Claire Jourdan1, Philippe Azouvi, François Genêt, Nicolas Selly, Loic Josseran, Alexis Schnitzler. 1. From the Département de Médecine Physique et de Réadaptation, CHU Montpellier, Montpellier, France (CJ); HANDIReSP EA 4047, Université de Versailles Saint-Quentin, UFR des Sciences de la Santé - Simone Veil, Montigny-Le-Bretonneux, France (CJ, PA, NS, LJ, AS); Service de Médecine Physique et de Réadaptation, APHP CHU Raymond Poincaré, Garches, France (PA, FG, LJ, AS); CIC-IT 1429, Garches, France (FG); « End:icap » U1179 INSERM, Université Versailles Saint-Quentin en Yvelines, UFR des Sciences de la Santé - Simone Veil, Montigny-Le-Bretonneux, France (FG); and Département d'Information Médicale, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond Poincaré, Garches, France (LJ).
Abstract
OBJECTIVE: The aim of the study was to measure the prevalence of traumatic brain injury (TBI)-related disability and health status in the general population. DESIGN: The French National Survey, conducted in households and institutions, assessed 33,896 adults. Data included sequelae from TBI, impairments, current health conditions, and uses of health services. Analyses, adjusted for age and sex, compared subjects who declared sequelae from TBI (n = 479) with the remaining survey population (n = 33,287). Use of weighting factors ensured that results were representative of the national population. RESULTS: Prevalence of persistent sequelae from TBI in France was 704/100,000. Median time since injury was 14 yrs. For all Core Set items of the International Classification of Functioning, subjects with TBI reported more impairments than the control population: adjusted odds ratios from 1.7 (behavioral difficulties) to 8.6 (motor difficulties). Rates of cardiovascular, respiratory, musculoskeletal, digestive, urological, neurological, and psychiatric conditions were higher in the TBI population. Use of health services was greater, and women with TBI had higher rates of unmet health needs. CONCLUSIONS: Persistent sequelae from TBI significantly affect health in the general population. Planning of post-TBI care should address the chronic needs of these persons.
OBJECTIVE: The aim of the study was to measure the prevalence of traumatic brain injury (TBI)-related disability and health status in the general population. DESIGN: The French National Survey, conducted in households and institutions, assessed 33,896 adults. Data included sequelae from TBI, impairments, current health conditions, and uses of health services. Analyses, adjusted for age and sex, compared subjects who declared sequelae from TBI (n = 479) with the remaining survey population (n = 33,287). Use of weighting factors ensured that results were representative of the national population. RESULTS: Prevalence of persistent sequelae from TBI in France was 704/100,000. Median time since injury was 14 yrs. For all Core Set items of the International Classification of Functioning, subjects with TBI reported more impairments than the control population: adjusted odds ratios from 1.7 (behavioral difficulties) to 8.6 (motor difficulties). Rates of cardiovascular, respiratory, musculoskeletal, digestive, urological, neurological, and psychiatric conditions were higher in the TBI population. Use of health services was greater, and women with TBI had higher rates of unmet health needs. CONCLUSIONS: Persistent sequelae from TBI significantly affect health in the general population. Planning of post-TBI care should address the chronic needs of these persons.