Details:

Alternative Title:
J Head Trauma Rehabil
Publisher's site:
http://dx.doi.org/10.1097/HTR.0000000000000572|http://onlinelibrary.wiley.com/doi/10.1111/jgs.14014/pdf
Personal Author:
Kumar, Raj G. ; Ketchum, Jessica M. ; Corrigan, John D. ; Hammond, Flora M. ; Sevigny, Mitch ; ... More +
Kumar, Raj G. ; Ketchum, Jessica M. ; Corrigan, John D. ; Hammond, Flora M. ; Sevigny, Mitch ; Dams-O’Connor, Kristen Less -
Description:
Objective:

To evaluate the impact of physical, mental, and total health condition burden on functional outcome and life satisfaction up to 10 years after moderate-to-severe traumatic brain injury (TBI).

Setting:

Six TBI Model Systems centers.

Participants:

393 participants in the TBI Model Systems National Database.

Design:

Retrospective cohort study.

Main Measures:

Self-reported physical and mental health conditions at 10-years post-injury. Functional Independence Measure Motor and Cognitive subscales and the Satisfaction with Life Scale measured at 1, 2, 5, and 10 years.

Results:

In 10-year longitudinal individual growth curve models adjusted for covariates and inverse probability weighted to account for selection bias, greater physical and mental health co-morbidity burden were negatively associated with functional cognition and life satisfaction trajectories. Physical, but not mental, co-morbidity burden was negatively associated with functional motor trajectories. Higher total health burden was associated with poorer functional motor and cognitive trajectories and lower life satisfaction.

Conclusions:

This study offers evidence that co-morbidity burden negatively impacts longitudinal functional and life satisfaction outcomes after TBI. The findings suggest better identification and treatment of co-morbidities may benefit life satisfaction, functional outcome, reduced healthcare costs, and decreased re-injury. Specific guidelines are needed for the management of co-morbidities in TBI populations.


Subject:
[+]
Adult
Article
Brain Injuries, Traumatic
Comorbidity
Female
Humans
Male
Mental Health
Middle Aged
Retrospective Studies
Young Adult

Source:
J Head Trauma Rehabil. 35(4):E372-E381
Pubmed ID:
32108718
Pubmed Central ID:
PMC7335323
Document Type:
Journal Article
Funding:
90DPTB0009/ACL/ACL HHSUnited States/ ; K01 HD074651/HD/NICHD NIH HHSUnited States/ ; U48 DP000036/DP/NCCDPHP CDC HHSUnited States/
90DPTB0009/ACL/ACL HHSUnited States/ ; K01 HD074651/HD/NICHD NIH HHSUnited States/ ; U48 DP000036/DP/NCCDPHP CDC HHSUnited States/ Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:a73f8b0fd747c2b628c9bc4bcd7e86ba519647a18d4b20103120bf58124c37ab
File Type:

Supporting Files

• 	NIHMS1549380-supplement-Supplemental_Tables.docx	docx
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  	NIHMS1549380-supplement-Individual_Growth_Curve_Tool.xlsm	xlsm

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