage (aSAH) are at risk for delayed neurological deficits (DND) and cerebral infarction. In this exploratory cohort comparison analysis, we compared in-hospital outcomes of aSAH patients administered a low-dose intravenous heparin (LDIVH) infusion (12 U/kg/h) vs those administered standard subcutaneous heparin (SQH) prophylaxis for deep vein ... Read more >>

Neurosurgery (Neurosurgery)
[2021, 88(3):523-530]

Cited: 1 time

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An update on the pharmacological management and prevention of cerebral edema: current therapeutic strategies.

Melissa Pergakis, Neeraj Badjatia, J Marc Simard,

<b>Introduction</b>: Cerebral edema is a common complication of multiple neurological diseases and is a strong predictor of outcome, especially in traumatic brain injury and large hemispheric infarction.<b>Areas Covered</b>: Traditional and current treatments of cerebral edema include treatment with osmotherapy or decompressive craniectomy at the time of clinical deterioration. The authors ... Read more >>

Expert Opin Pharmacother (Expert opinion on pharmacotherapy)
[2021, 22(8):1025-1037]

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High-Sensitivity C-Reactive Protein is a Prognostic Biomarker of Six-Month Disability after Traumatic Brain Injury: Results from the TRACK-TBI Study.

Linda B Xu, John K Yue, Frederick Korley, Ava M Puccio, Esther L Yuh, Xiaoying Sun, Miri Rabinowitz, Mary J Vassar, Sabrina R Taylor, Ethan A Winkler, Ross C Puffer, Hansen Deng, Michael McCrea, Murray B Stein, Claudia S Robertson, Harvey S Levin, Sureyya Dikmen, Nancy R Temkin, Joseph T Giacino, Pratik Mukherjee, Kevin K W Wang, David O Okonkwo, Amy J Markowitz, Sonia Jain, Geoffrey T Manley, Ramon Diaz-Arrastia, ,

Systemic inflammation impacts outcome after traumatic brain injury (TBI), but most TBI biomarker studies have focused on brain-specific proteins. C-reactive protein (CRP) is a widely used biomarker of inflammation with potential as a prognostic biomarker after TBI. The <u>T</u>ransforming <u>R</u>esearch and <u>C</u>linical <u>K</u>nowledge in <u>T</u>raumatic <u>B</u>rain <u>I</u>njury (TRACK-TBI) study prospectively ... Read more >>

J Neurotrauma (Journal of neurotrauma)
[2021, 38(7):918-927]

Cited: 3 times

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