Prevalence of Medical and Psychiatric Comorbidities Following Traumatic Brain Injury

Flora Hammond, John D. Corrigan, Jessica M. Ketchum, James F. Malec, Kristen Dams-O'Connor, Tessa Hart, Thomas A. Novack, Jennifer Bogner, Marie N. Dahdah, Gale G. Whiteneck

Research output: Contribution to journalArticle

Abstract

Objective: To examine the prevalence of selected medical and psychiatric comorbidities that existed prior to or up to 10 years following traumatic brain injury (TBI) requiring acute rehabilitation. Design: Retrospective cohort. Setting: Six TBI Model Systems (TBIMS) centers. Participants: In total, 404 participants in the TBIMS National Database who experienced TBI 10 years prior. Interventions: Not applicable. Main Outcome Measure: Self-reported medical and psychiatric comorbidities and the onset time of each endorsed comorbidity. Results: At 10 years postinjury, the most common comorbidities developing postinjury, in order, were back pain, depression, hypertension, anxiety, fractures, high blood cholesterol, sleep disorders, panic attacks, osteoarthritis, and diabetes. Comparing those 50 years and older to those younger than 50 years, diabetes (odds ratio [OR] = 3.54; P =.0016), high blood cholesterol (OR = 2.04; P =.0092), osteoarthritis (OR = 2.02; P =.0454), and hypertension (OR = 1.84; P =.0175) were significantly more prevalent in the older cohort while panic attacks (OR = 0.33; P =.0022) were significantly more prevalent in the younger cohort. No significant differences in prevalence rates between the older and younger cohorts were found for back pain, depression, anxiety, fractures, or sleep disorders. Conclusions: People with moderate-severe TBI experience other medical and mental health comorbidities during the long-term course of recovery and life after injury. The findings can inform further investigation into comorbidities associated with TBI and the role of medical care, surveillance, prevention, lifestyle, and healthy behaviors in potentially modifying their presence and/or prevalence over the life span.

Original languageEnglish (US)
JournalJournal of Head Trauma Rehabilitation
DOIs
StatePublished - Jan 1 2019

Fingerprint

Psychiatry
Comorbidity
Odds Ratio
Panic Disorder
Back Pain
Osteoarthritis
Cholesterol
Depression
Hypertension
Anxiety Disorders
Traumatic Brain Injury
Mental Health
Rehabilitation
Anxiety
Outcome Assessment (Health Care)
Databases
Wounds and Injuries
Sleep Wake Disorders

Keywords

  • comorbidities
  • medical conditions
  • outcomes
  • prevalence
  • rehabilitation
  • traumatic brain injury

ASJC Scopus subject areas

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

Cite this

Prevalence of Medical and Psychiatric Comorbidities Following Traumatic Brain Injury. / Hammond, Flora; Corrigan, John D.; Ketchum, Jessica M.; Malec, James F.; Dams-O'Connor, Kristen; Hart, Tessa; Novack, Thomas A.; Bogner, Jennifer; Dahdah, Marie N.; Whiteneck, Gale G.

In: Journal of Head Trauma Rehabilitation, 01.01.2019.

Research output: Contribution to journalArticle

Hammond, F, Corrigan, JD, Ketchum, JM, Malec, JF, Dams-O'Connor, K, Hart, T, Novack, TA, Bogner, J, Dahdah, MN & Whiteneck, GG 2019, 'Prevalence of Medical and Psychiatric Comorbidities Following Traumatic Brain Injury', Journal of Head Trauma Rehabilitation. https://doi.org/10.1097/HTR.0000000000000465
Hammond, Flora ; Corrigan, John D. ; Ketchum, Jessica M. ; Malec, James F. ; Dams-O'Connor, Kristen ; Hart, Tessa ; Novack, Thomas A. ; Bogner, Jennifer ; Dahdah, Marie N. ; Whiteneck, Gale G. / Prevalence of Medical and Psychiatric Comorbidities Following Traumatic Brain Injury. In: Journal of Head Trauma Rehabilitation. 2019.
@article{b4c3a26722dd4f79b0fb5bfdd9bb0fbc,
title = "Prevalence of Medical and Psychiatric Comorbidities Following Traumatic Brain Injury",
abstract = "Objective: To examine the prevalence of selected medical and psychiatric comorbidities that existed prior to or up to 10 years following traumatic brain injury (TBI) requiring acute rehabilitation. Design: Retrospective cohort. Setting: Six TBI Model Systems (TBIMS) centers. Participants: In total, 404 participants in the TBIMS National Database who experienced TBI 10 years prior. Interventions: Not applicable. Main Outcome Measure: Self-reported medical and psychiatric comorbidities and the onset time of each endorsed comorbidity. Results: At 10 years postinjury, the most common comorbidities developing postinjury, in order, were back pain, depression, hypertension, anxiety, fractures, high blood cholesterol, sleep disorders, panic attacks, osteoarthritis, and diabetes. Comparing those 50 years and older to those younger than 50 years, diabetes (odds ratio [OR] = 3.54; P =.0016), high blood cholesterol (OR = 2.04; P =.0092), osteoarthritis (OR = 2.02; P =.0454), and hypertension (OR = 1.84; P =.0175) were significantly more prevalent in the older cohort while panic attacks (OR = 0.33; P =.0022) were significantly more prevalent in the younger cohort. No significant differences in prevalence rates between the older and younger cohorts were found for back pain, depression, anxiety, fractures, or sleep disorders. Conclusions: People with moderate-severe TBI experience other medical and mental health comorbidities during the long-term course of recovery and life after injury. The findings can inform further investigation into comorbidities associated with TBI and the role of medical care, surveillance, prevention, lifestyle, and healthy behaviors in potentially modifying their presence and/or prevalence over the life span.",
keywords = "comorbidities, medical conditions, outcomes, prevalence, rehabilitation, traumatic brain injury",
author = "Flora Hammond and Corrigan, {John D.} and Ketchum, {Jessica M.} and Malec, {James F.} and Kristen Dams-O'Connor and Tessa Hart and Novack, {Thomas A.} and Jennifer Bogner and Dahdah, {Marie N.} and Whiteneck, {Gale G.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1097/HTR.0000000000000465",
language = "English (US)",
journal = "Journal of Head Trauma Rehabilitation",
issn = "0885-9701",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Prevalence of Medical and Psychiatric Comorbidities Following Traumatic Brain Injury

