Prevalence of Self-Reported Lifetime History of Traumatic Brain Injury and Associated Disability: A Statewide Population-Based Survey
Prevalence of Self-Reported Lifetime History of Traumatic Brain Injury and Associated Disability: A Statewide Population-Based Survey
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DOI：
10.1097/htr.0000000000000140
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发表时间：
2016-01-01
影响因子：
2.4
通讯作者：
Bogner, Jennifer A.
中科院分区：
文献类型：
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作者：
Whiteneck, Gale G.;Cuthbert, Jeffrey P.;Bogner, Jennifer A.
目的：探讨创伤性脑损伤（TBI）在不同治疗环境下的患病率及其相关的不良结局。参与者：共2701名成年科罗拉多人。设计：在全州范围内，以人口为基础，随机数字拨号电话调查。主要测量方法：采用俄亥俄州立大学创伤性脑损伤鉴别法进行评估；活动限制和生活满意度也被评估。结果：自报终身伤害的分布为：19.8%，无伤害；37.7%为损伤但无TBI；轻度TBI占36.4%；6.0%为中重度脑损伤。在报告发生TBI的患者中，23.1%住院治疗，38.5%在急诊科治疗，9.8%在医生办公室治疗，27.5%没有寻求医疗护理。活动限制和低生活满意度的明显梯度被观察到，这些负面结果在报告更严重的TBI的人群中发生的比例最高，而在没有报告TBI的人群中发生的比例最低。与住院的TBI相比，非住院的TBI患者报告活动受限和生活满意度低的人数大约是住院患者的两倍。结论：这项调查强调了TBI作为一个公共卫生问题的严重性，以及在估计TBI并发残疾的患病率时，包括所有严重程度的TBI的重要性，无论在哪里或是否治疗过。
Objective: To investigate the prevalence of all severities of traumatic brain injury (TBI), regardless of treatment setting, and their associated negative outcomes. Participants: A total of 2701 adult Coloradoans. Design: A statewide, population-based, random digit-dialed telephone survey. Main Measures: The lifetime history of TBI was assessed by a modification of the Ohio State University TBI Identification Method; activity limitation and life satisfaction were also assessed. Results: The distribution of self-reported lifetime injury was as follows: 19.8%, no injury; 37.7%, injury but no TBI; 36.4%, mild TBI; and 6.0%, moderate-severe TBI. Of those reporting a TBI, 23.1% were hospitalized, 38.5% were treated in an emergency department, 9.8% were treated in a physician's office, and 27.5% did not seek medical care. A clear gradient of activity limitations and low life satisfaction was seen, with the highest proportions of these negative outcomes occurring in people reporting more severe TBI and the lowest proportions in those not reporting a TBI. Approximately twice as many people reported activity limitations and low life satisfaction after nonhospitalized TBI compared with hospitalized TBI. Conclusions: This investigation highlights the seriousness of TBI as a public health problem and the importance of including all severities of TBI, no matter where, or if treated, in estimating the prevalence of disability co-occurring with TBI.