Relationship of medical comorbidities to psychological health at 2 and 5 years following traumatic brain injury (TBI).

Noyes, Emily T.; Tang, Xinyu; Sander, Angelle M.; Silva, Marc A.; Walker, William C.; Finn, Jacob A.; Cooper, Douglas B.; Nakase‐Richardson, Risa

doi:10.1037/rep0000366

Cited by 18 publications

(18 citation statements)

References 39 publications

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“…3 and 4 ). Together, these results suggest that patterns in the health status transition of patients with TBI emerge along the course of their comorbidity, which is consistent with previous reports 45 , 47 – 51 .…”

Section: Discussionsupporting

confidence: 92%

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Mollayeva

Tran

Chan

et al. 2022

Sci Rep

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For centuries, the study of traumatic brain injury (TBI) has been centred on historical observation and analyses of personal, social, and environmental processes, which have been examined separately. Today, computation implementation and vast patient data repositories can enable a concurrent analysis of personal, social, and environmental processes, providing insight into changes in health status transitions over time. We applied computational and data visualization techniques to categorize decade-long health records of 235,003 patients with TBI in Canada, from preceding injury to the injury event itself. Our results highlighted that health status transition patterns in TBI emerged along with the projection of comorbidity where many disorders, social and environmental adversities preceding injury are reflected in external causes of injury and injury severity. The strongest associations between health status preceding TBI and health status at the injury event were between multiple body system pathology and advanced age-related brain pathology networks. The interwoven aspects of health status on a time continuum can influence post-injury trajectories and should be considered in TBI risk analysis to improve prevention, diagnosis, and care.

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Section: Discussionsupporting

confidence: 92%

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Mollayeva

Tran

Chan

et al. 2022

Sci Rep

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“…Together, these results suggest that attention to the health status transition patterns in TBI emerge along with the projection of comorbidity, which is consistent with previous reports [47][48][49][50][51][52] .…”

Section: Discussionsupporting

confidence: 92%

Health Status Transitions Related to Traumatic Brain Injury.

Escobar

Mollayeva

Tran

et al. 2021

Preprint

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For centuries, the study of traumatic brain injury (TBI) has been centred on historical observation and analyses of personal, social, and environmental processes, which have been examined separately. Today, however, computation implementation and vast patient data repositories are producing datasets of such volume and complexity as to challenge traditional scientific methodology. Drastically different approaches show great promise for research on TBI. We report a computational analysis of health status over time using population-wide health administrative data of patients with TBI. Our approach facilitates health status at injury event evaluation and classification, and unfolds health status trajectories, from that of preceding injury to the injury event itself, as they concern external causes of injury and injury severity. Taken together, the contrasting and interwoven aspects of health status on a time continuum can influence injury event trajectories and should be considered in TBI risk analysis for the improvement of diagnosis, treatment, and prevention.

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“…Using a medical comorbidities interview adapted from the National Health and Nutrition Examination Survey (NHANES),37 respondents were asked whether a doctor or other healthcare provider had ever diagnosed them with a health condition (ie, chronic pain; fractures to hip, wrist, or spine; hypertension; sleep apnea; sexual dysfunction; respiratory illness; high blood cholesterol; osteoarthritis; cataracts; diabetes; stroke; cancer; liver disease; kidney stones; myocardial infarction; rheumatoid arthritis; other health conditions; other thyroid disease). These 18 medical comorbidities have demonstrated significant associations to meaningful rehabilitation outcomes within the VA TBIMS national database 38. For the current study, the numbers of health conditions reported were summed into a total comorbidity burden variable.…”

Section: Methodsmentioning

confidence: 99%

“…These 18 medical comorbidities have demonstrated significant associations to meaningful rehabilitation outcomes within the VA TBIMS national database. 38 For the current study, the numbers of health conditions reported were summed into a total comorbidity burden variable. In addition, utilization of mental health services within the year prior to the follow-up assessment was coded as follows: yes = 1; no = 0.…”

Section: Smv Injury-related Informationmentioning

confidence: 99%

Family Needs After Traumatic Brain Injury: A VA TBI Model Systems Study

Finn

Klocksieben

Smith

et al. 2022

Journal of Head Trauma Rehabilitation

Self Cite

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Objective: To describe the self-reported needs of family caregivers of service members and veterans (SMVs) who sustained a traumatic brain injury (TBI) and to identify predictors of the unmet family caregiver needs. Setting: Five Department of Veterans Affairs (VA) Polytrauma Rehabilitation Centers (PRCs). Participants: Family caregivers of SMVs enrolled in the VA PRC TBI Model Systems (TBIMS) national database who were within their first 5 years post-TBI (n = 427). Design: Observational study. Main Outcome Measure: The Family Needs Questionnaire-Revised (FNQ-R) was completed by each SMV's designated caregiver. Analyses: Descriptive analyses were conducted on the FNQ-R responses at the item, domain, and total score levels. Unadjusted univariable and adjusted multivariable regression models were fitted to identify predictors of total unmet needs and unmet family need domains. Results: FNQ-R item-level and domain-level descriptive results indicated that health information was the most frequently met need domain. In contrast, emotional and instrumental support domains were the least often met. On average, family caregivers reported that 59.2% of the 37 FNQ-R needs were met at the time of the follow-up assessment. Regression models indicated that both the number of SMV-perceived environmental barriers and whether the SMV received mental health treatment within the past year predicted the number of unmet FNQ-R needs. SMV-reported environmental barriers predicted increased unmet needs in all 6 family caregiver domains, and SMV mental health treatment in the past year predicted more unmet family caregiver emotional support, community support, and professional support needs. Conclusions: The current findings can be used to inform policy and programming for VA and Department of Defense to proactively address the specific needs of families and caregivers experienced in the first 5 years post-TBI.

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Relationship of medical comorbidities to psychological health at 2 and 5 years following traumatic brain injury (TBI).

Cited by 18 publications

References 39 publications

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Health Status Transitions Related to Traumatic Brain Injury.

Family Needs After Traumatic Brain Injury: A VA TBI Model Systems Study

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