OBJECTIVE: To determine statewide, population-based outcomes of persons hospitalized with traumatic brain injury (TBI) at 1 year postinjury. DESIGN: Follow-up survey of a representative cohort. SETTING: A statewide, population-based registry and follow-up system for persons hospitalized with TBI. PARTICIPANTS: A total of 1591 adult Coloradoans with moderate and severe injury oversampled, but weighted to be representative of persons hospitalized with TBI (1996-1999) who survived their injuries and completed follow-up telephone interviews at 1 year postinjury. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Checklists of symptoms and service utilization, the FIM instrument trade mark, the Craig Handicap Assessment and Reporting Technique Short Form, a single-item quality of life (QOL) measure, and a needs assessment checklist. RESULTS: Problematic outcomes occurring at 1 year postinjury included one third or more being bothered by fatigue, feeling irritable or grouchy, having headaches, and experiencing trouble sleeping more frequently than preinjury; 37% reported needing the assistance of another person in physical and/or cognitive activities of daily living; substantial participation restrictions were noted in areas of occupation (30%) and social integration (22%); and 29% responded that their QOL was only fair or poor. Negative outcomes were reported more frequently among individuals who were more severely injured, older, or female. CONCLUSIONS: Substantial percentages of people hospitalized with TBI in a population-based sample reported a variety of problematic outcomes at 1 year postinjury.
OBJECTIVE: To determine statewide, population-based outcomes of persons hospitalized with traumatic brain injury (TBI) at 1 year postinjury. DESIGN: Follow-up survey of a representative cohort. SETTING: A statewide, population-based registry and follow-up system for persons hospitalized with TBI. PARTICIPANTS: A total of 1591 adult Coloradoans with moderate and severe injury oversampled, but weighted to be representative of persons hospitalized with TBI (1996-1999) who survived their injuries and completed follow-up telephone interviews at 1 year postinjury. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Checklists of symptoms and service utilization, the FIM instrument trade mark, the Craig Handicap Assessment and Reporting Technique Short Form, a single-item quality of life (QOL) measure, and a needs assessment checklist. RESULTS: Problematic outcomes occurring at 1 year postinjury included one third or more being bothered by fatigue, feeling irritable or grouchy, having headaches, and experiencing trouble sleeping more frequently than preinjury; 37% reported needing the assistance of another person in physical and/or cognitive activities of daily living; substantial participation restrictions were noted in areas of occupation (30%) and social integration (22%); and 29% responded that their QOL was only fair or poor. Negative outcomes were reported more frequently among individuals who were more severely injured, older, or female. CONCLUSIONS: Substantial percentages of people hospitalized with TBI in a population-based sample reported a variety of problematic outcomes at 1 year postinjury.
Authors: Janiece L Walker; Tracie C Harrison; Adama Brown; Roland J Thorpe; Sarah L Szanton Journal: Disabil Health J Date: 2016-03-09 Impact factor: 2.554
Authors: Anbesaw W Selassie; Dulaney A Wilson; E Elisabeth Pickelsimer; Delia C Voronca; Nolan R Williams; Jonathan C Edwards Journal: Ann Epidemiol Date: 2013-09-20 Impact factor: 3.797
Authors: James E Graham; Dawn M Radice-Neumann; Timothy A Reistetter; Flora M Hammond; Marcel Dijkers; Carl V Granger Journal: Arch Phys Med Rehabil Date: 2010-01 Impact factor: 3.966
Authors: Benjamin Anders; Oliver Ommen; Holger Pfaff; Markus Lüngen; Rolf Lefering; Sonja Thüm; Christian Janssen Journal: Psychosoc Med Date: 2013-06-17