Disability in young people and adults one year after head injury: prospective cohort study
Abstract Objective: To determine the frequency of disability in young people and adults admitted to hospital with a head injury and to estimate the annual incidence in the community. Design: Prospective, hospital based cohort study, with one year follow up of sample stratified by coma score. Setting...
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| Veröffentlicht in: | BMJ 2000-06, Vol.320 (7250), p.1631-1635 |
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| creator | Thornhill, Sharon Teasdale, Graham M Murray, Gordon D McEwen, James Roy, Christopher W Penny, Kay I |
| description | Abstract Objective: To determine the frequency of disability in young people and adults admitted to hospital with a head injury and to estimate the annual incidence in the community. Design: Prospective, hospital based cohort study, with one year follow up of sample stratified by coma score. Setting: Five acute hospitals in Glasgow. Subjects: 2962 patients (aged 14 years or more) with head injury; 549 (71%) of the 769 patients selected for follow up participated. Main outcome measures: Glasgow outcome scale and problem orientated questionnaire. Results: Survival with moderate or severe disability was common after mild head injury (47%, 95% confidence interval 42% to 52%) and similar to that after moderate (45%, 35% to 56%) or severe injury (48%, 36% to 60%). By extrapolation from the population identified (90% of whom had mild injuries), it was estimated that annually in Glasgow (population 909 498) 1400 young people and adults are still disabled one year after head injury. Conclusion: The incidence of disability in young people and adults admitted with a head injury is higher than expected. This reflects the high rate of sequelae previously unrecognised in the large number of patients admitted to hospital with an apparently mild head injury. |
| doi_str_mv | 10.1136/bmj.320.7250.1631 |
| format | Article |
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Design: Prospective, hospital based cohort study, with one year follow up of sample stratified by coma score. Setting: Five acute hospitals in Glasgow. Subjects: 2962 patients (aged 14 years or more) with head injury; 549 (71%) of the 769 patients selected for follow up participated. Main outcome measures: Glasgow outcome scale and problem orientated questionnaire. Results: Survival with moderate or severe disability was common after mild head injury (47%, 95% confidence interval 42% to 52%) and similar to that after moderate (45%, 35% to 56%) or severe injury (48%, 36% to 60%). By extrapolation from the population identified (90% of whom had mild injuries), it was estimated that annually in Glasgow (population 909 498) 1400 young people and adults are still disabled one year after head injury. Conclusion: The incidence of disability in young people and adults admitted with a head injury is higher than expected. This reflects the high rate of sequelae previously unrecognised in the large number of patients admitted to hospital with an apparently mild head injury.</description><edition>International edition</edition><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-8146</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.320.7250.1631</identifier><identifier>PMID: 10856063</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Adolescent ; Adult ; Adults ; Aged ; Aged, 80 and over ; Brain injuries ; Chi-Square Distribution ; Craniocerebral trauma ; Craniocerebral Trauma - epidemiology ; Craniocerebral Trauma - rehabilitation ; Disabilities ; Disability ; Epidemiology ; Female ; Follow-Up Studies ; Glasgow Coma Scale ; Glasgow outcome scale ; Head injuries ; Health outcomes ; Hospital admissions ; Humans ; Incidence ; Male ; Medical research ; Middle Aged ; Physical trauma ; Population estimates ; Prospective Studies ; Questionnaires ; Regression Analysis ; Scotland - epidemiology</subject><ispartof>BMJ, 2000-06, Vol.320 (7250), p.1631-1635</ispartof><rights>2000 BMJ Publishing Group Ltd.</rights><rights>Copyright 2000 BMJ</rights><rights>Copyright: 2000 (c) 2000 BMJ Publishing Group Ltd.</rights><rights>Copyright British Medical Association Jun 17, 2000</rights><rights>Copyright © 2000, British Medical Journal 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b545t-ca4a40d242353f098b83c54e8877bd68a78b6d42b15ab33c6e5260de0cec36023</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25224833$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25224833$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,776,780,799,881,27901,27902,30976,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10856063$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thornhill, Sharon</creatorcontrib><creatorcontrib>Teasdale, Graham M</creatorcontrib><creatorcontrib>Murray, Gordon D</creatorcontrib><creatorcontrib>McEwen, James</creatorcontrib><creatorcontrib>Roy, Christopher W</creatorcontrib><creatorcontrib>Penny, Kay I</creatorcontrib><title>Disability in young people and adults one year after head injury: prospective cohort study</title><title>BMJ</title><addtitle>BMJ</addtitle><description>Abstract Objective: To determine the frequency of disability in young people and adults admitted to hospital with a head injury and to estimate the annual incidence in the community. Design: Prospective, hospital based cohort study, with one year follow up of sample stratified by coma score. Setting: Five acute hospitals in Glasgow. Subjects: 2962 patients (aged 14 years or more) with head injury; 549 (71%) of the 769 patients selected for follow up participated. Main outcome measures: Glasgow outcome scale and problem orientated questionnaire. Results: Survival with moderate or severe disability was common after mild head injury (47%, 95% confidence interval 42% to 52%) and similar to that after moderate (45%, 35% to 56%) or severe injury (48%, 36% to 60%). By extrapolation from the population identified (90% of whom had mild injuries), it was estimated that annually in Glasgow (population 909 498) 1400 young people and adults are still disabled one year after head injury. Conclusion: The incidence of disability in young people and adults admitted with a head injury is higher than expected. This reflects the high rate of sequelae previously unrecognised in the large number of patients admitted to hospital with an apparently mild head injury.