Screening for Traumatic Brain Injury: Findings and Public Health Implications

Details

• Alternative Title:
  J Head Trauma Rehabil
• Personal Author:
  Dams-O’Connor, Kristen ; Cantor, Joshua B. ; Brown, Margaret ; Dijkers, Marcel P. ; Spielman, Lisa A. ; Gordon, Wayne A.
• Description:
  Objective
  
  To provide an overview of a series of projects that used a structured self-report screening tool in diverse settings and samples to screen for lifetime history of traumatic brain injury (TBI).
  
  Setting
  
  Diverse community settings.
  
  Participants
  
  Homeless persons (n = 111), individuals with HIV seeking vocational rehabilitation (n = 173), youth in the juvenile justice system (n = 271), public schoolchildren (n = 174), substance users (n = 845), intercollegiate athletes (n = 90), and other community-based samples (n = 396).
  
  Design
  
  Cross-sectional.
  
  Main Measure
  
  Brain Injury Screening Questionnaire.
  
  Results
  
  Screening using the Brain Injury Screening Questionnaire finds that 27% to 54% of those in high-risk populations report a history of TBI with chronic symptoms. Associations between TBI and social, academic, or other problems are evident in several studies. In non–high-risk community samples, 9% to 12% of individuals report TBI with chronic symptoms.
  
  Conclusion
  
  Systematic TBI screening can be implemented efficiently and inexpensively in a variety of settings. Lifetime TBI history data gathered using a structured self-report instrument can augment existing estimates of the prevalence of TBI, both as an acute event and as a chronic condition. Identification of individuals with TBI can facilitate primary prevention efforts, such as reducing risk for reinjury in high-risk groups, and provide access to appropriate interventions that can reduce the personal and societal costs of TBI (tertiary prevention).
  
  
• Subjects:
  Athletes Brain Injuries Comorbidity HIV Infections Humans Ill-Housed Persons Incidence Juvenile Delinquency Mass Screening Self Report Students Surveys And Questionnaires

  More +
• Source:
  J Head Trauma Rehabil. 29(6):479-489.
• Pubmed ID:
  25370440
• Pubmed Central ID:
  PMC4985006
• Document Type:
  Journal Article
• Funding:
  1R49CE00117/CE/NCIPC CDC HHS/United States ; K01 HD074651/HD/NICHD NIH HHS/United States
• Place as Subject:
  New York
• Volume:
  29
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a4a3c0aae5b1ffc8a9be249af0056fd529fc4c263a617b5caad16308be256059
• Download URL:
  https://stacks.cdc.gov/view/cdc/40900/cdc_40900_DS1.pdf
• File Type:
  [PDF - 99.07 KB ]