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Disability and Health Consequences of Traumatic Brain Injury : National Prevalence

JOURDAN C; AZOUVI P; GENET F; SELLY N; JOSSERAN L; SCHNITZLER A
AM J PHYS MED REHABIL , 2018, vol. 97, n° 5, p. 323-331
Doc n°: 187006
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/PHM.0000000000000848
Descripteurs : AF3 - TRAUMATISME CRANIEN

The aim of the study was to measure the prevalence of traumatic brain
injury (TBI)-related disability and health status in the general population.
DESIGN: The French National Survey, conducted in households and institutions,
assessed 33,896 adults. Data included sequelae from TBI, impairments, current
health conditions, and uses of health services. Analyses, adjusted for age and
sex, compared subjects who declared sequelae from TBI (n = 479) with the
remaining survey population (n = 33,287). Use of weighting factors ensured that
results were representative of the national population. RESULTS: Prevalence of
persistent sequelae from TBI in France was 704/100,000. Median time since injury
was 14 yrs. For all Core Set items of the International Classification of
Functioning, subjects with TBI reported more impairments than the control
population: adjusted odds ratios from 1.7 (behavioral difficulties) to 8.6 (motor
difficulties). Rates of cardiovascular, respiratory, musculoskeletal, digestive,
urological, neurological, and psychiatric conditions were higher in the TBI
population. Use of health services was greater, and women with TBI had higher
rates of unmet health needs. CONCLUSIONS: Persistent sequelae from TBI
significantly affect health in the general population. Planning of post-TBI care
should address the chronic needs of these persons.

Langue : ANGLAIS

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