Violent traumatic brain injury: Occurrence, patient characteristics, and risk factors from the traumatic brain injury model systems project
| Autor: | Christopher A. Pierce, Walter M. High, Robin A. Hanks, Cynthia Harrison-Felix, Mitchell Rosenthal, Jeffrey S. Kreutzer, Scott R. Millis, Tamara Bushnik, Deborah L. Wood |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Alcohol Drinking Traumatic brain injury medicine.medical_treatment Poison control Physical Therapy Sports Therapy and Rehabilitation Occupational safety and health Risk Factors Injury prevention Health Status Indicators Humans Medicine Prospective Studies Risk factor Psychiatry Rehabilitation business.industry Incidence Human factors and ergonomics Caregiver burden Middle Aged medicine.disease United States Logistic Models Brain Injuries Physical therapy Female business |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 84:249-254 |
| ISSN: | 0003-9993 |
| DOI: | 10.1053/apmr.2003.50096 |
| Popis: | Hanks RA, Wood DL, Millis S, Harrison-Felix C, Pierce CA, Rosenthal M, Bushnik T, High WM Jr, Kreutzer J. Violent traumatic brain injury: occurrence, patient characteristics, and risk factors from the Traumatic Brain Injury Model Systems project. Arch Phys Med Rehabil 2003;84:249-54. Objectives: To examine the occurrence of and characteristics associated with violent traumatic brain injury (TBI) in the Traumatic Brain Injury Model Systems (TBIMS) project for 4 of the 5 original Model Systems centers and to determine the patient characteristics of this group, as well as the risk factors for sustaining such an injury. Design: Prospective evaluation of individuals with violent TBI over a 10-year period. Setting: Four TBIMS centers. Participants: A total of 1229 individuals who received acute hospitalization and inpatient rehabilitation care for TBI. Interventions: Not applicable. Main Outcome Measure: The occurrence of a violent TBI. Results: Twenty-six percent of the participants in the TBIMS project sustained a violent TBI. This type of injury was more common in African-American men who were single and slightly older than the average TBI patient, were unemployed before injury, and had had a previous TBI. A higher injury rate was noted in the earlier part of the evaluation period. Those who sustained a violent TBI had higher levels of caregiver burden and disability, as well as decreased productivity and community reintegration at rehabilitation discharge and at 1 and 2 years postinjury. Conclusions: The occurrence of violent TBI in the TBIMS project is consistent with national trends of decreasing incidence of violent injuries in the 1990s. These results present a profile of those who have been injured through violence. The relative risks for sustaining such an injury appear to be well defined when considering demographic and temporal factors. [copy ] 2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation |
| Databáze: | OpenAIRE |
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