Factors associated with long-term functional and psychological outcomes in persons with moderate to severe traumatic brain injury.
Identifieur interne : 001843 ( Main/Corpus ); précédent : 001842; suivant : 001844Factors associated with long-term functional and psychological outcomes in persons with moderate to severe traumatic brain injury.
Auteurs : Fary Khan ; Bhasker Amatya ; Rodney Judson ; Pearl Chung ; Melinda Truesdale ; Alaeldin Elmalik ; Mary P. GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2016.
English descriptors
- KwdEn :
- Accidents, Traffic (MeSH), Adult (MeSH), Aged (MeSH), Brain Injuries, Traumatic (complications), Brain Injuries, Traumatic (psychology), Brain Injuries, Traumatic (rehabilitation), Cognition Disorders (etiology), Community Integration (MeSH), Cross-Sectional Studies (MeSH), Depression (etiology), Disability Evaluation (MeSH), Disabled Persons (psychology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Outcome Assessment, Health Care (methods), Pain (etiology), Prognosis (MeSH), Prospective Studies (MeSH), Quality of Life (MeSH), Surveys and Questionnaires (MeSH), Young Adult (MeSH).
- MESH :
- complications : Brain Injuries, Traumatic.
- etiology : Cognition Disorders, Depression, Pain.
- methods : Outcome Assessment, Health Care.
- psychology : Brain Injuries, Traumatic, Disabled Persons.
- rehabilitation : Brain Injuries, Traumatic.
- Accidents, Traffic, Adult, Aged, Community Integration, Cross-Sectional Studies, Disability Evaluation, Female, Humans, Male, Middle Aged, Prognosis, Prospective Studies, Quality of Life, Surveys and Questionnaires, Young Adult.
Abstract
OBJECTIVE
To examine factors impacting long-term functional and psychological outcomes in persons with moderate-severe traumatic brain injury.
METHODS
A prospective cross-sectional study (n = 103) assessed the long-term (up to 5 years) impact of traumatic brain injury on participants' current activity and restriction in participation using validated questionnaires.
RESULTS
Participants' median age was 49.5 years (interquartile range (IQR) 20.4-23.8), the majority were male (77%), and 49% had some form of previous rehabilitation. The common causes of traumatic brain injury were falls (42%) and motor vehicle accidents (27%). Traumatic brain injury-related symptoms were: pain/headache (47%), dizziness (36%), bladder/bowel impairment (34%), and sensory-perceptual deficits (34%). Participants reported minimal change in their physical function and cognition (Functional Assessment Measure: motor (median 102, IQR 93-111) and cognition (median 89, IQR 78-95)). Participants were well-adjusted to community-living; however, they reported high levels of depression. Factors significantly associated with poorer current level of functioning/well-being included: older age (≥ 60 years), presence of traumatic brain injury-related symptoms, a lack of previous rehabilitation and those classified in "severe disability categories" at admission. Caregivers reported high levels of strain and burden (55%).
CONCLUSION
Cognitive and psychosocial problems are more commonly reported than physical disability in the longer-term. A greater focus on participation and ageing with disability in these persons is needed.
DOI: 10.2340/16501977-2084
PubMed: 27058885
Links to Exploration step
pubmed:27058885Le document en format XML
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<author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name>
<affiliation><nlm:affiliation>Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. fary.khan@mh.org.au.</nlm:affiliation>
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<author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name>
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<author><name sortKey="Judson, Rodney" sort="Judson, Rodney" uniqKey="Judson R" first="Rodney" last="Judson">Rodney Judson</name>
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<author><name sortKey="Chung, Pearl" sort="Chung, Pearl" uniqKey="Chung P" first="Pearl" last="Chung">Pearl Chung</name>
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<author><name sortKey="Truesdale, Melinda" sort="Truesdale, Melinda" uniqKey="Truesdale M" first="Melinda" last="Truesdale">Melinda Truesdale</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Factors associated with long-term functional and psychological outcomes in persons with moderate to severe traumatic brain injury.</title>
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<author><name sortKey="Truesdale, Melinda" sort="Truesdale, Melinda" uniqKey="Truesdale M" first="Melinda" last="Truesdale">Melinda Truesdale</name>
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<series><title level="j">Journal of rehabilitation medicine</title>
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<term>Aged (MeSH)</term>
<term>Brain Injuries, Traumatic (complications)</term>
<term>Brain Injuries, Traumatic (psychology)</term>
<term>Brain Injuries, Traumatic (rehabilitation)</term>
<term>Cognition Disorders (etiology)</term>
<term>Community Integration (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Depression (etiology)</term>
<term>Disability Evaluation (MeSH)</term>
<term>Disabled Persons (psychology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Outcome Assessment, Health Care (methods)</term>
<term>Pain (etiology)</term>
<term>Prognosis (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Quality of Life (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Injuries, Traumatic</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cognition Disorders</term>
<term>Depression</term>
<term>Pain</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Brain Injuries, Traumatic</term>
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<keywords scheme="MESH" xml:lang="en"><term>Accidents, Traffic</term>
<term>Adult</term>
<term>Aged</term>
<term>Community Integration</term>
<term>Cross-Sectional Studies</term>
<term>Disability Evaluation</term>
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<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To examine factors impacting long-term functional and psychological outcomes in persons with moderate-severe traumatic brain injury.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A prospective cross-sectional study (n = 103) assessed the long-term (up to 5 years) impact of traumatic brain injury on participants' current activity and restriction in participation using validated questionnaires.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Participants' median age was 49.5 years (interquartile range (IQR) 20.4-23.8), the majority were male (77%), and 49% had some form of previous rehabilitation. The common causes of traumatic brain injury were falls (42%) and motor vehicle accidents (27%). Traumatic brain injury-related symptoms were: pain/headache (47%), dizziness (36%), bladder/bowel impairment (34%), and sensory-perceptual deficits (34%). Participants reported minimal change in their physical function and cognition (Functional Assessment Measure: motor (median 102, IQR 93-111) and cognition (median 89, IQR 78-95)). Participants were well-adjusted to community-living; however, they reported high levels of depression. Factors significantly associated with poorer current level of functioning/well-being included: older age (≥ 60 years), presence of traumatic brain injury-related symptoms, a lack of previous rehabilitation and those classified in "severe disability categories" at admission. Caregivers reported high levels of strain and burden (55%).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Cognitive and psychosocial problems are more commonly reported than physical disability in the longer-term. A greater focus on participation and ageing with disability in these persons is needed.</p>
</div>
</front>
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<AbstractText Label="METHODS" NlmCategory="METHODS">A prospective cross-sectional study (n = 103) assessed the long-term (up to 5 years) impact of traumatic brain injury on participants' current activity and restriction in participation using validated questionnaires.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Participants' median age was 49.5 years (interquartile range (IQR) 20.4-23.8), the majority were male (77%), and 49% had some form of previous rehabilitation. The common causes of traumatic brain injury were falls (42%) and motor vehicle accidents (27%). Traumatic brain injury-related symptoms were: pain/headache (47%), dizziness (36%), bladder/bowel impairment (34%), and sensory-perceptual deficits (34%). Participants reported minimal change in their physical function and cognition (Functional Assessment Measure: motor (median 102, IQR 93-111) and cognition (median 89, IQR 78-95)). Participants were well-adjusted to community-living; however, they reported high levels of depression. Factors significantly associated with poorer current level of functioning/well-being included: older age (≥ 60 years), presence of traumatic brain injury-related symptoms, a lack of previous rehabilitation and those classified in "severe disability categories" at admission. Caregivers reported high levels of strain and burden (55%).</AbstractText>
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