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Titre : | Association of Lifetime TBI and Military Employment with Late Life ADL Functioning: A Population-Based Prospective Cohort Study (2021) |
Auteurs : | Laura Tabio ; Rod Walker ; Paul K. Crane ; Laura E. Gibbons ; Raj G. Kumar ; Melinda C. Power ; Amy S. Kelley ; Eric B. Larson ; Kristen Dams-O'Connor |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 12, 2021) |
Article en page(s) : | p. 2316-2324.e1 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.06.018 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Études de cohortes ; Lésions traumatiques de l'encéphale ; Personnel militaire ; Réadaptation |
Résumé : |
Objective
To determine associations of traumatic brain injury (TBI) and military employment with activities of daily living (ADL) in late life. Design Population-based prospective cohort study with biennial follow-up and censoring at the time of dementia diagnosis. Setting Community-based integrated health care delivery system. Participants Participants (N=4953) were men (n=2066) and women (n=2887) aged ≥65 years who were dementia free. Interventions Not applicable. Main Outcome Measures ADL difficulties at baseline and accumulation during follow-up. Results TBI with loss of consciousness (LOC) before the age of 40 years was associated with slightly higher ADL difficulty at baseline for women (rate ratio [RR], 1.44; 95% confidence interval [CI], 1.08-1.93; P=.01). For men, TBI with LOC at any age was associated with greater ADL difficulty at baseline (age Conclusions Further investigation into factors underlying greater late life functional impairment among survivors of TBI is warranted. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321005098#! |