AU - Hammond, Flora

AU - Corrigan, John D.

AU - Ketchum, Jessica M.

AU - Malec, James F.

AU - Dams-O'Connor, Kristen

AU - Hart, Tessa

AU - Novack, Thomas A.

AU - Bogner, Jennifer

AU - Dahdah, Marie N.

AU - Whiteneck, Gale G.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: To examine the prevalence of selected medical and psychiatric comorbidities that existed prior to or up to 10 years following traumatic brain injury (TBI) requiring acute rehabilitation. Design: Retrospective cohort. Setting: Six TBI Model Systems (TBIMS) centers. Participants: In total, 404 participants in the TBIMS National Database who experienced TBI 10 years prior. Interventions: Not applicable. Main Outcome Measure: Self-reported medical and psychiatric comorbidities and the onset time of each endorsed comorbidity. Results: At 10 years postinjury, the most common comorbidities developing postinjury, in order, were back pain, depression, hypertension, anxiety, fractures, high blood cholesterol, sleep disorders, panic attacks, osteoarthritis, and diabetes. Comparing those 50 years and older to those younger than 50 years, diabetes (odds ratio [OR] = 3.54; P =.0016), high blood cholesterol (OR = 2.04; P =.0092), osteoarthritis (OR = 2.02; P =.0454), and hypertension (OR = 1.84; P =.0175) were significantly more prevalent in the older cohort while panic attacks (OR = 0.33; P =.0022) were significantly more prevalent in the younger cohort. No significant differences in prevalence rates between the older and younger cohorts were found for back pain, depression, anxiety, fractures, or sleep disorders. Conclusions: People with moderate-severe TBI experience other medical and mental health comorbidities during the long-term course of recovery and life after injury. The findings can inform further investigation into comorbidities associated with TBI and the role of medical care, surveillance, prevention, lifestyle, and healthy behaviors in potentially modifying their presence and/or prevalence over the life span.

AB - Objective: To examine the prevalence of selected medical and psychiatric comorbidities that existed prior to or up to 10 years following traumatic brain injury (TBI) requiring acute rehabilitation. Design: Retrospective cohort. Setting: Six TBI Model Systems (TBIMS) centers. Participants: In total, 404 participants in the TBIMS National Database who experienced TBI 10 years prior. Interventions: Not applicable. Main Outcome Measure: Self-reported medical and psychiatric comorbidities and the onset time of each endorsed comorbidity. Results: At 10 years postinjury, the most common comorbidities developing postinjury, in order, were back pain, depression, hypertension, anxiety, fractures, high blood cholesterol, sleep disorders, panic attacks, osteoarthritis, and diabetes. Comparing those 50 years and older to those younger than 50 years, diabetes (odds ratio [OR] = 3.54; P =.0016), high blood cholesterol (OR = 2.04; P =.0092), osteoarthritis (OR = 2.02; P =.0454), and hypertension (OR = 1.84; P =.0175) were significantly more prevalent in the older cohort while panic attacks (OR = 0.33; P =.0022) were significantly more prevalent in the younger cohort. No significant differences in prevalence rates between the older and younger cohorts were found for back pain, depression, anxiety, fractures, or sleep disorders. Conclusions: People with moderate-severe TBI experience other medical and mental health comorbidities during the long-term course of recovery and life after injury. The findings can inform further investigation into comorbidities associated with TBI and the role of medical care, surveillance, prevention, lifestyle, and healthy behaviors in potentially modifying their presence and/or prevalence over the life span.

KW - comorbidities

KW - medical conditions

KW - outcomes

KW - prevalence

KW - rehabilitation

KW - traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=85068883387&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068883387&partnerID=8YFLogxK

U2 - 10.1097/HTR.0000000000000465

DO - 10.1097/HTR.0000000000000465

M3 - Article

JO - Journal of Head Trauma Rehabilitation

JF - Journal of Head Trauma Rehabilitation

SN - 0885-9701

ER -