Health, Aging and Traumatic Brain Injury

Felicetti, Thomas; Trudel, Tina M.; Mozzoni, Michael P.

doi:10.1097/00129234-200509000-00010

Cited by 5 publications

(7 citation statements)

References 4 publications

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“…14,15 Furthermore, two thirds of those who sustain a TBI before age 30 will likely live for another 30 to 40 years. 16 Moreover, Harrison-Felix et al 17 found that sustaining a TBI resulted in an average reduction of life expectancy of only 7 years. Hence, clinicians need efficient screening and diagnostic tools, particularly for problems such as depression.…”

mentioning

confidence: 99%

Sensitivity and Specificity of the Beck Depression Inventory-II in Persons With Traumatic Brain Injury

Homaifar

Brenner

Gutierrez

et al. 2009

Archives of Physical Medicine and Rehabilitation

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Objectives Our objective was to examine the Beck Depression Inventory-II (BDI-II) in a traumatic brain injury (TBI) sample using a receiver operating characteristic (ROC) curve to determine how well the BDI-II identifies depression. An ROC curve allows for analysis of the sensitivity and specificity of a diagnostic test using various cutoff points to determine the number of true positives, true negatives, false positives, and false negatives. Design This was a secondary analysis of data gathered from an observational study. We examined BDI-II scores in a sample of 52 veterans with remote histories of TBI. Setting This study was completed at a Veterans Affairs (VA) Medical Center. Participants Participants were veterans eligible to receive VA health care services. Interventions Not applicable. Main Outcome Measures Outcome measures included the BDI-II and the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-IV). Results We generated an ROC curve to determine how well the BDI-II identifies depression using the SCID-IV as the criterion standard for diagnosing depression, defined here as a diagnosis of major depressive disorder. Results indicated a cutoff score of at least 19 if one has a mild TBI or at least 35 if one has a moderate or severe TBI. These scores maximize sensitivity (87%) and specificity (79%). Conclusions Clinicians working with persons with TBI can use the BDI-II to determine whether depressive symptoms warrant further assessment.

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mentioning

confidence: 99%

Sensitivity and Specificity of the Beck Depression Inventory-II in Persons With Traumatic Brain Injury

Homaifar

Brenner

Gutierrez

et al. 2009

Archives of Physical Medicine and Rehabilitation

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“…While a modest amount of information is available regarding the former, less is known about the long-term outcomes. Highlighting the need for research in this area is the number of TBIs sustained in the current military conflicts [1], as well as the growing population of individuals aging with TBI [2]. In an attempt to understand the nonacute healthcare needs of veterans with TBI, we examined the outpatient utilization and cost patterns of 72 patients with TBI who were at least 4 years postinjury.…”

Section: Introductionmentioning

confidence: 99%

“…The number of individuals with TBI is increasing, and social systems are grappling with how to support such individuals as they age [2]. Two-thirds of those who sustain a TBI before age 30 will likely live for another 30 to 40 years [2].…”

Section: Introductionmentioning

confidence: 99%

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Description of outpatient utilization and costs in group of veterans with traumatic brain injury

Homaifar¹,

Harwood²,

Brenner³

2009

JRRD

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Abstract-In an attempt to increase understanding regarding the nonacute healthcare needs of veterans with traumatic brain injury (TBI), we examined the outpatient utilization and cost patterns of 72 patients with TBI who were at least 4 years postinjury. We selected participants from a clinical database of veterans receiving care at a western Department of Veterans Affairs (VA) medical center. We extracted data from national utilization databases maintained by the VA and examined data from primary care and internal medicine, psychiatry and substance use, rehabilitation, and other services (e.g., ancillary, diagnostic, prosthetic, dental, nursing home, and home care). We extracted data for fiscal years 2002 to 2007. In addition to descriptive statistics, we modeled visits per year as a function of time since injury. The data show that this sample of patients with TBI consistently used a wide array of outpatient services over time with considerable variation in cost. Further study regarding economic aspects of care for patients with TBI is warranted.

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“…As the number of TBI survivors increases, so does the population of persons aging with TBI (Felicetti, Trudel, & Mozzoni, 2005; “Rehabilitation of Persons with Traumatic Brain Injury,” 1998). Hypothetically, every survivor is aging; however, to date there is insufficient data to adequately describe the interaction between the aging process and the effects of a TBI.…”

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confidence: 99%

Driving, aging, and traumatic brain injury: Integrating findings from the literature.

Brenner

Homaifar

Schultheis

2008

Rehabilitation Psychology

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Objective: In order to address the potential compounded risk in the population of aging traumatic brain injury (TBI) survivors who continue to drive, the authors synthesized literatures regarding the impact of aging or TBI on driving. Study Design: PubMed searches were conducted utilizing combinations of the following terms: driving, aging, elderly, TBI, cognition, seizures, vision, hearing, rehabilitation, sleep, fatigue, and assessment. Additional sources were also identified from the bibliographies of articles obtained and the Transportation Research Information Service electronic database. Clinically relevant human studies written in English were reviewed. Results: Using a conceptual framework developed by W. H. Brouwer and F. K. Withaar (1997), the authors of the current review highlight driving-related obstacles for TBI survivors and aging adults and suggest that individuals aging with TBI may be at increased risk for driving-related problems. Implications: Areas for clinical consideration include seizures, sleepiness and fatigue, vision, cognition, driving assessment, and caregiver involvement. The need for further study of postacute driving assessment and rehabilitation is highlighted.

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Health, Aging and Traumatic Brain Injury

Cited by 5 publications

References 4 publications

Sensitivity and Specificity of the Beck Depression Inventory-II in Persons With Traumatic Brain Injury

Sensitivity and Specificity of the Beck Depression Inventory-II in Persons With Traumatic Brain Injury

Description of outpatient utilization and costs in group of veterans with traumatic brain injury

Driving, aging, and traumatic brain injury: Integrating findings from the literature.

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