Long Term Symptoms and Limitations of Activity of People with Traumatic Brain Injury: A Ten-Year Follow-up

O'Connor, Carolyn; Colantonio, Angela; Polatajko, Helene J.

doi:10.2466/pr0.97.1.169-179

Cited by 76 publications

(47 citation statements)

References 33 publications

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“…Although patients with mTBI can recover within the first few months after injury [7][8][9] , many report persistent symptoms up to one year post TBI or longer [10][11][12][13][14] . Understanding the mechanisms of injury that include more mild cases may further inform injury prevention efforts.…”

mentioning

confidence: 99%

Hospitalizations and Emergency Department Visits for TBI in Ontario

Colantonio

Saverino²,

Zagorski³

et al. 2010

Can. j. neurol. sci.

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Traumatic brain injury (TBI) is one of the leading causes of death and disability in North America and as such requires ongoing surveillance 1,2 . Tracking health resource utilization over time, by age, and by gender provides valuable information regarding the burden of TBI on health care services, including post acute care. Furthermore, accurately identifying the rates of TBI is critical to the planning and evaluation of prevention efforts.Recent reports based on hospital admission data in Canada and the United States have documented a decrease in the number of in-patient admissions over the last two decades 3,4 , particularly for children and for incidents of "mild" TBI (mTBI). Studies that focus on in-patient admissions, however, may be misleading in that the decrease in numbers could reflect a shift towards treating children and mTBI sufferers at emergency departments (EDs). To date, there are no recent peer reviewed studies documenting TBI-related ED visits at a population based level, in a publicly ABSTRACT: Objective: The aim of this study was to determine the number of annual hospitalizations and overall episodes of care that involve a traumatic brain injury (TBI) by age and gender in the province of Ontario. To provide a more accurate assessment of the prevalence of TBI, episodes of care included visits to the emergency department (ED), as well as admissions to hospital. Mechanisms of injury for overall episodes were also investigated. Methods: Traumatic brain injury cases from fiscal years 2002/03-2006/07 were identified by means of ICD-10 codes. Data were collected from the National Ambulatory Care Reporting System and the Discharge Abstract Database. Results: The rate of hospitalization was highest for elderly persons over 75 years-of-age. Males generally had higher rates for both hospitalizations and episodes of care than did females. The inclusion of ED visits to hospitalizations had the greatest impact on the rates of TBI in the youngest age groups. Episodes of care for TBI were greatest in youth under the age of 14 and elderly over the age of 85. Falls (41.6%) and being struck by or against an object (31.1%) were the most frequent causes for a TBI. Conclusions:The study provides estimates for TBI from the only Canadian province that has systematically captured ED visits in a national registry. It shows the importance of tracking ED visits, in addition to hospitalizations, to capture the burden of TBI on the health care system. Prevention strategies should include information on ED visits, particularly for those at younger ages. Cette étude fournit des estimés de LCT dans la seule province canadienne qui inscrit a systématiquement les visites à l'urgence dans un registre nationale. Elle montre l'importance de faire le suivi des visites à l'urgence en plus des hospitalisations pour apprécier le fardeau que constitue la LCT sur le système de santé. Les stratégies de prévention devraient mentionner l'information sur les visites à l'urgence, particulièrement chez les jeunes.

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mentioning

confidence: 99%

Hospitalizations and Emergency Department Visits for TBI in Ontario

Colantonio

Saverino²,

Zagorski³

et al. 2010

Can. j. neurol. sci.

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show abstract

“…After 5 years, 73 % reported still having a problem with fatigue, which affected their everyday life (Olver, 1996). Even after ten years, fatigue was still present, irrespective of injury severity (O´Connor, Colantonio, & Polatajko, 2005). Improvement was reported during the first year, after which time it was limited (Bushnik, Englander, & Wright, 2008).…”

Section: How Common Is Mental Fatigue After Tbi?mentioning

confidence: 99%

Mental Fatigue; A Common Long Term Consequence After a Brain Injury

Johansson¹,

Rönnbäck²

2012

Brain Injury - Functional Aspects, Rehabilitation and Prevention

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“…The evidence by Carroll et al provides an impetus to continue research on mild TBI for functional outcome in time periods definitely considered long-term for the mild TBI population. The years between two and ten for people who have TBI are also the time periods that many researchers use for follow-up when investigating functional outcomes after moderate to severe TBI (Dikmen, Mackamer, Powell, & Temkin, 2003;O'Connor, Colantonio, & Polatajko, 2005;Hammond, Grattan, Sasser et al, 2004). As such, we categorized long-term employment outcomes from year two to less than ten post-injury.…”

Section: Short Long and Very Long Term Category For Employmentmentioning

confidence: 99%