264819 Disability rates after non-hospitalized traumatic brain injury: A population-based study

Monday, October 29, 2012 : 11:11 AM - 11:29 AM

Gale Whiteneck, PhD , Research Department, Craig Hospital, Englewood, CO
Jeff Cuthbert, MSOT, MPH , Research Department, Craig Hospital, Englewood, CO
John D. Corrigan, PhD , Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, OH
Jennifer Bogner, PhD , Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, OH
The Center for Disease Control and Prevention (CDC) estimates 5.3 million Americans are living with disability after traumatic brain injury based primarily on statewide follow-up surveillance of people hospitalized with TBI, but acknowledges that this estimate probably excludes the outcomes of many people experiencing TBI who are not hospitalized. To examine the rates of non-hospitalized TBI and the rates of disability after non-hospitalized TBI, a statewide, population-based, random-digit-dialed survey was completed by 2,701 adults. The lifetime history of TBI was collected using methodology based on the Ohio State University TBI Identification Method. Long term test-retest reliability was excellent for the assessment of the overall category of maximum TBI severity (ICC=0.77). Information about the place of treatment was requested for the most severe TBI identified (hospitalized, emergency department and released, physician's office or clinic, or no treatment sought). Measures of disability were also administered. Among those reporting TBI with loss of consciousness, 30.5% were treated in the hospital, 36.7% in the emergency department, 8.2% in physicians' offices or clinics, and 24.6% did not seek medical care. For those reporting TBI without loss of consciousness, the percentages were 14.9%, 43.2%, 17.5%, and 24.4% respectively. The rates of disability were significantly related to the severity of the injury, but not the place of treatment. This suggests that the number of individuals living in the United States with disability after TBI may be more than double the CDC estimate.

Learning Areas:

Learning Objectives:
Describe limitations of the CDC estimate of the prevalence of disability after TBI. Identify a method to document the lifetime history of TBI. List potential measures of disability after TBI. Discuss the prevalence of disability after TBI when non-hospitalized TBI is considered.

Keywords: Traumatic Brain Injury, Disability

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 3 decades of TBI rehabilitation and disability experience, authored extensive related publications, and am the PI on the study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.