Comparison of functional outcome following acute care in young, middle-aged and elderly patients with traumatic brain injury

LeBlanc, Joanne; Guise, Élaine de; Gosselin, Nadia; Feyz, Mitra

doi:10.1080/02699050600831835

Cited by 150 publications

(95 citation statements)

References 42 publications

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“…The study reveals a correspondence between the multiple sequelae of the trauma identifi ed by the participants and those documented in the scientifi c literature, in particular fatigue, loss of balance, memory and visual impairments, speech and hearing problems, confusion, apathy, personality or behavioral changes, as well as physical symptoms [13,19,32,33]. Participants allude to one or several of these sequelae as sometimes recurring factors limiting their social participation activities.…”

Section: Discussionmentioning

confidence: 98%

“…Furthermore, the analyses reveal that, for all participants, populations [13,20,22,39,40]. Obstacles to self-realization through hobbies and leisure activities also emerged, including problems reading or using a computer, and diffi culty watching television or knitting.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, over the last ten years, the prevalence of TBIs has signifi cantly increased in the elderly population [12,13], with individuals over 75 years of age representing the majority of emergency room cases, hospitalizations, and fatalities resulting from a TBI [12].…”

Section: Introductionmentioning

confidence: 99%

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Towards a better understanding of the impact of the sequelae of TBI on the social participation of seniors

Levert¹

2017

Arch Nursing Pract Care

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CC By 068Citation: Levert AbstractBackground: The multiple sequelae caused by traumatic brain injuries (TBIs) can considerably reduce the ability of seniors to resume their activities of daily living and their leisure activities, and to return to meaningful relationships so they can participate in the life of their community. Purpose of the study:This article aims to put forward the perceptions of older participants about the sequelae they themselves identify as consecutive, short or medium long term, with their TBI and consequently, the limitations they experienced in terms of their social participation. Results:The fi ndings reveal a correspondence between the multiple sequelae of the TBI identifi ed by the participants and those documented in the scientifi c writings. These sequelae could be grouped according to the limitations found in the operational framework's three spheres of activities related to social participation: those that promotes self-realization through an autonomous and independent everyday life; through pastimes and leisure activities; and through relationships with others. Main fi ndings:The fi ndings are innovative compared with what is generally described in the scientifi c literature, since existing studies offer few concrete examples of the limitations encountered in terms of social participation due to sequelae following a TBI. Four sequelae namely memory loss, loss of balance, lack of motivation or apathy and fatigue, appear to have many impacts on a variety of activities which could explain their signifi cance for participants. Conclusion:The fi ndings pave the way for new research avenues that focus on analyzing social participation opportunities of older adults by reinforcing their capacities. Potential implications:Results provide benchmark for health care and social services professionals for the mobilization of most effective resources and services to help seniors to engage in rewarding, meaningful social participation activities.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Towards a better understanding of the impact of the sequelae of TBI on the social participation of seniors

Levert¹

2017

Arch Nursing Pract Care

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“…Inpatient rehabilitation length of stay and costs tend to be higher in the elderly as well [64,67]. They make similar functional gains as their younger counterparts, although they tend to have greater overall disability at both admission and discharge from acute inpatient rehabilitation and tend to improve at slower rates [68].…”

Section: Functional Outcomesmentioning

confidence: 94%

“…Elderly patients tend to have worse global outcomes, with lower physical and cognitive functional independence measure (FIM) scores following TBI that result in longer lengths of stay in the acute setting and increased percentage of discharges to inpatient rehab or long-term care facilities regardless of TBI severity [64][65][66]. Inpatient rehabilitation length of stay and costs tend to be higher in the elderly as well [64,67].…”

Section: Functional Outcomesmentioning

confidence: 99%

Rehabilitation Considerations for Traumatic Brain Injury in the Geriatric Population: Epidemiology, Neurobiology, Prognosis, and Management

Crownover

Galang

Wagner³

2012

Curr Tran Geriatr Gerontol Rep

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Disparities Associated with Discharge Patterns in Firearm-Associated Ocular Trauma

Mike¹,

Brandsdorfer

Parsikia

et al. 2023

JAMA Ophthalmol

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ImportanceFirearm injuries are associated with devastating visual outcomes. Several studies have demonstrated disparities in trauma care and discharge to rehabilitation and other advanced care facilities (ACFs) due to race and ethnicity and insurance status. The identification of possible disparities in disposition of patients admitted with firearms-associated ocular injuries (FAOIs) is a crucial step in moving toward health equity.ObjectiveTo describe disposition patterns following admission for FAOI trauma.Design, Setting, and ParticipantsThis retrospective analysis of National Trauma Data Bank (NTDB) from 2008 through 2014 used hospitalized trauma cases from over 900 US facilities detailed in the NTDB. Participants included patients admitted with ocular injuries. Statistical analysis was conducted between April 16, 2017, and December 15, 2021.ExposureFirearm injuries.Main Outcomes and MeasuresPatients admitted with FAOIs were identified using International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic codes and E-codes. Demographic data, location, injury type and severity, and insurance status were documented. The primary outcome was the odds of discharge to ACFs.ResultsA total of 8715 of 235 254 firearms injuries involved the eye (3.7%). Of the 8715 included patients, 7469 were male (85.7%), 3050 were African American (35.0%), and 4065 White (46.6%), with a mean (SD) age of 33.8 (16.9) years. Common payments were government insurance (31.5%), self-paid insurance (29.4%), and commercial insurance plans (22.8%). Frequent dispositions were home (48.8%) and ACF (20.5%). Multivariate analysis demonstrated that the following factors were associated with the highest odds of discharge to an ACF: hospital stays 6 days or longer (odds ratio [OR], 3.05; 95% CI, 2.56-3.63; P &lt; .001), age 65 years or older (OR, 2.94; 95% CI, 1.94-4.48; P &lt; .001), associated traumatic brain injury (OR, 2.32; 95% CI, 1.94-2.78; P &lt; .001), severe traumatic brain injury (OR, 2.10; 95% CI, 1.79-2.46; P &lt; .001), and very severe Injury Severity Score (OR, 2.22; 95% CI, 1.88-2.62; P &lt; .001). White race (OR, 2.00; 95% CI, 1.71-2.33; P &lt; .001) was associated with higher odds than Medicare insurance (OR, 1.64; 95% CI, 1.16-2.31; P = .01).Conclusions and RelevanceThese findings suggest that older, more severely injured, Medicare-insured, or White patients have higher odds of ACF placement than younger, less severely injured, otherwise insured, and Black and Hispanic patients. This study is limited by its retrospective nature and the study team was unable to explore the basis for these disposition differences. Nevertheless, this work highlights that disparities may exist in disposition after FAOIs that may limit the rehabilitation potential of specific populations.

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Comparison of functional outcome following acute care in young, middle-aged and elderly patients with traumatic brain injury

Abstract: Further development of services in early rehabilitation as well as post-rehabilitation geared to the specific needs of the elderly patient with TBI is required as the population ages.

Cited by 150 publications

References 42 publications

Towards a better understanding of the impact of the sequelae of TBI on the social participation of seniors

Towards a better understanding of the impact of the sequelae of TBI on the social participation of seniors

Rehabilitation Considerations for Traumatic Brain Injury in the Geriatric Population: Epidemiology, Neurobiology, Prognosis, and Management

Disparities Associated with Discharge Patterns in Firearm-Associated Ocular Trauma

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