Severe traumatic brain injury in New South Wales: comparable outcomes for rural and urban residents
Objective: To compare differences in functional outcomes between urban and rural patients with traumatic brain injury (TBI). Design: A longitudinal, prospective, multicentre study of a 2‐year cohort from the Brain Injury Rehabilitation Program (BIRP) for New South Wales, with follow‐up at 18 months...
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| Veröffentlicht in: | Medical journal of Australia 2004-08, Vol.181 (3), p.130-134 |
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| creator | Harradine, Peter G Winstanley, Julie B Tate, Robyn Cameron, Ian D Baguley, Ian J Harris, Ross D |
| description | Objective: To compare differences in functional outcomes between urban and rural patients with traumatic brain injury (TBI).
Design: A longitudinal, prospective, multicentre study of a 2‐year cohort from the Brain Injury Rehabilitation Program (BIRP) for New South Wales, with follow‐up at 18 months after injury.
Participants: 198 patients (147 urban, 51 rural) with severe TBI from the 11 participating rehabilitation units.
Main outcome measures: Demographic and injury details collected prospectively using a standardised questionnaire, and measures from five validated instruments (Disability Rating Scale, Mayo–Portland Adaptability Inventory, Sydney Psychosocial Reintegration Scale, Medical Outcomes Study Short Form and the General Health Questionnaire – 28‐item version) administered at follow‐up to document functional, psychosocial, emotional and vocational outcomes.
Results: Demographic details, injury severity, lengths of stay in intensive and acute care wards were similar for both rural and urban groups. There were no significant group differences in functional outcomes, including return to work, at follow‐up.
Conclusions: Our findings contrast with previous research that has reported poorer outcomes after TBI for rural residents, and suggest that the integrated network of inpatient, outpatient and outreach services provided throughout NSW through the BIRP provides effective rehabilitation for people with severe TBI regardless of where they live. |
| doi_str_mv | 10.5694/j.1326-5377.2004.tb06202.x |
| format | Article |
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Design: A longitudinal, prospective, multicentre study of a 2‐year cohort from the Brain Injury Rehabilitation Program (BIRP) for New South Wales, with follow‐up at 18 months after injury.
Participants: 198 patients (147 urban, 51 rural) with severe TBI from the 11 participating rehabilitation units.
Main outcome measures: Demographic and injury details collected prospectively using a standardised questionnaire, and measures from five validated instruments (Disability Rating Scale, Mayo–Portland Adaptability Inventory, Sydney Psychosocial Reintegration Scale, Medical Outcomes Study Short Form and the General Health Questionnaire – 28‐item version) administered at follow‐up to document functional, psychosocial, emotional and vocational outcomes.
Results: Demographic details, injury severity, lengths of stay in intensive and acute care wards were similar for both rural and urban groups. There were no significant group differences in functional outcomes, including return to work, at follow‐up.
Conclusions: Our findings contrast with previous research that has reported poorer outcomes after TBI for rural residents, and suggest that the integrated network of inpatient, outpatient and outreach services provided throughout NSW through the BIRP provides effective rehabilitation for people with severe TBI regardless of where they live.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/j.1326-5377.2004.tb06202.x</identifier><identifier>PMID: 15287829</identifier><identifier>CODEN: MJAUAJ</identifier><language>eng</language><publisher>Sydney: Australasian Medical Publishing Company</publisher><subject>Adult ; Biological and medical sciences ; Brain Injuries - epidemiology ; Brain Injuries - rehabilitation ; Brain research ; Cognitive ability ; College professors ; Confidence intervals ; Female ; General aspects ; Handicapped accessibility ; Health services administration ; Hospitals ; Housing - statistics & numerical data ; Humans ; Intensive care ; Male ; Medical sciences ; Nervous system diseases ; New South Wales - epidemiology ; Outcome Assessment, Health Care ; Prospective Studies ; Quality of life ; Questionnaires ; Recovery of Function ; Rehabilitation ; Rural areas ; Rural Population - statistics & numerical data ; Social interaction ; Socioeconomic Factors ; Trauma ; Traumatic brain injury ; Urban areas ; Urban Population - statistics & numerical data</subject><ispartof>Medical journal of Australia, 2004-08, Vol.181 (3), p.130-134</ispartof><rights>2004 AMPCo Pty Ltd. All rights reserved</rights><rights>2004 INIST-CNRS</rights><rights>Copyright 2004 The Medical Journal of Australia</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4822-5a72d0300ce581c982ae3e74b09a25d549017decf70febe2636eb1d2a423bbcd3</citedby><cites>FETCH-LOGICAL-c4822-5a72d0300ce581c982ae3e74b09a25d549017decf70febe2636eb1d2a423bbcd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.5694%2Fj.1326-5377.2004.tb06202.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.5694%2Fj.1326-5377.2004.tb06202.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15975535$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15287829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harradine, Peter G</creatorcontrib><creatorcontrib>Winstanley, Julie B</creatorcontrib><creatorcontrib>Tate, Robyn</creatorcontrib><creatorcontrib>Cameron, Ian D</creatorcontrib><creatorcontrib>Baguley, Ian J</creatorcontrib><creatorcontrib>Harris, Ross D</creatorcontrib><title>Severe traumatic brain injury in New South Wales: comparable outcomes for rural and urban residents</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>Objective: To compare differences in functional outcomes between urban and rural patients with traumatic brain injury (TBI).
