Citation

Harrison-Felix CL, Kolakowsky-Hayner SA, Hammond FM, Wang R, Englander J, Dams-Oʼconnor K, Kreider SE, Novack TA, Diaz-Arrastia R. J. Head Trauma Rehabil. 2012; 27(6): E45-E56.

Affiliation

Craig Hospital, Englewood, Colorado (Dr Harrison-Felix and Mr Kreider); Santa Clara Valley Medical Center, Rehabilitation Research Center (Dr Kolakowsky-Hayner), Santa Clara Valley Medical Center (Drs Wang and Englander), San Jose, California; Carolinas Rehabilitation, Carolinas HealthCare System, Charlotte, North Carolina, and Indiana University School of Medicine, Indianapolis (Dr Hammond); Mount Sinai School of Medicine, New York (Dr Dams-O'Connor); University of Alabama at Birmingham, Birmingham (Dr Novack); and Center for Neuroscience and Regenerative Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland (Dr Diaz-Arrastia).

Copyright

(Copyright © 2012, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0b013e31827340ba

PMID

23131970

Abstract

OBJECTIVE:: To assess mortality, life expectancy, risk factors, and causes of death by age groups among persons who received inpatient traumatic brain injury (TBI) rehabilitation. DESIGN:: Prospective cohort study. SETTING:: The TBI Model Systems. PARTICIPANTS:: 8573 individuals injured between 1988 and 2009, with survival status per December 31, 2009, determined. INTERVENTIONS:: Not applicable. MAIN OUTCOME MEASURES:: Standardized mortality ratio, life expectancy, and cause of death. RESULTS:: Moderate-severe TBI increases risk of mortality compared with the general population in all age groups, with the exception of those 85 years or older at the time of injury. Teenagers to middle-aged adults are at particular risk. Risk factors for death varied by age group and included gender, marital and employment status, year and cause of injury, and level of disability. External causes of death predominate in younger groups. For the youngest male participants in the sample, longevity was reduced up to 16 years. CONCLUSION:: Risk factors and causes of death varied considerably by age group for individuals with moderate-severe TBI who were receiving acute care rehabilitation. Moderate-severe TBI is a chronic health condition.

Language: en