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Long-term survival following traumatic brain injury

Long-term survival following traumatic brain injury Purpose. The study used a retrospective cohort design to establish long-term mortality rates and predictors of mortality for persons after moderate to severe traumatic brain injury (TBI).Method. Consecutive records of persons with moderate to severe TBI who were discharged from a large rehabilitation hospital in Pittsburgh, Pennsylvania in the years 1974 – 1984, 1988 and 1989 were reviewed.Results. Six hundred and forty-two eligible individuals were identified and mortality was ascertained up to 24 years post injury. One hundred and twenty-eight of these individuals were found to be deceased. Poisson regression analyses revealed at least a 2-fold increased risk for mortality compared to the general population. Pre-injury characteristics and levels of disability at discharge from in-patient rehabilitation were among the strongest predictors of mortality.Conclusions. These data constitute evidence for premature death in the post-acute TBI population following a moderate to severe head injury and are discussed in relation to other research in the area. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Disability & Rehabilitation Taylor & Francis

Long-term survival following traumatic brain injury

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References (28)

Publisher
Taylor & Francis
Copyright
© 2005 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted
ISSN
1464-5165
eISSN
0963-8288
DOI
10.1080/09638280400018338
pmid
16040532
Publisher site
See Article on Publisher Site

Abstract

Purpose. The study used a retrospective cohort design to establish long-term mortality rates and predictors of mortality for persons after moderate to severe traumatic brain injury (TBI).Method. Consecutive records of persons with moderate to severe TBI who were discharged from a large rehabilitation hospital in Pittsburgh, Pennsylvania in the years 1974 – 1984, 1988 and 1989 were reviewed.Results. Six hundred and forty-two eligible individuals were identified and mortality was ascertained up to 24 years post injury. One hundred and twenty-eight of these individuals were found to be deceased. Poisson regression analyses revealed at least a 2-fold increased risk for mortality compared to the general population. Pre-injury characteristics and levels of disability at discharge from in-patient rehabilitation were among the strongest predictors of mortality.Conclusions. These data constitute evidence for premature death in the post-acute TBI population following a moderate to severe head injury and are discussed in relation to other research in the area.

Journal

Disability & Rehabilitation – Taylor & Francis

Published: Mar 1, 2005

Keywords: Traumatic brain injury; mortality; standardized mortality ratio; death rate; long-term survival

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