Screening for traumatic brain injury: findings and public health implications.
Screening for traumatic brain injury: findings and public health implications.
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DOI：
10.1097/htr.0000000000000099
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发表时间：
2014-11
期刊：
影响因子：
--
通讯作者：
Gordon WA
中科院分区：
文献类型：
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作者：
Dams-OʼConnor K;Cantor JB;Brown M;Dijkers MP;Spielman LA;Gordon WA
提供一系列项目的概述，这些项目在不同的环境和样本中使用结构化自我报告筛查工具来筛查创伤性脑损伤(TBI)的终生病史。多样化的社区环境。无家可归者(111人)、寻求职业康复的艾滋病毒携带者(173人)、少年司法系统中的青年(271人)、公立学童(174人)、吸毒者(845人)、校际运动员(90人)和其他社区样本(396人)。横截面。颅脑损伤筛查问卷。使用脑损伤筛查问卷进行筛查发现，在高危人群中，27%至54%的人报告了有慢性症状的脑损伤病史。在几项研究中，脑外伤与社会、学术或其他问题之间的关联是显而易见的。在非高危社区样本中，9%至12%的个人报告有慢性症状的脑损伤。可以在各种环境中高效且廉价地实施系统的TBI筛查。使用结构化自我报告工具收集的终生脑损伤病史数据可以增强现有的脑损伤患病率估计，无论是急性事件还是慢性疾病。确认脑外伤患者可以促进一级预防工作，如降低高危人群的再伤害风险，并提供适当的干预措施，以降低脑外伤的个人和社会成本(三级预防)。
To provide an overview of a series of projects that used a structured self-report screening tool in diverse settings and samples to screen for lifetime history of traumatic brain injury (TBI). Diverse community settings. Homeless persons (n = 111), individuals with HIV seeking vocational rehabilitation (n = 173), youth in the juvenile justice system (n = 271), public schoolchildren (n = 174), substance users (n = 845), intercollegiate athletes (n = 90), and other community-based samples (n = 396). Cross-sectional. Brain Injury Screening Questionnaire. Screening using the Brain Injury Screening Questionnaire finds that 27% to 54% of those in high-risk populations report a history of TBI with chronic symptoms. Associations between TBI and social, academic, or other problems are evident in several studies. In non–high-risk community samples, 9% to 12% of individuals report TBI with chronic symptoms. Systematic TBI screening can be implemented efficiently and inexpensively in a variety of settings. Lifetime TBI history data gathered using a structured self-report instrument can augment existing estimates of the prevalence of TBI, both as an acute event and as a chronic condition. Identification of individuals with TBI can facilitate primary prevention efforts, such as reducing risk for reinjury in high-risk groups, and provide access to appropriate interventions that can reduce the personal and societal costs of TBI (tertiary prevention).