Functional Outcome Trajectories Following Inpatient Rehabilitation for TBI in the United States: A NIDILRR TBIMS and CDC Interagency Collaboration
| Autor: | Jessica M. Ketchum, A. Cate Miller, Kristen Dams-O'Connor, Juliet Haarbauer-Krupa, John D. Corrigan, Flora M. Hammond, Jeffrey P. Cuthbert, Robert G. Kowalski |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Gerontology Change over time 030506 rehabilitation Traumatic brain injury Psychological intervention MEDLINE Physical Therapy Sports Therapy and Rehabilitation Medicare Article Proxy (climate) 03 medical and health sciences 0302 clinical medicine Secondary analysis Brain Injuries Traumatic medicine Humans Longitudinal Studies Aged Inpatients business.industry Rehabilitation Physical Functional Performance medicine.disease United States Female Functional status Neurology (clinical) Centers for Disease Control and Prevention U.S 0305 other medical science business 030217 neurology & neurosurgery Inpatient rehabilitation |
| Zdroj: | J Head Trauma Rehabil |
| ISSN: | 0885-9701 |
| Popis: | Objective To describe trajectories of functioning up to 5 years after traumatic brain injury (TBI) that required inpatient rehabilitation in the United States using individual growth curve models conditioned on factors associated with variability in functioning and independence over time. Design Secondary analysis of population-weighted data from a multicenter longitudinal cohort study. Setting Acute inpatient rehabilitation facilities. Participants A total of 4624 individuals 16 years and older with a primary diagnosis of TBI. Main outcome measures Ratings of global disability and supervision needs as reported by participants or proxy during follow-up telephone interviews at 1, 2, and 5 years postinjury. Results Many TBI survivors experience functional improvement through 1 and 2 years postinjury, followed by a decline in functioning and decreased independence by 5 years. However, there was considerable heterogeneity in outcomes across individuals. Factors such as older age, non-White race, lower preinjury productivity, public payer source, longer length of inpatient rehabilitation stay, and lower discharge functional status were found to negatively impact trajectories of change over time. Conclusions These findings can inform the content, timing, and target recipients of interventions designed to maximize functional independence after TBI. |
| Databáze: | OpenAIRE |
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