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The impact of age on outcome 2 years after traumatic brain injury: Case control study - 08/06/24

Doi : 10.1016/j.rehab.2024.101834 
Marina G. Downing a, b, c, , Meagan Carty b, c, John Olver c, d, Michael Ponsford c, Rose Acher c, Dean Mckenzie c, Jennie L. Ponsford a, b, c
a Turner Institute for Brain and Mental Health, School of Psychological Science, Monash University, Melbourne, Australia 
b Monash-Epworth Rehabilitation Research Centre, Melbourne, Australia 
c Epworth HealthCare, Melbourne, Australia 
d Faculty of Medicine, Monash University, Melbourne, Australia 

Corresponding author at: Monash Epworth Rehabilitation Research Centre (MERRC), 185-187 Hoddle Street, Richmond, 3121, Australia.Monash Epworth Rehabilitation Research Centre (MERRC)185-187 Hoddle StreetRichmond3121Australia

Highlights

Age is associated with outcome after traumatic brain injury (TBI).
Older individuals with TBI are less likely to be independent or employed.
Younger individuals are more likely to be socially isolated, depressed and anxious.
Rehabilitation after TBI should consider people's ages and their specific needs.

Le texte complet de cet article est disponible en PDF.

Abstract

Background

Age is associated with outcome after traumatic brain injury (TBI). However, there are mixed findings across outcome domains and most studies lack controls.

Objectives

This cross-sectional study examined the association between age group (15–24 years, 25–34 years, 35–44 years, 45–54 years, 55–64 years, and 65 years or more) and outcomes 2 years after TBI in independence in daily activities, driving, public transportation use, employment, leisure activities, social integration, relationships and emotional functioning, relative to healthy controls. It was hypothesized that older individuals with TBI would have significantly poorer outcomes than controls in all domains except anxiety and depression, for which it was expected they would show better outcomes. Global functional outcome (measured using the Glasgow Outcome Scale-Extended) was also examined, and we hypothesized that older adults would have poorer outcomes than younger adults.

Methods

Participants were 1897 individuals with TBI (mean, SD age 36.7, 17.7 years) who completed measures 2 years post-injury and 110 healthy controls (age 38.3, 17.5 years).

Results

Compared to controls, individuals with TBI were less independent in most activities of daily living, participated less in leisure activities and employment, and were more socially isolated, anxious and depressed (p < 0.001). Those who were older in age were disproportionately less likely to be independent in light domestic activities, shopping and driving; and participated less in occupational activities relative to controls. Functional outcome was significantly higher in the youngest age group than in all older age groups (p < 0.001), but the younger groups were more likely to report being socially isolated (p < 0.001), depressed (p = 0.005) and anxious (p = 0.02), and less likely to be married or in a relationship (p < 0.001).

Conclusion

A greater focus is needed on addressing psychosocial issues in younger individuals with TBI, whereas those who are older may require more intensive therapy to maximise independence in activities of daily living and return to employment.

Le texte complet de cet article est disponible en PDF.

Keywords : Traumatic brain injury, Outcome, Age, Independence

Abbreviations : ADLs, CT, GOS-E, HREC, PTA, TBI


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© 2024  The Author(s). Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 67 - N° 5

Article 101834- juin 2024 Retour au numéro
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