Physical, Cognitive, and Psychosocial Characteristics Associated with Mortality in Chronic TBI Survivors: A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study

Therese M. O'Neil-Pirozzi, Jessica M. Ketchum, Flora Hammond, Angela Philippus, Erica Weber, Kristen Dams-O'Connor

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To compare a group of individuals who died more than 1 year posttraumatic brain injury (TBI) with a matched group of survivors and to identify physical function, cognitive function, and/or psychosocial function variables associated with mortality. Design: Secondary analysis of data from a multicenter longitudinal cohort study. Setting: Acute inpatient rehabilitation facilities and community follow-up. Participants: Individuals 16 years and older with a primary diagnosis of TBI. Main Outcome Measures: Functional Independence Measure (FIM), Disability Rating Scale, Participation Assessment with Recombined Tools Objective, Extended Glasgow Outcome Scale, Satisfaction With Life Scale. Results: Individuals who died were distinguishable from their surviving counterparts. They demonstrated significantly poorer global functioning on all physical, cognitive, and psychosocial functioning variables at their most recent study follow-up visit prior to death. FIM Motor demonstrated the largest difference between survival groups, suggesting that independence in mobility may be particularly indicative of likelihood of longer-term survival. Conclusions: These findings may inform continued research to elucidate functional characteristics of individuals postchronic TBI prior to their death and to identify opportunities for prevention of accelerated death and interventions to improve health, longevity, and quality of life.

Original languageEnglish (US)
Pages (from-to)237-245
Number of pages9
JournalJournal of Head Trauma Rehabilitation
Volume33
Issue number4
DOIs
StatePublished - Jul 1 2018

Fingerprint

Independent Living
Survivors
Mortality
Glasgow Outcome Scale
Survival
Brain Injuries
Cognition
Longitudinal Studies
Inpatients
Cohort Studies
Research Design
Rehabilitation
Quality of Life
Outcome Assessment (Health Care)
Health
Research
Rehabilitation Research
Traumatic Brain Injury

Keywords

  • chronic health
  • death
  • longitudinal outcomes
  • traumatic brain injury

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Physical, Cognitive, and Psychosocial Characteristics Associated with Mortality in Chronic TBI Survivors : A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study. / O'Neil-Pirozzi, Therese M.; Ketchum, Jessica M.; Hammond, Flora; Philippus, Angela; Weber, Erica; Dams-O'Connor, Kristen.

In: Journal of Head Trauma Rehabilitation, Vol. 33, No. 4, 01.07.2018, p. 237-245.

Research output: Contribution to journalArticle

@article{6d86e39dc6d8427ca44e0dec9d134be6,
title = "Physical, Cognitive, and Psychosocial Characteristics Associated with Mortality in Chronic TBI Survivors: A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study",
abstract = "Objective: To compare a group of individuals who died more than 1 year posttraumatic brain injury (TBI) with a matched group of survivors and to identify physical function, cognitive function, and/or psychosocial function variables associated with mortality. Design: Secondary analysis of data from a multicenter longitudinal cohort study. Setting: Acute inpatient rehabilitation facilities and community follow-up. Participants: Individuals 16 years and older with a primary diagnosis of TBI. Main Outcome Measures: Functional Independence Measure (FIM), Disability Rating Scale, Participation Assessment with Recombined Tools Objective, Extended Glasgow Outcome Scale, Satisfaction With Life Scale. Results: Individuals who died were distinguishable from their surviving counterparts. They demonstrated significantly poorer global functioning on all physical, cognitive, and psychosocial functioning variables at their most recent study follow-up visit prior to death. FIM Motor demonstrated the largest difference between survival groups, suggesting that independence in mobility may be particularly indicative of likelihood of longer-term survival. Conclusions: These findings may inform continued research to elucidate functional characteristics of individuals postchronic TBI prior to their death and to identify opportunities for prevention of accelerated death and interventions to improve health, longevity, and quality of life.",
keywords = "chronic health, death, longitudinal outcomes, traumatic brain injury",
author = "O'Neil-Pirozzi, {Therese M.} and Ketchum, {Jessica M.} and Flora Hammond and Angela Philippus and Erica Weber and Kristen Dams-O'Connor",
year = "2018",
month = "7",
day = "1",
doi = "10.1097/HTR.0000000000000365",
language = "English (US)",
volume = "33",
pages = "237--245",
journal = "Journal of Head Trauma Rehabilitation",
issn = "0885-9701",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Physical, Cognitive, and Psychosocial Characteristics Associated with Mortality in Chronic TBI Survivors

T2 - A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study

AU - O'Neil-Pirozzi, Therese M.

AU - Ketchum, Jessica M.

AU - Hammond, Flora

AU - Philippus, Angela

AU - Weber, Erica

AU - Dams-O'Connor, Kristen

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Objective: To compare a group of individuals who died more than 1 year posttraumatic brain injury (TBI) with a matched group of survivors and to identify physical function, cognitive function, and/or psychosocial function variables associated with mortality. Design: Secondary analysis of data from a multicenter longitudinal cohort study. Setting: Acute inpatient rehabilitation facilities and community follow-up. Participants: Individuals 16 years and older with a primary diagnosis of TBI. Main Outcome Measures: Functional Independence Measure (FIM), Disability Rating Scale, Participation Assessment with Recombined Tools Objective, Extended Glasgow Outcome Scale, Satisfaction With Life Scale. Results: Individuals who died were distinguishable from their surviving counterparts. They demonstrated significantly poorer global functioning on all physical, cognitive, and psychosocial functioning variables at their most recent study follow-up visit prior to death. FIM Motor demonstrated the largest difference between survival groups, suggesting that independence in mobility may be particularly indicative of likelihood of longer-term survival. Conclusions: These findings may inform continued research to elucidate functional characteristics of individuals postchronic TBI prior to their death and to identify opportunities for prevention of accelerated death and interventions to improve health, longevity, and quality of life.

AB - Objective: To compare a group of individuals who died more than 1 year posttraumatic brain injury (TBI) with a matched group of survivors and to identify physical function, cognitive function, and/or psychosocial function variables associated with mortality. Design: Secondary analysis of data from a multicenter longitudinal cohort study. Setting: Acute inpatient rehabilitation facilities and community follow-up. Participants: Individuals 16 years and older with a primary diagnosis of TBI. Main Outcome Measures: Functional Independence Measure (FIM), Disability Rating Scale, Participation Assessment with Recombined Tools Objective, Extended Glasgow Outcome Scale, Satisfaction With Life Scale. Results: Individuals who died were distinguishable from their surviving counterparts. They demonstrated significantly poorer global functioning on all physical, cognitive, and psychosocial functioning variables at their most recent study follow-up visit prior to death. FIM Motor demonstrated the largest difference between survival groups, suggesting that independence in mobility may be particularly indicative of likelihood of longer-term survival. Conclusions: These findings may inform continued research to elucidate functional characteristics of individuals postchronic TBI prior to their death and to identify opportunities for prevention of accelerated death and interventions to improve health, longevity, and quality of life.

KW - chronic health

KW - death

KW - longitudinal outcomes

KW - traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=85052681932&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052681932&partnerID=8YFLogxK

U2 - 10.1097/HTR.0000000000000365

DO - 10.1097/HTR.0000000000000365

M3 - Article

C2 - 29271788

AN - SCOPUS:85052681932

VL - 33

SP - 237

EP - 245

JO - Journal of Head Trauma Rehabilitation

JF - Journal of Head Trauma Rehabilitation

SN - 0885-9701

IS - 4

ER -