Design: A longitudinal, prospective, multicentre study of a 2‐year cohort from the Brain Injury Rehabilitation Program (BIRP) for New South Wales, with follow‐up at 18 months after injury.
Participants: 198 patients (147 urban, 51 rural) with severe TBI from the 11 participating rehabilitation units.
Main outcome measures: Demographic and injury details collected prospectively using a standardised questionnaire, and measures from five validated instruments (Disability Rating Scale, Mayo–Portland Adaptability Inventory, Sydney Psychosocial Reintegration Scale, Medical Outcomes Study Short Form and the General Health Questionnaire – 28‐item version) administered at follow‐up to document functional, psychosocial, emotional and vocational outcomes.
Results: Demographic details, injury severity, lengths of stay in intensive and acute care wards were similar for both rural and urban groups. There were no significant group differences in functional outcomes, including return to work, at follow‐up.
Conclusions: Our findings contrast with previous research that has reported poorer outcomes after TBI for rural residents, and suggest that the integrated network of inpatient, outpatient and outreach services provided throughout NSW through the BIRP provides effective rehabilitation for people with severe TBI regardless of where they live.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Brain Injuries - epidemiology</subject><subject>Brain Injuries - rehabilitation</subject><subject>Brain research</subject><subject>Cognitive ability</subject><subject>College professors</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>General aspects</subject><subject>Handicapped accessibility</subject><subject>Health services administration</subject><subject>Hospitals</subject><subject>Housing - statistics & numerical data</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system diseases</subject><subject>New South Wales - epidemiology</subject><subject>Outcome Assessment, Health Care</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Rural areas</subject><subject>Rural Population - statistics & numerical data</subject><subject>Social interaction</subject><subject>Socioeconomic Factors</subject><subject>Trauma</subject><subject>Traumatic brain injury</subject><subject>Urban areas</subject><subject>Urban Population - statistics & numerical data</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkUtv1TAQhS0EopfCX0BWJdglOOM4Trq7qniqwKIg2FljZyIS5XGxE9r773G4ESB2rMZjf2c8Ooexi0ykqqjyF12aSSgSJbVOQYg8na0oQEB6d4_tfj_dZzshQCUaqq9n7FEIXWwzBfohO4ul1CVUO-Zu6Ad54rPHZcC5ddx6bEfejt3ij7HwD3TLb6Zl_sa_YE_hkrtpOKBH2xOP17GjwJvJc7947DmONV-8xZF7Cm1N4xweswcN9oGebPWcfX718tPVm-T64-u3V_vrxOUlQKJQQy2kEI5UmbmqBCRJOreiQlC1yiuR6Zpco0VDlqCQBdmsBsxBWutqec6en-Ye_PR9oTCboQ2O-h5HmpZgikIXUVRF8OIfsJsWP8bdDEilQeblCl2eIOenEDw15uDbAf3RZMKsOZjOrGab1Wyz5mC2HMxdFD_dfljsQPUf6WZ8BJ5tAAaHfeNxdG34i6u0UlJFbn_ibtuejv-xgnn_bg-_zvInUQOmRQ</recordid><startdate>20040802</startdate><enddate>20040802</enddate><creator>Harradine, Peter G</creator><creator>Winstanley, Julie B</creator><creator>Tate, Robyn</creator><creator>Cameron, Ian D</creator><creator>Baguley, Ian J</creator><creator>Harris, Ross D</creator><general>Australasian Medical Publishing Company</general><general>Australasian Medical Publishing Company Proprietary, Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20040802</creationdate><title>Severe traumatic brain injury in New South Wales: comparable outcomes for rural and urban residents</title><author>Harradine, Peter G ; Winstanley, Julie B ; Tate, Robyn ; Cameron, Ian D ; Baguley, Ian J ; Harris, Ross D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4822-5a72d0300ce581c982ae3e74b09a25d549017decf70febe2636eb1d2a423bbcd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Brain Injuries - epidemiology</topic><topic>Brain Injuries - rehabilitation</topic><topic>Brain research</topic><topic>Cognitive ability</topic><topic>College professors</topic><topic>Confidence intervals</topic><topic>Female</topic><topic>General aspects</topic><topic>Handicapped accessibility</topic><topic>Health services