Portal de Periódicos da CAPES

Etiology of traumatic brain injury: Characterization of differential outcomes up to 1 year postinjury

2003; Elsevier BV; Volume: 84; Issue: 2 Linguagem: Inglês

10.1053/apmr.2003.50092

1532-821X

Tamara Bushnik, Robin A. Hanks, Jeffrey S. Kreutzer, Mitchell Rosenthal,

Injury Epidemiology and Prevention

Abstract Bushnik T, Hanks RA, Kreutzer J, Rosenthal M. Etiology of traumatic brain injury: characterization of differential outcomes up to 1 year postinjury. Arch Phys Med Rehabil 2003;84:255-62. Objective: To characterize outcomes after traumatic brain injury (TBI) resulting from vehicular crashes, violence, falls, or other causes. Design: Prospective, multicenter, longitudinal. Setting: Seventeen Traumatic Brain Injury Model Systems. Participants: A total of 1170 individuals with moderate to severe TBI with data from initial medical and rehabilitation stays and 1-year follow-up. Interventions: Not applicable. Main Outcome Measures: At rehabilitation discharge, FIM[trade ] instrument, Disability Rating Scale (DRS), and Rancho Los Amigo Levels of Cognitive Functioning Scale. At 1 year postinjury, FIM, DRS, Community Integration Questionnaire (CIQ), employment, residence, marital status, and seizure occurrence. Results: The 4 etiology groups could be distinguished based on premorbid characteristics. Severity of injury indices indicated that individuals in vehicular crashes showed a trend toward incurring more severe injuries than the other 3 groups. At rehabilitation discharge, there were no functional differences between groups. At 1 year postinjury, the groups could be differentiated: individuals in violence-related TBI had higher unemployment rates and lower CIQ scores; persons in vehicular crashes reported the best functional and psychosocial outcomes; and individuals in the falls and other groups had outcomes lying between the vehicular and violence groups. Conclusion: This study elucidated important differences between persons with violence-related TBI and those with non[ndash ]violence-related TBI. Further research is needed to find effective interventions to address these differences. [copy ] 2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation