Community integration following moderate to severe traumatic brain injury: A longitudinal investigation

Son, Agnes H P Willemse-van; Ribbers, Gerard M.; Hop, Wim C. J.; Stam, Henk J.

doi:10.2340/16501977-0377

Cited by 59 publications

(56 citation statements)

References 35 publications

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“…Socio-demographic factors, such as being older and male tend to be associated with reduced community integration after TBI. 23 Another study reported worse outcomes for older individuals but also conversely those who were female. 24,25 With respect to race/ethnicity, a number of studies have found that minority groups experience lower levels of community integration, [26][27][28] compared with white Americans, even after controlling for age, education, injury severity, and income.…”

Section: Introductionmentioning

confidence: 98%

“…The previous studies have measured community integration at rehabilitation admission, discharge, and up to three years post-injury and have primarily been conducted in the United States, 24,[35][36][37] with the exception of a Dutch study. 23 Because environmental factors, including the organization of and access to the health care and social security systems, may play an important role in community integration following TBI, 15 the lack of data outside the U.S. represents a serious gap in the literature. As such, the aims of this longitudinal study were twofold: to assess the trajectories of community integration in individuals with moderateto-severe TBI through one, two, and five years post-injury in Norway, and to investigate whether the trajectories of community integration could be predicted by demographic and injury characteristics.…”

Section: Introductionmentioning

confidence: 99%

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Modeling of Community Integration Trajectories in the First Five Years after Traumatic Brain Injury

Anđelić

Arango-Lasprilla

Perrin

et al. 2016

Journal of Neurotrauma

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The aims of this study were to assess the trajectories of community integration in individuals with traumatic brain injury (TBI) through one, two, and five years post-injury and to examine whether those trajectories could be predicted by demographic and injury characteristics. A longitudinal cohort study was conducted with 105 individuals with moderate-to-severe TBI admitted to a trauma referral center in 2005-2007. Demographics and injury-related factors were extracted from medical records. At the one-, two- and five-year follow-ups, community integration was measured by the Community Integration Questionnaire (CIQ). A hierarchical linear model (HLM) examined whether longitudinal trajectories of community integration could be predicted by: time, sex, age, relationship status, education, employment status, occupation, acute Glasgow Coma Scale score, cause of injury, days in post-traumatic amnesia (PTA), computed tomography Marshall Score, and Injury Severity Score. CIQ scores improved across the three time-points (p<0.001). Additionally, higher trajectories of community integration were predicted by being single at the time of injury (p<.001), higher level of education (p=0.006), employment (p<0.001), and a shorter length of PTA (p<0.001). In a follow-up HLM with interaction terms, time*PTA was statistically significant (p<0.001), suggesting that participants with longer PTA increased in community integration more rapidly than those with shorter PTA. The longitudinal course of community integration described in this study may help rehabilitation professionals to plan more extensive follow-ups and targeted rehabilitation programs in the early stage of recovery for patients with specific demographic and injury characteristics.

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Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Modeling of Community Integration Trajectories in the First Five Years after Traumatic Brain Injury

Anđelić

Arango-Lasprilla

Perrin

et al. 2016

Journal of Neurotrauma

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“…In Europe annually 1.6 million patients with TBI are admitted to hospital [1]. About half of these patients experience some level of disability caused by TBI [2]. The impact of disability following TBI may be assessed by functional measurement scales that have been designed for TBI specifically (e.g.…”

Section: Introductionmentioning

confidence: 99%

Impact of Depression and Post-Traumatic Stress Disorder on Functional Outcome and Health-Related Quality of Life of Patients with Mild Traumatic Brain Injury

Haagsma

Scholten

Andriessen

et al. 2015

Journal of Neurotrauma

139

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The impact of disability following traumatic brain injury (TBI), assessed by functional measurement scales for TBI or by health-related quality of life (HRQoL), may vary because of a number of factors, including presence of depression or post-traumatic stress disorder (PTSD). The aim of this study was to assess prevalence and impact of depression and PTSD on functional outcome and HRQoL six and 12 months following mild TBI. We selected a sample of 1919 TBI patients who presented to the emergency department (ED) followed by either hospital admission or discharge to the home environment. The sample received postal questionnaires six and 12 months after treatment at the ED. The questionnaires included items regarding socio-demographics, the 36-item Short-Form Health Survey (SF-36), the Perceived Quality of Life Scale (PQoL), the Beck Depression Inventory, and the Impact of Event Scale. A total of 797 (42%) TBI patients completed the six-month follow-up survey. Depression and PTSD prevalence rates at both the six- and 12-month follow-up were 7% and 9%, respectively. Living alone was an independent predictor of depression and/or PTSD at six- and 12-month follow-up. Depression and PTSD were associated with a significantly decreased functional outcome (measured with Glasgow Outcome Scale Extended) and HRQoL (measured using the SF-36 and the PQoL). We conclude that depression and/or PTSD are relatively common in our sample of TBI patients and associated with a considerable decrease in functional outcome and HRQoL.

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“…Подібне порушення інтеграції в суспільство є за-гальним для всіх хворих після ЧМТ [5,14]. Побутова активність відновлюється, як правило, до вихідного рів-ня, а суспільна та професійна залишаються низькою, що підтверджується літературними даними [7] та було продемонстровано в проведеному дослідженні.…”

Section: обговоренняunclassified

Сучасні Можливості Оцінювання Функціонування Та якості Життя У хворих Із віддаленими Наслідками Закритої Черепно-Мозкової Травми

Shkolnyk¹,

Fesenko²

2022

INJ

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ВступЧерепно-мозкова травма (ЧМТ) є однією з про-відних причин довгострокових розладів і відхилень в фізичній, емоційній, когнітивній і соціальній сферах [2,6]. І хоча смертність від ЧМТ значно зни-зилась останніми роками, не спостерігається про-порційного зниження інвалідності внаслідок цього захворювання [13].

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Community integration following moderate to severe traumatic brain injury: A longitudinal investigation

Abstract: After an initial decline, mean community integration scores gradually improve following moderate to severe traumatic brain injury. Understanding the course and determinants of community integration is necessary in order to determine functional prognosis following traumatic brain injury.

Cited by 59 publications

References 35 publications

Modeling of Community Integration Trajectories in the First Five Years after Traumatic Brain Injury

Modeling of Community Integration Trajectories in the First Five Years after Traumatic Brain Injury

Impact of Depression and Post-Traumatic Stress Disorder on Functional Outcome and Health-Related Quality of Life of Patients with Mild Traumatic Brain Injury

Сучасні Можливості Оцінювання Функціонування Та якості Життя У хворих Із віддаленими Наслідками Закритої Черепно-Мозкової Травми

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