administration</topic><topic>Hospitals</topic><topic>Housing - statistics & numerical data</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system diseases</topic><topic>New South Wales - epidemiology</topic><topic>Outcome Assessment, Health Care</topic><topic>Prospective Studies</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Rural areas</topic><topic>Rural Population - statistics & numerical data</topic><topic>Social interaction</topic><topic>Socioeconomic Factors</topic><topic>Trauma</topic><topic>Traumatic brain injury</topic><topic>Urban areas</topic><topic>Urban Population - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harradine, Peter G</creatorcontrib><creatorcontrib>Winstanley, Julie B</creatorcontrib><creatorcontrib>Tate, Robyn</creatorcontrib><creatorcontrib>Cameron, Ian D</creatorcontrib><creatorcontrib>Baguley, Ian J</creatorcontrib><creatorcontrib>Harris, Ross D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harradine, Peter G</au><au>Winstanley, Julie B</au><au>Tate, Robyn</au><au>Cameron, Ian D</au><au>Baguley, Ian J</au><au>Harris, Ross D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe traumatic brain injury in New South Wales: comparable outcomes for rural and urban residents</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2004-08-02</date><risdate>2004</risdate><volume>181</volume><issue>3</issue><spage>130</spage><epage>134</epage><pages>130-134</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><coden>MJAUAJ</coden><abstract>Objective: To compare differences in functional outcomes between urban and rural patients with traumatic brain injury (TBI).
Design: A longitudinal, prospective, multicentre study of a 2‐year cohort from the Brain Injury Rehabilitation Program (BIRP) for New South Wales, with follow‐up at 18 months after injury.
Participants: 198 patients (147 urban, 51 rural) with severe TBI from the 11 participating rehabilitation units.
Main outcome measures: Demographic and injury details collected prospectively using a standardised questionnaire, and measures from five validated instruments (Disability Rating Scale, Mayo–Portland Adaptability Inventory, Sydney Psychosocial Reintegration Scale, Medical Outcomes Study Short Form and the General Health Questionnaire – 28‐item version) administered at follow‐up to document functional, psychosocial, emotional and vocational outcomes.
Results: Demographic details, injury severity, lengths of stay in intensive and acute care wards were similar for both rural and urban groups. There were no significant group differences in functional outcomes, including return to work, at follow‐up.
Conclusions: Our findings contrast with previous research that has reported poorer outcomes after TBI for rural residents, and suggest that the integrated network of inpatient, outpatient and outreach services provided throughout NSW through the BIRP provides effective rehabilitation for people with severe TBI regardless of where they live.</abstract><cop>Sydney</cop><pub>Australasian Medical Publishing Company</pub><pmid>15287829</pmid><doi>10.5694/j.1326-5377.2004.tb06202.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Medical journal of Australia, 2004-08, Vol.181 (3), p.130-134 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Biological and medical sciences Brain Injuries - epidemiology Brain Injuries - rehabilitation Brain research Cognitive ability College professors Confidence intervals Female General aspects Handicapped accessibility Health services administration Hospitals Housing - statistics & numerical data Humans Intensive care Male Medical sciences Nervous system diseases New South Wales - epidemiology Outcome Assessment, Health Care Prospective Studies Quality of life Questionnaires Recovery of Function Rehabilitation Rural areas Rural Population - statistics & numerical data Social interaction Socioeconomic Factors Trauma Traumatic brain injury Urban areas Urban Population - statistics & numerical data |
| title | Severe traumatic brain injury in New South Wales: comparable outcomes for rural and urban residents |
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