Community integration following moderate to severe traumatic brain injury: a longitudinal investigation
To evaluate the course and identify determinants of community integration for up to 3 years following moderate to severe traumatic brain injury. Prospective cohort study. A total of 119 moderate to severe traumatic brain injury patients aged 16-67 years. The Community Integration Questionnaire was c...
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| Veröffentlicht in: | Journal of rehabilitation medicine 2009-06, Vol.41 (7), p.521-527 |
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| container_title | Journal of rehabilitation medicine |
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| creator | Willemse-van Son, Agnes H P Ribbers, Gerard M Hop, Wim C J Stam, Henk J |
| description | To evaluate the course and identify determinants of community integration for up to 3 years following moderate to severe traumatic brain injury.
Prospective cohort study.
A total of 119 moderate to severe traumatic brain injury patients aged 16-67 years.
The Community Integration Questionnaire was completed at 3, 6, 12, 18, 24 and 36 months post-injury. Repeated measures analysis of variance was performed to determine changes over time in the Community Integration Questionnaire and its subscales. Bivariate and multivariate regression analyses were used to identify determinants of community integration 36 months post-injury.
Compared with pre-injury, mean home integration, social integration, productivity, and total questionnaire scores decreased 3 months post-injury. Patient scores showed maximal improvement during the first year post--injury. Mean home integration, productivity, and total scores increased to a lesser extent during years 1-3 post-injury. Age, Barthel Index scores, hospital discharge destination, and pre-injury community integration scores were the major determinants of community integration 36 months post-injury (R2 = 60%).
After an initial decline, mean community integration scores gradually improve following moderate to severe traumatic brain injury. Understanding the course and determinants of community integration is necessary in order to determine functional prognosis following traumatic brain injury. |
| doi_str_mv | 10.2340/16501977-0377 |
| format | Article |
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Prospective cohort study.
A total of 119 moderate to severe traumatic brain injury patients aged 16-67 years.
The Community Integration Questionnaire was completed at 3, 6, 12, 18, 24 and 36 months post-injury. Repeated measures analysis of variance was performed to determine changes over time in the Community Integration Questionnaire and its subscales. Bivariate and multivariate regression analyses were used to identify determinants of community integration 36 months post-injury.
Compared with pre-injury, mean home integration, social integration, productivity, and total questionnaire scores decreased 3 months post-injury. Patient scores showed maximal improvement during the first year post--injury. Mean home integration, productivity, and total scores increased to a lesser extent during years 1-3 post-injury. Age, Barthel Index scores, hospital discharge destination, and pre-injury community integration scores were the major determinants of community integration 36 months post-injury (R2 = 60%).
After an initial decline, mean community integration scores gradually improve following moderate to severe traumatic brain injury. Understanding the course and determinants of community integration is necessary in order to determine functional prognosis following traumatic brain injury.</description><identifier>ISSN: 1650-1977</identifier><identifier>EISSN: 1651-2081</identifier><identifier>DOI: 10.2340/16501977-0377</identifier><identifier>PMID: 19543662</identifier><language>eng</language><publisher>Sweden</publisher><subject>Activities of Daily Living ; Adolescent ; Adult ; Aged ; Brain Injuries - diagnosis ; Brain Injuries - psychology ; Brain Injuries - rehabilitation ; Cohort analysis ; Cohort Studies ; Destinations ; Female ; Hospitals ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Productivity ; Prognosis ; Prospective Studies ; Social integration ; Surveys and Questionnaires ; Traumatic brain injury ; Young Adult</subject><ispartof>Journal of rehabilitation medicine, 2009-06, Vol.41 (7), p.521-527</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-3e56a32142e86ab0548628a8de51682e9fbd849d7b2afac550c740c037eb32c93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27911,27912,30987</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19543662$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Willemse-van Son, Agnes H P</creatorcontrib><creatorcontrib>Ribbers, Gerard M</creatorcontrib><creatorcontrib>Hop, Wim C J</creatorcontrib><creatorcontrib>Stam, Henk J</creatorcontrib><title>Community integration following moderate to severe traumatic brain injury: a longitudinal investigation</title><title>Journal of rehabilitation medicine</title><addtitle>J Rehabil Med</addtitle><description>To evaluate the course and identify determinants of community integration for up to 3 years following moderate to severe traumatic brain injury.
Prospective cohort study.
A total of 119 moderate to severe traumatic brain injury patients aged 16-67 years.
The Community Integration Questionnaire was completed at 3, 6, 12, 18, 24 and 36 months post-injury. Repeated measures analysis of variance was performed to determine changes over time in the Community Integration Questionnaire and its subscales. Bivariate and multivariate regression analyses were used to identify determinants of community integration 36 months post-injury.
Compared with pre-injury, mean home integration, social integration, productivity, and total questionnaire scores decreased 3 months post-injury. Patient scores showed maximal improvement during the first year post--injury. Mean home integration, productivity, and total scores increased to a lesser extent during years 1-3 post-injury. Age, Barthel Index scores, hospital discharge destination, and pre-injury community integration scores were the major determinants of community integration 36 months post-injury (R2 = 60%).
