| Aging with traumatic brain injury: cross-sectional follow-up of people receiving inpatient rehabilitation over more than 3 decades. | |
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MedLine Citation:
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PMID: 20298844 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate aging with traumatic brain injury (TBI) by determining if long-term outcomes after TBI are predicted by years postinjury and age at injury after controlling for the severity of the injury and sex. DESIGN: Cross-sectional follow-up telephone survey. SETTING: Community residents who had received initial treatment in a comprehensive inpatient rehabilitation hospital. PARTICIPANTS: Survivors of TBI (N=243) stratified by years postinjury (in seven 5-year cohorts ranging from 1 to over 30 years postinjury) and by age at injury (in 2 cohorts of people injured before or after age 30). INTERVENTIONS: None. MAIN OUTCOME MEASURES: Measures of postconcussive symptoms, major secondary conditions including fatigue (Modified Fatigue Impact Scale), physical and cognitive activity limitations (FIM, Alertness Behavior Subscale of the Sickness Impact Profile, Medical Outcomes Study 12-Item Health Status Survey Short Form), societal participation restrictions (Craig Handicap Assessment and Reporting Technique), environmental barriers (Craig Hospital Inventory of Environmental Factors), and perceived quality of life (Satisfaction with Life Scale). RESULTS: Most problems identified by the outcome measures were reported by one fourth to one half of the study participants. Increasing decades postinjury predicted declines in physical and cognitive functioning, declines in societal participation, and increases in contractures. Increasing age at injury predicted declines in functional independence, increases in fatigue, declines in societal participation, and declines in perceived environmental barriers. CONCLUSIONS: This investigation has increased our understanding of the aging process after TBI by demonstrating that both components of aging (years postinjury and age at injury) are predictive of several outcomes after TBI. |
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Authors:
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Melissa Sendroy-Terrill; Gale G Whiteneck; Cynthia A Brooks |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 91 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-19 Completed Date: 2010-04-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 489-97 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Research Department, Craig Hospital, Englewood, CO 80113, USA. msendroy@craighospital.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aging / psychology* Brain Injuries / classification, psychology*, rehabilitation* Chronic Disease Cross-Sectional Studies Disability Evaluation Female Follow-Up Studies Health Status Humans Inpatients Interviews as Topic Linear Models Logistic Models Male Middle Aged Outcome Assessment (Health Care) / statistics & numerical data* Population Surveillance Quality of Life* Recovery of Function Severity of Illness Index Social Adjustment Social Environment Survivors / psychology*, statistics & numerical data* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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