Raj G Kumar1, Jessica M Ketchum2,3, Flora M Hammond4,5, Thomas A Novack6, Therese M O'Neil-Pirozzi7,8, Marc A Silva9,10,11,12, Kristen Dams-O'Connor1,13. 1. Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York. 2. Research Department, Craig Hospital, Englewood. 3. Traumatic Brain Injury Model Systems National Data and Statistical Center, Craig Hospital, Englewood. 4. Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis. 5. Rehabilitation Hospital of Indiana,Indianapolis. 6. Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham. 7. Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston. 8. Department of Communication Sciences and Disorders, Northeastern University, Boston. 9. Mental Health and Behavioral Sciences Service, James A. Haley Veterans' Hospital, Tampa. 10. Department of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa. 11. Department of Psychology, University of South Florida, Tampa. 12. Defense and Veterans' Brain Injury Center, Tampa. 13. Department of Neurology, Icahn School of Medicine at Mount Sinai, New York.
Abstract
OBJECTIVES: To evaluate associations between traumatic brain injury (TBI) and presence of health conditions, and to compare associations of health and cognition between TBI cases and controls. METHODS: This matched case-control study used data from the TBI Model Systems National Database (TBI cases) and Midlife in the United States II and Refresher studies (controls). 248 TBI cases were age-, sex-, race-, and education-matched without replacement to three controls. Cases and controls were compared on prevalence of 18 self-reported conditions, self-rated health, composite scores from the Brief Test of Adult Cognition by Telephone. RESULTS: The following conditions were significantly more prevalent among TBI cases versus controls: anxiety/depression (OR = 3.12, 95% CI: 2.20, 4.43, p < .001), chronic sleeping problems (OR = 2.76, 95% CI: 1.86, 4.10, p < .001), headache/migraine (OR = 2.61, 95% CI: 1.50, 4.54, p = .0007), and stroke (OR = 6.42, 95% CI: 2.93, 14.10, p < .001). The relationship between self-rated health and cognition significantly varied by TBI (pinteraction = 0.002). CONCLUSION: Individuals with TBI have greater odds of selected neurobehavioral conditions compared to their demographically similar uninjured peers. Among persons with TBI there was a stronger association between poorer self-rated health and cognition than controls. TBI is increasingly conceptualized as a chronic disease; current findings suggest post-TBI health management requires cognitive supports.
OBJECTIVES: To evaluate associations between traumatic brain injury (TBI) and presence of health conditions, and to compare associations of health and cognition between TBI cases and controls. METHODS: This matched case-control study used data from the TBI Model Systems National Database (TBI cases) and Midlife in the United States II and Refresher studies (controls). 248 TBI cases were age-, sex-, race-, and education-matched without replacement to three controls. Cases and controls were compared on prevalence of 18 self-reported conditions, self-rated health, composite scores from the Brief Test of Adult Cognition by Telephone. RESULTS: The following conditions were significantly more prevalent among TBI cases versus controls: anxiety/depression (OR = 3.12, 95% CI: 2.20, 4.43, p < .001), chronic sleeping problems (OR = 2.76, 95% CI: 1.86, 4.10, p < .001), headache/migraine (OR = 2.61, 95% CI: 1.50, 4.54, p = .0007), and stroke (OR = 6.42, 95% CI: 2.93, 14.10, p < .001). The relationship between self-rated health and cognition significantly varied by TBI (pinteraction = 0.002). CONCLUSION: Individuals with TBI have greater odds of selected neurobehavioral conditions compared to their demographically similar uninjured peers. Among persons with TBI there was a stronger association between poorer self-rated health and cognition than controls. TBI is increasingly conceptualized as a chronic disease; current findings suggest post-TBI health management requires cognitive supports.
Authors: Charles H Bombardier; Jesse R Fann; Nancy R Temkin; Peter C Esselman; Jason Barber; Sureyya S Dikmen Journal: JAMA Date: 2010-05-19 Impact factor: 56.272
Authors: Victor G Coronado; Lisa C McGuire; Kelly Sarmiento; Jeneita Bell; Michael R Lionbarger; Christopher D Jones; Andrew I Geller; Nayla Khoury; Likang Xu Journal: J Safety Res Date: 2012-08-25