After an initial decline, mean community integration scores gradually improve following moderate to severe traumatic brain injury. Understanding the course and determinants of community integration is necessary in order to determine functional prognosis following traumatic brain injury.</description><subject>Activities of Daily Living</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Brain Injuries - diagnosis</subject><subject>Brain Injuries - psychology</subject><subject>Brain Injuries - rehabilitation</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Destinations</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Productivity</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Social integration</subject><subject>Surveys and Questionnaires</subject><subject>Traumatic brain injury</subject><subject>Young Adult</subject><issn>1650-1977</issn><issn>1651-2081</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkTlPxDAQhS0EYmGhpEWu6ALjO6FDKy5pJRqoI8dxIq-SeLET0P57vAeipJqZ589vZD-ErgjcUsbhjkgBpFAqA6bUETpLM8ko5OR410O2PZyh8xhXAEQJpk7RjBSCMynpGWoXvu-nwY0b7IbRtkGPzg-48V3nv93Q4t7XNokWjx5H-2VD6oKe-sQZXAXthnRxNYXNPda480Prxql2g-6S_GXj6Nqd4wU6aXQX7eWhztHH0-P74iVbvj2_Lh6WmeECxoxZITWjhFObS12B4Lmkuc5rK4jMqS2aqs55UauK6kYbIcAoDia93VaMmoLN0c3edx3855T2l72LxnadHqyfYikTLiiHf0GhGDAGPIHZHjTBxxhsU66D63XYlATKbQTlbwTlNoLEXx-Mp6q39R99-HP2A866gqA</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Willemse-van Son, Agnes H P</creator><creator>Ribbers, Gerard M</creator><creator>Hop, Wim C J</creator><creator>Stam, Henk J</creator><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>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20090601</creationdate><title>Community integration following moderate to severe traumatic brain injury: a longitudinal investigation</title><author>Willemse-van Son, Agnes H P ; Ribbers, Gerard M ; Hop, Wim C J ; Stam, Henk J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-3e56a32142e86ab0548628a8de51682e9fbd849d7b2afac550c740c037eb32c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Activities of Daily Living</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Brain Injuries - diagnosis</topic><topic>Brain Injuries - psychology</topic><topic>Brain Injuries - rehabilitation</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Destinations</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Productivity</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Social integration</topic><topic>Surveys and Questionnaires</topic><topic>Traumatic brain injury</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Willemse-van Son, Agnes H P</creatorcontrib><creatorcontrib>Ribbers, Gerard M</creatorcontrib><creatorcontrib>Hop, Wim C J</creatorcontrib><creatorcontrib>Stam, Henk J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Willemse-van Son, Agnes H P</au><au>Ribbers, Gerard M</au><au>Hop, Wim C J</au><au>Stam, Henk J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Community integration following moderate to severe traumatic brain injury: a longitudinal investigation</atitle><jtitle>Journal of rehabilitation medicine</jtitle><addtitle>J Rehabil Med</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>41</volume><issue>7</issue><spage>521</spage><epage>527</epage><pages>521-527</pages><issn>1650-1977</issn><eissn>1651-2081</eissn><abstract>To evaluate the course and identify determinants of community integration for up to 3 years following moderate to severe traumatic brain injury.
Prospective cohort study.
A total of 119 moderate to severe traumatic brain injury patients aged 16-67 years.
The Community Integration Questionnaire was completed at 3, 6, 12, 18, 24 and 36 months post-injury. Repeated measures analysis of variance was performed to determine changes over time in the Community Integration Questionnaire and its subscales. Bivariate and multivariate regression analyses were used to identify determinants of community integration 36 months post-injury.
Compared with pre-injury, mean home integration, social integration, productivity, and total questionnaire scores decreased 3 months post-injury. Patient scores showed maximal improvement during the first year post--injury. Mean home integration, productivity, and total scores increased to a lesser extent during years 1-3 post-injury. Age, Barthel Index scores, hospital discharge destination, and pre-injury community integration scores were the major determinants of community integration 36 months post-injury (R2 = 60%).
After an initial decline, mean community integration scores gradually improve following moderate to severe traumatic brain injury. Understanding the course and determinants of community integration is necessary in order to determine functional prognosis following traumatic brain injury.</abstract><cop>Sweden</cop><pmid>19543662</pmid><doi>10.2340/16501977-0377</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1650-1977 |
| ispartof | Journal of rehabilitation medicine, 2009-06, Vol.41 (7), p.521-527 |
| issn | 1650-1977 1651-2081 |
| language | eng |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection |
| subjects | Activities of Daily Living Adolescent Adult Aged Brain Injuries - diagnosis Brain Injuries - psychology Brain Injuries - rehabilitation Cohort analysis Cohort Studies Destinations Female Hospitals Humans Longitudinal Studies Male Middle Aged Productivity Prognosis Prospective Studies Social integration Surveys and Questionnaires Traumatic brain injury Young Adult |
| title | Community integration following moderate to severe traumatic brain injury: a longitudinal investigation |
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