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Titre : | Long-Term Disability and Survival in Traumatic Brain Injury: Results From the National Institute on Disability and Rehabilitation Research Model Systems (2013) |
Auteurs : | Jordan C. Brooks ; David J. Strauss ; Robert Shavelle ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/11, 2013) |
Article en page(s) : | pp. 2203-2209 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Mortalité ; Rééducation et réadaptation ; Survie |
Mots-clés: | Brain Injuries ; Lésions encéphaliques ; Mortality ; Survival |
Résumé : |
Objectives To document long-term survival in 1-year survivors of traumatic brain injury (TBI); to compare the use of the Disability Rating Scale (DRS) and FIM as factors in the estimation of survival probabilities; and to investigate the effect of time since injury and secular trends in mortality. Design Cohort study of 1-year survivors of TBI followed up to 20 years postinjury. Statistical methods include standardized mortality ratio, Kaplan-Meier survival curve, proportional hazards regression, and person-year logistic regression. Setting Postdischarge from rehabilitation units. Participants Population-based sample of persons (N=7228) who were admitted to a TBI Model Systems facility and survived at least 1 year postinjury. These persons contributed 32,505 person-years, with 537 deaths, over the 1989 to 2011 study period. Interventions Not applicable. Main Outcome Measure Survival. Results Survival was poorer than that of the general population (standardized mortality ratio=2.1; 95% confidence interval, 1.92.3). Age, sex, and functional disability were significant risk factors for mortality (P<.001 fim- and drs-based proportional hazards survival models had comparable predictive performance index: .80 vs akaike information criterion: time since injury current calendar year were not significant predictors of long-term p>.05). Conclusions Long-term survival prognosis in TBI depends on age, sex, and disability. FIM and DRS are useful prognostic measures with comparable statistical performance. Age- and disability-specific mortality rates in TBI have not declined over the last 20 years. A survival prognosis calculator is available online (http://www.LifeExpectancy.org/tbims.shtml). |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |