BFAM Member Spotlights

Meet the members of the Stanford Medicine Black Faculty Affinity Meetings (BFAM), a network created through OFDD's Community Support Initiative. BFAM is intended to provide networking and social engagement opportunities for Stanford Medicine faculty across all clinical lines and departments.

Odette Harris, MD, MPH

Neurosurgery

Vice Chair, Diversity Director, Brain Injury
Deputy Chief of Staff, Rehab. (VAPAHCS)

Research Interests
Traumatic Brain Injury

What are some of your favorite restaurants?
Coconuts

What are some of your favorite social activities?
Dinners

Full Stanford Profile

Paralyzed Veterans of America Professor of Spinal Cord Injury Medicine

(650) 723-5573 (650) 493-5000 ext. 62212

odette@stanford.edu

Publications

Rationale and Methods for Updated Guidelines for the Management of Penetrating Traumatic Brain Injury. Neurotrauma reports Hawryluk, G. W., Selph, S., Lumba-Brown, A., Totten, A. M., Ghajar, J., Aarabi, B., Ecklund, J., Shackelford, S., Adams, B., Adelson, D., Armonda, R. A., Benjamin, J., Boone, D., Brody, D., Dengler, B., Figaji, A., Grant, G., Harris, O., Hoffer, A., Kitigawa, R., Latham, K., Neal, C., Okonkwo, D. O., Pannell, D., Rosenfeld, J. V., Rosenthal, G., Rubiano, A., Stein, D. M., Stippler, M., Talbot, M., Valadka, A., Wright, D. W., Davis, S., Bell, R. 2022; 3 (1): 240-247 More

Abstract

Penetrating traumatic brain injury (pTBI) affects civilian and military populations resulting in significant morbidity, mortality, and healthcare costs. No up-to-date and evidence-based guidelines exist to assist modern medical and surgical management of these complex injuries. A preliminary literature search revealed a need for updated guidelines, supported by the Brain Trauma Foundation. Methodologists experienced in TBI guidelines were recruited to support project development alongside two cochairs and a diverse steering committee. An expert multi-disciplinary workgroup was established and vetted to inform key clinical questions, to perform an evidence review and the development of recommendations relevant to pTBI. The methodological approach for the project was finalized. The development of up-to-date evidence- and consensus-based clinical care guidelines and algorithms for pTBI will provide critical guidance to care providers in the pre-hospital and emergent, medical, and surgical settings.

View details for DOI 10.1089/neur.2022.0008

View details for PubMedID 35919507

View details for PubMedCentralID PMC9279118
Rationale and Methods for Updated Guidelines for the Management of Penetrating Traumatic Brain Injury NEUROTRAUMA REPORTS Hawryluk, G. J., Selph, S., Lumba-Brown, A., Totten, A. M., Ghajar, J., Aarabi, B., Ecklund, J., Shackelford, S., Adams, B., Adelson, D., Armonda, R. A., Benjamin, J., Boone, D., Brody, D., Dengler, B., Figaji, A., Grant, G., Harris, O., Hoffer, A., Kitigawa, R., Latham, K., Neal, C., Okonkwo, D. O., Pannell, D., Rosenfeld, J., Rosenthal, G., Rubiano, A., Stein, D. M., Stippler, M., Talbot, M., Valadka, A., Wright, D. W., Davis, S., Bell, R. 2022; 3 (1): 240-247 More

View details for DOI 10.1089/neur.2022.0008

View details for Web of Science ID 000813892800001
Sex differences in cortical thickness and diffusion properties in patients with traumatic brain injury: a pilot study. Brain injury Adamson, M. M., Main, K., Harris, O. A., Kang, X. 1800: 1-15 More

Abstract

OBJECTIVE: Cortical thickness and diffusion properties are important measures of gray and white matter integrity in those with traumatic brain injury (TBI). Many studies show that healthy adult females have greater cortical thickness than males across numerous brain sites. In this study, we explored this sex difference in patients with TBI.METHOD: Participants consisted of 32 patients with TBI and 21 neurologically healthy controls. All were scanned by magnetic resonance imaging (MRI). Differences in cortical thickness and diffusion properties were examined between groups (i.e., TBI/control, male/female).RESULTS: Patients with TBI had more cortical thinning (both hemispheres) compared to controls. They also showed decreased fractional anisotropy (FA) for several major white matter tracts. Healthy females had significantly greater cortical thickness compared to healthy males. However, this difference was smaller among the patients with TBI. We found no sex differences in diffusion properties. There were moderate correlations between cortical thickness, diffusion properties, and cognitive performance, as measured by the Trail Making Test B.CONCLUSION: These findings contribute to a growing discussion on sex differences in cortical thickness and diffusion properties. Sexual dimorphism could necessitate different clinical profiles, targets, and rehabilitation strategies in patients with TBI.

View details for DOI 10.1080/02699052.2022.2034046

View details for PubMedID 35113752
Developing a National Trauma Research Action Plan (NTRAP): Results from the Neurotrauma Research Panel Delphi Survey. The journal of trauma and acute care surgery Stein, D. M., Braverman, M. A., Phuong, J., Shipper, E., Price, M. A., Bixby, P. J., Adelson, P. D., Ansel, B. M., Cifu, D. X., DeVine, J. G., Galvagno, S. M., Gelb, D. E., Harris, O., Kang, C. S., Kitagawa, R. S., McQuillan, K. A., Patel, M. B., Robertson, C. S., Salim, A., Shutter, L., Valadka, A. B., Bulger, E. M., Adelson, P. D., Ansel, B. M., Chesnut, R. M., Cifu, D. X., DeVine, J. G., Galvagno, S. M., Gelb, D. E., Giacino, J. T., Harris, O., Hawryluk, G., Kang, C. S., Kitagawa, R. S., Manley, G. T., McQuillan, K. A., Merck, L. H., Okonkwo, D. O., Patel, M. B., Robertson, C. S., Salim, A., Shackelford, C. S., Sheth, K. N., Shutter, L., Stein, D. M., Valadka, A. B., Wade, C. E., Whyte, J., And the NTRAP Neurotrauma Panel Group 1800 More

Abstract

BACKGROUND: In 2016, the National Academies of Science, Engineering and Medicine (NASEM) called for the development of a National Trauma Research Action Plan (NTRAP). The Department of Defense funded the Coalition for National Trauma Research (CNTR) to generate a comprehensive research agenda spanning the continuum of trauma and burn care. Given the public health burden of injuries to the central nervous system, Neurotrauma was one of 11 panels formed to address this recommendation with a gap analysis and generation of high-priority research questions.METHODS: We recruited interdisciplinary experts to identify gaps in the neurotrauma literature, generate research questions, and prioritize those questions using a consensus-driven Delphi survey approach. We conducted four Delphi rounds in which participants generated key research questions and then prioritized the importance of the questions on a 9-point Likert scale. Consensus was defined as ≥60% of panelists agreeing on the priority category. We then coded research questions using an NTRAP taxonomy of 118 research concepts, which were consistent across all 11 panels.RESULTS: Twenty-eight neurotrauma experts generated 675 research questions. Of these, 364 (53.9%) reached consensus, and 56 were determined to be high priority (15.4%), 303 were deemed to be medium priority (83.2%), and 5 were low priority (1.4%). The research topics were stratified into three groups - severe traumatic brain injury (TBI), mild TBI (mTBI), and spinal cord injury (SCI). The number of high-priority questions for each subtopic was 46 for severe TBI (19.7%), 3 for mTBI (4.3%) and 7 for SCI (11.7%).CONCLUSIONS: This Delphi gap analysis of neurotrauma research identified 56 high-priority research questions. There are clear areas of focus for severe TBI, mild TBI and SCI that will help guide investigators in future neurotrauma research. Funding agencies should consider these gaps when they prioritize future research.LEVEL OF EVIDENCE: IV.TYPE OF STUDY: Delphi panel gap analyses.

View details for DOI 10.1097/TA.0000000000003527

View details for PubMedID 35001020
Headache Diary Mobile Application for Monitoring and Characterizing Posttraumatic Headaches. The Journal of head trauma rehabilitation Liu, K., Madrigal, E., Chung, J. S., Broffman, J. I., Bennett, N., Tsai, A., Adamson, M. M., Harris, O. A., Timmerman, M. 2022 More

Abstract

This study analyzed the data collected using a headache diary mobile application to characterize posttraumatic headaches (PTHs) in a sample of US veterans. Specifically, we measured patient engagement with the mobile application and compared our findings with previous literature regarding PTHs.A Headache Center of Excellence (HCoE) in a Veterans Health Administration facility.Forty-nine veterans currently being treated for ongoing PTH-related complaints with English fluency, reliable access to the internet, and a mobile phone.Observational study of PTH characteristics using the mobile application over the course of 1 year.Main outcome measures were collected via a headache diary mobile application developed for patients to track headache-associated symptoms, headache location, triggers, type, intensity, and duration. Patients also completed a baseline Headache Impact Test (HIT-6) survey.In total, 1569 entries were completed during the first year of application deployment. On average, patients completed 2.5 entries per week and used the application for 70 days. They frequently reported associated PTH symptoms of photophobia (56.7%) and headaches triggered by emotional stress (35.1%). Network analyses revealed patterns of co-occurrence in triggers of headache pain, associated symptoms, and headache pain location. Headache pain severity and impact ratings from the headache diary demonstrated convergent validity with the established HIT-6 measure.Headache diary mobile applications are a promising tool for monitoring and characterizing PTHs in veterans. Present results mirror past studies of PTH characteristics. Mobile application headache diaries may be used in both clinical and research settings to monitor headache symptoms and communicate the functional impact of headaches in real time.

View details for DOI 10.1097/HTR.0000000000000771

View details for PubMedID 35293366

see all 34 publications

BFAM Member Spotlights

Odette Harris, MD, MPH

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