NDLI: Ten-year outcomes following traumatic brain injury: a population-based cohort.

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Ten-year outcomes following traumatic brain injury: a population-based cohort.

Content Provider	Semantic Scholar
Author	Cameron, Cate M. Purdie, David M. Kliewer, Erich Victor McClure, Roderick J.
Copyright Year	2008
Abstract	PRIMARY OBJECTIVE To quantify the 10 year health service use (HSU) and mortality outcomes for people with a traumatic brain injury (TBI). RESEARCH DESIGN A population-based matched cohort study using linked administrative data from Manitoba, Canada (Manitoba Injury Outcome Study). METHODS AND PROCEDURES An inception cohort (1988-1991) of hospitalized cases with TBI aged 18-64 years (n = 1290) was identified and matched to a non-injured comparison group (n = 1290). Survival analysis, Negative binomial and Poisson regression were used to quantify associations between injury and HSU/mortality outcomes for 10 years following the TBI event. MAIN OUTCOME AND RESULTS The majority of deaths (47.2%) occurred in the first 60 days following injury. Excluding the first 60 days, the adjusted 10 year mortality remained elevated (mortality rate ratio = 1.48, 95% CI = 1.02-2.15). After adjusting for demographic characteristics and pre-existing health status, the TBI cohort had more post-injury hospitalizations (rate ratio (RR) = 1.54, 95% CI = 1.39-1.71), greater cumulative lengths of stay (RR = 5.14, 95% CI = 3.29-8.02) and a greater post-injury physician claims rate (RR = 1.44, 95% CI = 1.35-1.53) than the non-injured cohort. CONCLUSIONS People who sustain a TBI and survive the initial acute phase of care experience substantially increased long-term morbidity compared to the general population, regardless of the level of injury severity.
Starting Page	263
Ending Page	263
Page Count	1
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.t.lifeexpectancy.com/articles/cameron.pdf
PubMed reference number	18465385v1
Alternate Webpage(s)	https://doi.org/10.1080/02699050802060621
DOI	10.1080/02699050802060621
Journal	Brain injury
Volume Number	22
Issue Number	6
Language	English
Access Restriction	Open
Subject Keyword	Brain Injuries Cessation of life Clomiphene Cumulative Trauma Disorders Health Services Hospitalization Medicine, East Asian Traditional Mental association Morbidity - disease rate Sodium Traumatic Brain Injury
Content Type	Text
Resource Type	Article

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