Outcome after traumatic brain injury

Effects of aging on recovery

Julie A. Testa, James F. Malec, Anne M. Moessner, Allen W. Brown

Research output: Contribution to journalArticle

72 Citations (Scopus)

Abstract

Objective: To identify differences in outcome after traumatic brain injury (TBI) compared with orthopedic injuries as a function of age. Design: Longitudinal data analyses from an inception cohort. Setting: Outpatient rehabilitation program. Participants: Eighty-two orthopedic injury patients and 195 TBI patients. Interventions: Not applicable. Main Outcome Measures: Independent living, employment, and level of functioning 1 to 2 years after injury. Older patients and those with TBI were more likely to have increased dependence postinjury. Results: Older TBI patients were more likely to have changes in employment status compared with orthopedic injury patients younger or TBI. The Mayo-Portland Adaptability Inventory and Disability Rating Scale were moderately predictive of level of functioning, return to employment, and independent living status 1 to 2 years postinjury. Injury severity was only mildly predictive of outcome. Conclusions: The effect of age on outcome affects recovery from neurologic injuries and, to a lesser extent, orthopedic injuries. Outcome after TBI is best predicted by patients' age and estimates of level of function at discharge. Findings suggest that older patients and those with TBI have a greater likelihood of becoming physically and financially dependent on others. Rehabilitation efforts should focus on maximizing levels of independence to limit financial and emotional costs to patients and their families.

Original languageEnglish (US)
Pages (from-to)1815-1823
Number of pages9
JournalArchives of Physical Medicine and Rehabilitation
Volume86
Issue number9
DOIs
StatePublished - Sep 2005
Externally publishedYes

Fingerprint

Orthopedics
Wounds and Injuries
Independent Living
Rehabilitation
Nervous System Trauma
Traumatic Brain Injury
Outpatients
Outcome Assessment (Health Care)
Costs and Cost Analysis
Equipment and Supplies

Keywords

  • Aging
  • Brain injuries
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Outcome after traumatic brain injury : Effects of aging on recovery. / Testa, Julie A.; Malec, James F.; Moessner, Anne M.; Brown, Allen W.

In: Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 9, 09.2005, p. 1815-1823.

Research output: Contribution to journalArticle

Testa, Julie A. ; Malec, James F. ; Moessner, Anne M. ; Brown, Allen W. / Outcome after traumatic brain injury : Effects of aging on recovery. In: Archives of Physical Medicine and Rehabilitation. 2005 ; Vol. 86, No. 9. pp. 1815-1823.
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