John D Corrigan1, Gale Whiteneck, Dave Mellick. 1. The Department of Physical Medicine and Rehabilitation, Dodd Hall, Ohio State University, 480 W. 9th Avenue, Columbus, OH 43210, USA. corrigan.1@osu.edu
Abstract
OBJECTIVES: (1) Provide population-based estimates of perceived needs following traumatic brain injury (TBI) and the prevalence of unmet needs 1 year postinjury; (2) identify relations among needs that define unique clusters of individuals; and (3) identify risk factors for experiencing selected needs. DESIGN: Telephone survey 1 year after injury of a prospective cohort of all people hospitalized with TBI in the state of Colorado during 2000. MEASURES: Self-reported need for assistance in 13 areas of functioning. RESULTS: A total of 58.8% of persons hospitalized with TBI experienced at least 1 need during the year following injury; 40.2% will experience at least 1 unmet need 1 year after injury. Most frequently experienced needs were "improving your memory, solving problems better" (34.1%), "managing stress, emotional upsets" (27.9%), and "managing your money, paying bills" (23.3%). Cluster analysis revealed 8 distinctive groupings of subjects. If a need existed, those least likely to be met involved cognitive abilities, employment, and alcohol and/or drug use. CONCLUSIONS: Results were consistent with findings from previous assessments of need for services based on surveys of convenience samples; however, the prevalence of unmet needs 1 year after injury may be higher than previously suspected. More post-hospital services addressing cognitive and emotional problems appear needed. Risk factors for experiencing needs suggest potential avenues for clinical intervention.
OBJECTIVES: (1) Provide population-based estimates of perceived needs following traumatic brain injury (TBI) and the prevalence of unmet needs 1 year postinjury; (2) identify relations among needs that define unique clusters of individuals; and (3) identify risk factors for experiencing selected needs. DESIGN: Telephone survey 1 year after injury of a prospective cohort of all people hospitalized with TBI in the state of Colorado during 2000. MEASURES: Self-reported need for assistance in 13 areas of functioning. RESULTS: A total of 58.8% of persons hospitalized with TBI experienced at least 1 need during the year following injury; 40.2% will experience at least 1 unmet need 1 year after injury. Most frequently experienced needs were "improving your memory, solving problems better" (34.1%), "managing stress, emotional upsets" (27.9%), and "managing your money, paying bills" (23.3%). Cluster analysis revealed 8 distinctive groupings of subjects. If a need existed, those least likely to be met involved cognitive abilities, employment, and alcohol and/or drug use. CONCLUSIONS: Results were consistent with findings from previous assessments of need for services based on surveys of convenience samples; however, the prevalence of unmet needs 1 year after injury may be higher than previously suspected. More post-hospital services addressing cognitive and emotional problems appear needed. Risk factors for experiencing needs suggest potential avenues for clinical intervention.
Authors: Nicole Zangrilli Hoh; Amy K Wagner; Sheila A Alexander; Robert B Clark; Sue R Beers; David O Okonkwo; Dianxu Ren; Yvette P Conley Journal: J Neurotrauma Date: 2010-08 Impact factor: 5.269
Authors: Meghan E Heffernan; Wei Huang; Kenneth M Sicard; Bernt T Bratane; Elif M Sikoglu; Nanyin Zhang; Marc Fisher; Jean A King Journal: J Neurotrauma Date: 2013-06-05 Impact factor: 5.269
Authors: Laxmikant S Deshpande; David A Sun; Sompong Sombati; Anya Baranova; Margaret S Wilson; Elisa Attkisson; Robert J Hamm; Robert J DeLorenzo Journal: Neurosci Lett Date: 2008-06-07 Impact factor: 3.046
Authors: David A Sun; Laxmikant S Deshpande; Sompong Sombati; Anya Baranova; Margaret S Wilson; Robert J Hamm; Robert J DeLorenzo Journal: Eur J Neurosci Date: 2008-03-25 Impact factor: 3.386