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Long-term outcomes after moderate to severe traumatic brain injury |
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| Authors: | Colantonio A Ratcliff G Chase S Kelsey S Escobar M Vernich L |
| Institution: | a Department of Occupational Therapy, University of Toronto, Canada b HealthSouth Harmarville Rehabilitation Center, c Working Order, Pittsburgh, PA, USA d Department of Epidemiology, University of Pittsburgh, PA, USA e Department of Public Health Sciences, University of Toronto, Canada |
| Abstract: | Objective:?This research examined the long-term outcomes of rehabilitation patients with moderate to severe traumatic brain injury (TBI).
Design:?Retrospective cohort study. Setting and subjects:?We examined consecutive records of persons with moderate to severe traumatic brain injury who were discharged from a large rehabilitation hospital in Pennsylvania from 1973 to 1989. We interviewed consenting participants (n?=?306) up to 24 years post-injury. Main outcome measures:?Self-rated health, activity limitations, employment, living arrangements, marital status, Community Integration Questionnaire, and use of rehabilitation services. Results:?Participants were most limited in activities such as managing money and shopping. Twenty-nine per cent of our participants were working full time. There were significant relationships between activity limitations and residual cognitive impairment at follow-up. Self-rated health was correlated with most instrumental activities of daily living. Conclusion:?Our findings document health and function in a large post acute TBI population and implications for rehabilitation are discussed. |
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