The Residential Status of Working Age Adults Following Severe Traumatic Brain Injury

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Brain Impairment Pub Date : 2018-12-01 DOI:10.1017/BrImp.2018.3

S. Braaf, B. Beck, L. Callaway, J. Ponsford, B. Gabbe

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引用次数: 1

Abstract

Objective: To describe place of residence and examine factors associated with place of residence following severe traumatic brain injury (TBI) in working age adults. Setting, participants, design: Retrospective cohort study (1 January 2007 to 31 December 2013) of adults (16–64 years) with severe TBI who survived to hospital discharge in Victoria, Australia. Main measures: Place of residence (dichotomised as ‘private residence’ and ‘other destination’) at 6, 12 and 24 months post injury. A modified Poisson model was fitted with a random effect for the participant. Results: There were 684 cases that were followed-up at one or more time points. At 24 months post injury, 87% (n = 537) adults with TBI were living at a private residence, of whom 66% did not require additional support. Cases were more likely to be living at a private residence at 24 months post injury compared to 6 months (adjusted relative risk = 1.08, 95% Confidence Interval, 1.04–1.11, p < .001). At 24 months post injury, 5% (n = 29) remained in rehabilitation and 4% (n = 23) lived in a nursing home. Conclusion: While the majority of cases were living at a private residence at 2 years post injury, 13% were residing in rehabilitation, a nursing home or other supported living. Longer follow-up is needed to understand if a transition to a private residence is possible for these groups.

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工作年龄成人重型颅脑损伤后的居住状况

目的:描述工作年龄成人严重创伤性脑损伤(TBI)后的居住地情况，并探讨与居住地相关的因素。背景、参与者、设计:回顾性队列研究(2007年1月1日至2013年12月31日)，研究对象为澳大利亚维多利亚州存活至出院的严重脑外伤成人(16-64岁)。主要措施:受伤后6个月、12个月和24个月的居住地(分为“私人住所”和“其他目的地”)。修正泊松模型拟合了参与者的随机效应。结果:684例患者在一个或多个时间点获得随访。损伤后24个月，87% (n = 537) TBI成人患者住在私人住宅，其中66%不需要额外的支持。病例在受伤后24个月比6个月更有可能住在私人住宅中(调整后的相对风险= 1.08,95%可信区间，1.04-1.11,p < .001)。损伤后24个月，5% (n = 29)继续接受康复治疗，4% (n = 23)住在养老院。结论:伤后2年，大多数病例居住在私人住宅，13%的病例居住在康复中心、养老院或其他支持生活场所。需要更长的随访时间来了解这些群体是否有可能过渡到私人住宅。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain Impairment CLINICAL NEUROLOGY-NEUROSCIENCES

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The journal addresses topics related to the aetiology, epidemiology, treatment and outcomes of brain impairment with a particular focus on the implications for functional status, participation, rehabilitation and quality of life. Disciplines reflect a broad multidisciplinary scope and include neuroscience, neurology, neuropsychology, psychiatry, clinical psychology, occupational therapy, physiotherapy, speech pathology, social work, and nursing. Submissions are welcome across the full range of conditions that affect brain function (stroke, tumour, progressive neurological illnesses, dementia, traumatic brain injury, epilepsy, etc.) throughout the lifespan.