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brain injuries</subject><subject>Chi-Square Distribution</subject><subject>Craniocerebral trauma</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Craniocerebral Trauma - rehabilitation</subject><subject>Disabilities</subject><subject>Disability</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glasgow Coma Scale</subject><subject>Glasgow outcome scale</subject><subject>Head injuries</subject><subject>Health outcomes</subject><subject>Hospital admissions</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical research</subject><subject>Middle Aged</subject><subject>Physical trauma</subject><subject>Population estimates</subject><subject>Prospective Studies</subject><subject>Questionnaires</subject><subject>Regression Analysis</subject><subject>Scotland - 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epidemiology</topic><topic>Craniocerebral Trauma - rehabilitation</topic><topic>Disabilities</topic><topic>Disability</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glasgow Coma Scale</topic><topic>Glasgow outcome scale</topic><topic>Head injuries</topic><topic>Health outcomes</topic><topic>Hospital admissions</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical research</topic><topic>Middle Aged</topic><topic>Physical trauma</topic><topic>Population estimates</topic><topic>Prospective Studies</topic><topic>Questionnaires</topic><topic>Regression Analysis</topic><topic>Scotland - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thornhill, Sharon</creatorcontrib><creatorcontrib>Teasdale, Graham M</creatorcontrib><creatorcontrib>Murray, Gordon D</creatorcontrib><creatorcontrib>McEwen, James</creatorcontrib><creatorcontrib>Roy, Christopher W</creatorcontrib><creatorcontrib>Penny, Kay I</creatorcontrib><collection>Istex</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 Central (Corporate)</collection><collection>Health & Medicine (ProQuest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>ProQuest_Research Library</collection><collection>ProQuest Science Journals</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thornhill, Sharon</au><au>Teasdale, Graham M</au><au>Murray, Gordon D</au><au>McEwen, James</au><au>Roy, Christopher W</au><au>Penny, Kay I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disability in young people and adults one year after head injury: prospective cohort study</atitle><jtitle>BMJ</jtitle><addtitle>BMJ</addtitle><date>2000-06-17</date><risdate>2000</risdate><volume>320</volume><issue>7250</issue><spage>1631</spage><epage>1635</epage><pages>1631-1635</pages><issn>0959-8138</issn><issn>0959-8146</issn><eissn>1468-5833</eissn><eissn>1756-1833</eissn><coden>BMJOAE</coden><abstract>Abstract Objective: To determine the frequency of disability in young people and adults admitted to hospital with a head injury and to estimate the annual incidence in the community. Design: Prospective, hospital based cohort study, with one year follow up of sample stratified by coma score. Setting: Five acute hospitals in Glasgow. Subjects: 2962 patients (aged 14 years or more) with head injury; 549 (71%) of the 769 patients selected for follow up participated. Main outcome measures: Glasgow outcome scale and problem orientated questionnaire. Results: Survival with moderate or severe disability was common after mild head injury (47%, 95% confidence interval 42% to 52%) and similar to that after moderate (45%, 35% to 56%) or severe injury (48%, 36% to 60%). By extrapolation from the population identified (90% of whom had mild injuries), it was estimated that annually in Glasgow (population 909 498) 1400 young people and adults are still disabled one year after head injury. Conclusion: The incidence of disability in young people and adults admitted with a head injury is higher than expected. This reflects the high rate of sequelae previously unrecognised in the large number of patients admitted to hospital with an apparently mild head injury.</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>10856063</pmid><doi>10.1136/bmj.320.7250.1631</doi><tpages>5</tpages><edition>International edition</edition><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Adults Aged Aged, 80 and over Brain injuries Chi-Square Distribution Craniocerebral trauma Craniocerebral Trauma - epidemiology Craniocerebral Trauma - rehabilitation Disabilities Disability Epidemiology Female Follow-Up Studies Glasgow Coma Scale Glasgow outcome scale Head injuries Health outcomes Hospital admissions Humans Incidence Male Medical research Middle Aged Physical trauma Population estimates Prospective Studies Questionnaires Regression Analysis Scotland - epidemiology |
| title | Disability in young people and adults one year after head injury: prospective cohort study |
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