Factors associated with long-term functional and psychological outcomes in persons with moderate to severe traumatic brain injury.
Identifieur interne : 001879 ( Main/Exploration ); précédent : 001878; suivant : 001880Factors associated with long-term functional and psychological outcomes in persons with moderate to severe traumatic brain injury.
Auteurs : Fary Khan [Australie] ; Bhasker Amatya ; Rodney Judson ; Pearl Chung ; Melinda Truesdale ; Alaeldin Elmalik ; Mary P. GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2016.
Descripteurs français
- KwdFr :
- Accidents de la route (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Douleur (étiologie), Dépression (étiologie), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Intégration communautaire (MeSH), Jeune adulte (MeSH), Lésions traumatiques de l'encéphale (complications), Lésions traumatiques de l'encéphale (psychologie), Lésions traumatiques de l'encéphale (rééducation et réadaptation), Mâle (MeSH), Personnes handicapées (psychologie), Pronostic (MeSH), Qualité de vie (MeSH), Sujet âgé (MeSH), Troubles de la cognition (étiologie), Études prospectives (MeSH), Études transversales (MeSH), Évaluation de l'invalidité (MeSH).
- MESH :
- psychologie : Lésions traumatiques de l'encéphale, Personnes handicapées.
- rééducation et réadaptation : Lésions traumatiques de l'encéphale.
- étiologie : Douleur, Dépression, Troubles de la cognition.
- complications : Accidents de la route, Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Intégration communautaire, Jeune adulte, Lésions traumatiques de l'encéphale, Mâle, Pronostic, Qualité de vie, Sujet âgé, Études prospectives, Études transversales, Évaluation de l'invalidité.
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
Affiliations:
Links toward previous steps (curation, corpus...)
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Galea</name></author></analytic><series><title level="j">Journal of rehabilitation medicine</title><idno type="eISSN">1651-2081</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidents, Traffic (MeSH)</term><term>Adult (MeSH)</term><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></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accidents de la route (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Douleur (étiologie)</term><term>Dépression (étiologie)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Intégration communautaire (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Lésions traumatiques de l'encéphale (complications)</term><term>Lésions traumatiques de l'encéphale (psychologie)</term><term>Lésions traumatiques de l'encéphale (rééducation et réadaptation)</term><term>Mâle (MeSH)</term><term>Personnes handicapées (psychologie)</term><term>Pronostic (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Troubles de la cognition (étiologie)</term><term>Études prospectives (MeSH)</term><term>Études transversales (MeSH)</term><term>Évaluation de l'invalidité (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Injuries, Traumatic</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cognition Disorders</term><term>Depression</term><term>Pain</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Outcome Assessment, Health Care</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Lésions traumatiques de l'encéphale</term><term>Personnes handicapées</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Brain Injuries, Traumatic</term><term>Disabled Persons</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Brain Injuries, Traumatic</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Lésions traumatiques de l'encéphale</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Douleur</term><term>Dépression</term><term>Troubles de la cognition</term></keywords><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><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prognosis</term><term>Prospective Studies</term><term>Quality of Life</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Accidents de la route</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Intégration communautaire</term><term>Jeune adulte</term><term>Lésions traumatiques de l'encéphale</term><term>Mâle</term><term>Pronostic</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Études prospectives</term><term>Études transversales</term><term>Évaluation de l'invalidité</term></keywords></textClass></profileDesc></teiHeader><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></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">27058885</PMID><DateCompleted><Year>2016</Year><Month>12</Month><Day>19</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1651-2081</ISSN><JournalIssue CitedMedium="Internet"><Volume>48</Volume><Issue>5</Issue><PubDate><Year>2016</Year><Month>Apr</Month><Day>28</Day></PubDate></JournalIssue><Title>Journal of rehabilitation medicine</Title><ISOAbbreviation>J Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Factors associated with long-term functional and psychological outcomes in persons with moderate to severe traumatic brain injury.</ArticleTitle><Pagination><MedlinePgn>442-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2340/16501977-2084</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To examine factors impacting long-term functional and psychological outcomes in persons with moderate-severe traumatic brain injury.</AbstractText><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><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. fary.khan@mh.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amatya</LastName><ForeName>Bhasker</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Judson</LastName><ForeName>Rodney</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Chung</LastName><ForeName>Pearl</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Truesdale</LastName><ForeName>Melinda</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Elmalik</LastName><ForeName>Alaeldin</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Galea</LastName><ForeName>Mary P</ForeName><Initials>MP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Sweden</Country><MedlineTA>J Rehabil Med</MedlineTA><NlmUniqueID>101088169</NlmUniqueID><ISSNLinking>1650-1977</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000063" MajorTopicYN="N">Accidents, Traffic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000070642" MajorTopicYN="N">Brain Injuries, Traumatic</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003072" MajorTopicYN="N">Cognition Disorders</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D062309" MajorTopicYN="N">Community Integration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004185" MajorTopicYN="N">Disability Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006233" MajorTopicYN="N">Disabled Persons</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010146" MajorTopicYN="N">Pain</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>4</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>4</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>12</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27058885</ArticleId><ArticleId IdType="doi">10.2340/16501977-2084</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name><name sortKey="Chung, Pearl" sort="Chung, Pearl" uniqKey="Chung P" first="Pearl" last="Chung">Pearl Chung</name><name sortKey="Elmalik, Alaeldin" sort="Elmalik, Alaeldin" uniqKey="Elmalik A" first="Alaeldin" last="Elmalik">Alaeldin Elmalik</name><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><name sortKey="Judson, Rodney" sort="Judson, Rodney" uniqKey="Judson R" first="Rodney" last="Judson">Rodney Judson</name><name sortKey="Truesdale, Melinda" sort="Truesdale, Melinda" uniqKey="Truesdale M" first="Melinda" last="Truesdale">Melinda Truesdale</name></noCountry><country name="Australie"><noRegion><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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