Causes of death following 1 year postinjury among individuals with traumatic brain injury

Cynthia Harrison-Felix, Gale Whiteneck, Michael J. DeVivo, Flora Hammond, Amitabh Jha

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

OBJECTIVE: To investigate causes of death in individuals with traumatic brain injury (TBI). DESIGN: Retrospective cohort study. SETTING: Utilized data from the TBI Model Systems National Database, the Social Security Death Index, death certificates, and the US population age-race-gender-cause-specific mortality rates for 1994. PATIENTS: Two thousand one hundred forty individuals with TBI completing inpatient rehabilitation in 1 of 15 National Institute on Disability and Rehabilitation Research-funded TBI Model Systems of Care between 1988 and 2001, and surviving past 1 year postinjury. MAIN OUTCOME MEASURES: Primary cause of death based on the International Classification of Diseases - 9th Revision - Clinical Modification - coded death certificates. RESULTS: Individuals with TBI were about 37 times more likely to die of seizures, 12 times more likely to die of septicemia, 4 times more likely to die of pneumonia, and about 3 times more likely to die of other respiratory conditions (excluding pneumonia), digestive conditions, and all external causes of injury/poisoning than were individuals in the general population of similar age, gender, and race. CONCLUSION: Long-term follow-up of individuals with TBI should increase vigilance for, and prevention of, diagnoses frequently causing death (circulatory disorders) and diagnoses with a high relative risk of causing death in this population (seizures, septicemia, respiratory and digestive conditions, and external causes of injury).

Original languageEnglish (US)
Pages (from-to)22-33
Number of pages12
JournalJournal of Head Trauma Rehabilitation
Volume21
Issue number1
DOIs
StatePublished - Jan 2006
Externally publishedYes

Fingerprint

Cause of Death
Death Certificates
Sepsis
Pneumonia
Seizures
Population
Social Security
Wounds and Injuries
International Classification of Diseases
Poisoning
Traumatic Brain Injury
Inpatients
Cohort Studies
Rehabilitation
Retrospective Studies
Databases
Mortality

Keywords

  • Causes of death
  • Traumatic brain injury

ASJC Scopus subject areas

  • Rehabilitation
  • Clinical Neurology
  • Health Professions(all)

Cite this

Causes of death following 1 year postinjury among individuals with traumatic brain injury. / Harrison-Felix, Cynthia; Whiteneck, Gale; DeVivo, Michael J.; Hammond, Flora; Jha, Amitabh.

In: Journal of Head Trauma Rehabilitation, Vol. 21, No. 1, 01.2006, p. 22-33.

Research output: Contribution to journalArticle

Harrison-Felix, Cynthia ; Whiteneck, Gale ; DeVivo, Michael J. ; Hammond, Flora ; Jha, Amitabh. / Causes of death following 1 year postinjury among individuals with traumatic brain injury. In: Journal of Head Trauma Rehabilitation. 2006 ; Vol. 21, No. 1. pp. 22-33.
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