Health and cognition among adults with and without Traumatic Brain Injury: A matched case-control study.
Health and cognition among adults with and without Traumatic Brain Injury: A matched case-control study.
复制标题
有和没有创伤性脑损伤的成年人的健康和认知：一项匹配的病例对照研究。
DOI：
10.1080/02699052.2022.2034190
复制
发表时间：
2022-02-23
期刊：
影响因子：
1.9
通讯作者：
Dams-O'Connor, Kristen
中科院分区：
文献类型：
--
作者：
Kumar, Raj G.;Ketchum, Jessica M.;Hammond, Flora M.;Novack, Thomas A.;O'Neil-Pirozzi, Therese M.;Silva, Marc A.;Dams-O'Connor, Kristen
评估创伤性脑损伤（TBI）与健康状况之间的关系，并比较TBI病例和对照组之间的健康和认知关系。这项匹配的病例对照研究使用了来自TBI模型系统国家数据库（TBI病例）和美国中年（MIDUS）II和复习研究（对照）的数据。N=248例TBI病例与三个对照组的年龄、性别、种族和教育相匹配，没有替换。对病例组和对照组的18种自报疾病的患病率、自评健康状况、成人电话认知简易测试的综合评分进行比较。以下情况在TBI病例中比对照组明显更普遍：焦虑/抑郁（OR=3.12，95%CI：2.20，4.43，p<0.001），慢性睡眠问题（OR=2.76，95% CI：1.86，4.10，p<0.001）、头痛/偏头痛（OR=2.61，95% CI：1.50，4.54，p=0.0007）和卒中（OR=6.42，95% CI：2.93，14.10，p<0.001）。自评健康与认知之间的关系因TBI而显著变化（pinteraction=0.002）。与人口统计学上相似的未受伤的同龄人相比，TBI患者有更大的选择性神经行为状况的几率。在TBI患者中，与对照组相比，自测健康状况较差与认知之间存在更强的关联。TBI越来越被概念化为一种慢性疾病;目前的研究结果表明，TBI后的健康管理需要认知支持。
To evaluate associations between traumatic brain injury (TBI) and presence of health conditions, and to compare associations of health and cognition between TBI cases and controls. This matched case-control study used data from the TBI Model Systems National Database (TBI cases) and Midlife in the United States (MIDUS) II and Refresher studies (controls). N=248 TBI cases were age-, sex-, race-, and education-matched without replacement to three controls. Cases and controls were compared on prevalence of 18 self-reported conditions, self-rated health, composite scores from the Brief Test of Adult Cognition by Telephone. The following conditions were significantly more prevalent among TBI cases versus controls: anxiety/depression (OR=3.12, 95% CI: 2.20, 4.43, p<0.001), chronic sleeping problems (OR=2.76, 95% CI: 1.86, 4.10, p<0.001), headache/migraine (OR=2.61, 95% CI: 1.50, 4.54, p=0.0007), and stroke (OR=6.42, 95% CI: 2.93, 14.10, p<0.001). The relationship between self-rated health and cognition significantly varied by TBI (pinteraction=0.002). Individuals with TBI have greater odds of selected neurobehavioral conditions compared to their demographically-similar uninjured peers. Among persons with TBI there was a stronger association between poorer self-rated health and cognition than controls. TBI is increasingly conceptualized as a chronic disease; current findings suggest post-TBI health management requires cognitive supports.
登录
查看更多内容
影响因子：
2.4
作者：
DIKMEN, SS;MACHAMER, JE;TEMKIN, NR
通讯作者：
TEMKIN, NR
DOI：
10.1016/j.apmr.2013.01.023
发表时间：
2013-06-01
影响因子：
4.3
作者：
Corrigan, John D.;Hammond, Flora M.
通讯作者：
Hammond, Flora M.
影响因子：
2.4
作者：
Bogner, Jennifer A.;Whiteneck, Gale G.;Corrigan, John D.
通讯作者：
Corrigan, John D.
影响因子：
1.9
作者：
Driver, Simon;Reynolds, Megan;Kramer, Kaye
通讯作者：
Kramer, Kaye
影响因子：
2.4
作者：
Baldo, JV;Shimamura, AP
通讯作者：
Shimamura, AP