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Titre : | Descriptive Findings of the VA Polytrauma Rehabilitation Centers TBI Model Systems National Database (2018) |
Auteurs : | Susan Ropacki ; Risa Nakase-Richardson ; Leah Farrell-Carnahan |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 5, 2018) |
Article en page(s) : | p. 952-959 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anciens combattants ; Polytraumatisme ; Rééducation et réadaptation |
Mots-clés: | Brain injury ; chronic ; Souffrance cérébrale chronique post-traumatique ; Multiple trauma ; Veterans ; United States Department of Veterans Affairs ; Department of Veterans Affairs (USA) |
Résumé : |
Objectives To present initial descriptive findings from the Veterans Affairs (VA) Polytrauma Rehabilitation Centers (PRC) Traumatic Brain Injury (TBI) Model Systems (MS) National Database. Design Prospective cohort study. Setting VA PRC TBIMS National Database. Participants 712 service members and veterans with TBI who consented to participate between January 2010 and June 2015. Interventions Not applicable. Main Outcome Measures Demographics, preinjury characteristics, injury characteristics, rehabilitation course, functional outcomes, and discharge disposition by TBI severity level. Results The study cohort was predominantly male with moderate to severe TBI secondary to vehicular accident or blast injury. Sixty-five percent were active duty service members; one-third had been injured during deployment. One-third reported mental health treatment and/or alcohol use problems in the year predating the index TBI. The median number of days between injury and PRC admission was 42.5. Nearly 25% reported clinical levels of posttraumatic stress disorder; 75% reported mild to moderate neurobehavioral symptomatology. The median length of stay in the PRC was 36 days; those with severe TBI had the longest lengths of stay. Functional independence ratings improved from admission to discharge across all TBI severity levels. A majority were discharged to urban areas to reside with spouses or other residents in private residences or adult homes, with some variability by injury severity. Conclusions The VA PRC TBIMS national database is a rich source of information on a unique group of individuals with TBI and promises to complement existing knowledge on TBI in the civilian population. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |