Mortality following rehabilitation in the Traumatic Brain Injury Model Systems of Care

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

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

While many outcomes after traumatic brain injury (TBI) have been systematically investigated, the most basic of all outcomes - survival - has been neglected. The purpose of this study was to investigate mortality in a cohort of 2,178 individuals with TBI completing inpatient rehabilitation in one of 15 National Institute on Disability and Rehabilitation Research-funded TBI Model Systems of care. The study hypotheses were: (1) relative to the general population, TBI increases mortality and decreases life expectancy in individuals with TBI completing inpatient rehabilitation and surviving to one-year post-injury; and (2) within the TBI population, the risk of death is greater in certain TBI subgroups. Results indicate that individuals with TBI were twice as likely to die compared to individuals in the general population of similar age, gender and race, resulting in an estimated average life expectancy reduction of seven years for individuals with TBI. Within the TBI population, the strongest independent risk factors for death after one-year post-injury were older age and not being employed at injury, and greater disability at rehabilitation discharge. This information is important to guide decision-making for treatment, utilization of limited medical resources, and planning for ongoing health care needs and lifetime planning.

Original languageEnglish (US)
Pages (from-to)45-54
Number of pages10
JournalNeuroRehabilitation
Volume19
Issue number1
StatePublished - 2004
Externally publishedYes

Fingerprint

Rehabilitation
Mortality
Life Expectancy
Population
Inpatients
Wounds and Injuries
Traumatic Brain Injury
Decision Making
Delivery of Health Care

Keywords

  • Life expectancy
  • Mortality
  • Traumatic brain injury

ASJC Scopus subject areas

  • Rehabilitation
  • Clinical Neurology
  • Health Professions(all)

Cite this

Harrison-Felix, C., Whiteneck, G., DeVivo, M., Hammond, F., & Jha, A. (2004). Mortality following rehabilitation in the Traumatic Brain Injury Model Systems of Care. NeuroRehabilitation, 19(1), 45-54.

Mortality following rehabilitation in the Traumatic Brain Injury Model Systems of Care. / Harrison-Felix, Cynthia; Whiteneck, Gale; DeVivo, Michael; Hammond, Flora; Jha, Amitabh.

In: NeuroRehabilitation, Vol. 19, No. 1, 2004, p. 45-54.

Research output: Contribution to journalArticle

Harrison-Felix, C, Whiteneck, G, DeVivo, M, Hammond, F & Jha, A 2004, 'Mortality following rehabilitation in the Traumatic Brain Injury Model Systems of Care', NeuroRehabilitation, vol. 19, no. 1, pp. 45-54.
Harrison-Felix, Cynthia ; Whiteneck, Gale ; DeVivo, Michael ; Hammond, Flora ; Jha, Amitabh. / Mortality following rehabilitation in the Traumatic Brain Injury Model Systems of Care. In: NeuroRehabilitation. 2004 ; Vol. 19, No. 1. pp. 45-54.
@article{50f4776f04b441e0822f6d601bb196fc,
title = "Mortality following rehabilitation in the Traumatic Brain Injury Model Systems of Care",
abstract = "While many outcomes after traumatic brain injury (TBI) have been systematically investigated, the most basic of all outcomes - survival - has been neglected. The purpose of this study was to investigate mortality in a cohort of 2,178 individuals with TBI completing inpatient rehabilitation in one of 15 National Institute on Disability and Rehabilitation Research-funded TBI Model Systems of care. The study hypotheses were: (1) relative to the general population, TBI increases mortality and decreases life expectancy in individuals with TBI completing inpatient rehabilitation and surviving to one-year post-injury; and (2) within the TBI population, the risk of death is greater in certain TBI subgroups. Results indicate that individuals with TBI were twice as likely to die compared to individuals in the general population of similar age, gender and race, resulting in an estimated average life expectancy reduction of seven years for individuals with TBI. Within the TBI population, the strongest independent risk factors for death after one-year post-injury were older age and not being employed at injury, and greater disability at rehabilitation discharge. This information is important to guide decision-making for treatment, utilization of limited medical resources, and planning for ongoing health care needs and lifetime planning.",
keywords = "Life expectancy, Mortality, Traumatic brain injury",
author = "Cynthia Harrison-Felix and Gale Whiteneck and Michael DeVivo and Flora Hammond and Amitabh Jha",
year = "2004",
language = "English (US)",
volume = "19",
pages = "45--54",
journal = "NeuroRehabilitation",
issn = "1053-8135",
publisher = "IOS Press",
number = "1",

}

TY - JOUR

T1 - Mortality following rehabilitation in the Traumatic Brain Injury Model Systems of Care

AU - Harrison-Felix, Cynthia

AU - Whiteneck, Gale

AU - DeVivo, Michael

AU - Hammond, Flora

AU - Jha, Amitabh

PY - 2004

Y1 - 2004

N2 - While many outcomes after traumatic brain injury (TBI) have been systematically investigated, the most basic of all outcomes - survival - has been neglected. The purpose of this study was to investigate mortality in a cohort of 2,178 individuals with TBI completing inpatient rehabilitation in one of 15 National Institute on Disability and Rehabilitation Research-funded TBI Model Systems of care. The study hypotheses were: (1) relative to the general population, TBI increases mortality and decreases life expectancy in individuals with TBI completing inpatient rehabilitation and surviving to one-year post-injury; and (2) within the TBI population, the risk of death is greater in certain TBI subgroups. Results indicate that individuals with TBI were twice as likely to die compared to individuals in the general population of similar age, gender and race, resulting in an estimated average life expectancy reduction of seven years for individuals with TBI. Within the TBI population, the strongest independent risk factors for death after one-year post-injury were older age and not being employed at injury, and greater disability at rehabilitation discharge. This information is important to guide decision-making for treatment, utilization of limited medical resources, and planning for ongoing health care needs and lifetime planning.

AB - While many outcomes after traumatic brain injury (TBI) have been systematically investigated, the most basic of all outcomes - survival - has been neglected. The purpose of this study was to investigate mortality in a cohort of 2,178 individuals with TBI completing inpatient rehabilitation in one of 15 National Institute on Disability and Rehabilitation Research-funded TBI Model Systems of care. The study hypotheses were: (1) relative to the general population, TBI increases mortality and decreases life expectancy in individuals with TBI completing inpatient rehabilitation and surviving to one-year post-injury; and (2) within the TBI population, the risk of death is greater in certain TBI subgroups. Results indicate that individuals with TBI were twice as likely to die compared to individuals in the general population of similar age, gender and race, resulting in an estimated average life expectancy reduction of seven years for individuals with TBI. Within the TBI population, the strongest independent risk factors for death after one-year post-injury were older age and not being employed at injury, and greater disability at rehabilitation discharge. This information is important to guide decision-making for treatment, utilization of limited medical resources, and planning for ongoing health care needs and lifetime planning.

KW - Life expectancy

KW - Mortality

KW - Traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=1242317135&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1242317135&partnerID=8YFLogxK

M3 - Article

VL - 19

SP - 45

EP - 54

JO - NeuroRehabilitation

JF - NeuroRehabilitation

SN - 1053-8135

IS - 1

ER -