Descriptive findings from the traumatic brain injury model systems national data base
Descriptive findings from the traumatic brain injury model systems national data base
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DOI：
10.1097/00001199-199610000-00002
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发表时间：
1996-10-01
影响因子：
2.4
通讯作者：
Kreutzer, JS
中科院分区：
文献类型：
--
作者：
HarrisonFelix, C;Newton, CN;Kreutzer, JS
描述创伤性脑损伤模型系统（TBIMS）国家数据库的现状，并根据数据库开发的原始研究和示范问题提出主要描述性结果，并描述患者出院时康复和受伤后1年的结局设计：前瞻性，纵向多中心研究。设定：TBIMS位于弗吉尼亚州里士满的弗吉尼亚医学院;密歇根州底特律的韦恩州立大学/密歇根康复研究所;德克萨斯州休斯顿的康复和研究所;加利福尼亚州圣何塞的圣克拉拉谷医疗中心。数据集：1989年3月至1995年9月期间连续从4个TBIMS出院的660名患者的人口统计学、诊断、治疗和结局数据。结果如下：TBIMS个体通常在35岁左右，男性（77%）和白色（51%）;具有高中或更低的教育程度（71%）;并且在受伤时可能不被雇用（50%）。与车辆有关的伤害是受伤的主要原因（56%）。个体往往遭受中度至重度脑损伤，77%的人经历意识丧失，98%的人经历意识丧失。创伤后失忆症急性护理和住院康复的平均综合住院时间从1989年的83天减少到1994年的63天，减少了约25%。功能独立性测量评分表明整体功能从康复入院时需要“中度辅助”的平均水平改善到受伤后1年时“中度独立”和“完全独立”之间的平均水平。如社区融合问卷所示，个人往往在社区融合的社会方面做得最好，在生产力方面做得最差。结论：本文讨论了TBIMS国家数据库创建者提出的原始研究和演示问题。它描述了TBIMS人群，并介绍了受伤后1年康复出院时的结局。这些信息为今后的研究提供了基准。
To describe the current status of the Traumatic Brain Injury Model Systems (TBIMS) National Data Base and present major descriptive findings based on the original research and demonstration issues for which the database was developed, and to describe patient outcomes at discharge from inpatient rehabilitation and at 1 year post injury Design: Prospective, longitudinal multicenter study. Setting: TBIMS located at the Medical College of Virginia, Richmond, Va; Wayne State University/Rehabilitation Institute of Michigan, Detroit, Mich; The Institute for Rehabilitation and Research, Houston, Tex; and Santa Clara Valley Medical Center, San Jose, Calif. Data Set: Demographic, diagnostic, treatment, and outcome data on 660 individuals consecutively discharged from the four TBIMS between March 1989 and September 1995. Results: TBIMS individuals are typically in their mid-30s, male (77%), and white (51%); have a high school education or less (71%); and are as likely as not to be employed at the time of injury (50%). Vehicle-related injuries are the leading cause of injury (56%). Individuals tend to suffer moderate to severe brain injuries, with 77% experiencing loss of consciousness and 98% experiencing. posttraumatic amnesia. The average combined length of stay for acute care and inpatient rehabilitation decreased approximately 25%, from 83 days in 1989 in 63 days in 1994. The Functional Independence Measure scores indicated overall functional improvement from an average level of requiring ''Moderate Assistance'' at the time of rehabilitation admission to an average level between ''Moderate Independence'' and ''Complete Independence'' at 1 year post injury. As indicated by the Community Integration Questionnaire, individuals tended to do best in the social aspects of community integration and worst in productivity. Conclusion: This article addresses the original research and demonstration issues posed by the creators of the TBIMS National Data Base. It describes the TBIMS population and presents outcomes at rehabilitation discharge acid at 1 year post injury. This information provides a benchmark for future study.