Citation

Hammond FM, Corrigan JD, Ketchum JM, Malec JF, Dams-Oʼconnor K, Hart T, Novack TA, Bogner J, Dahdah MN, Whiteneck GG. J. Head Trauma Rehabil. 2019; 34(4): E1-E10.

Affiliation

Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine and Rehabilitation Hospital of Indiana, Indianapolis, Indiana (Drs Hammond and Malec); Department of Physical Medicine and Rehabilitation, Ohio State University, Columbus, Ohio (Drs Corrigan and Bogner); Research Department, Traumatic Brain Injury Model Systems National Data and Statistical Center, Craig Hospital, Englewood, Colorado (Drs Ketchum and Whiteneck); Departments of Rehabilitation Medicine and Neurology, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Dams-O'Connor); Moss Rehabilitation Research Institute, Elkins Park, Pennsylvania (Dr Hart); Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, Alabama (Dr Novack); and North Texas TBI Model System, Baylor Scott and White Institute for Rehabilitation, Dallas, Texas and Baylor Scott & White Medical Center - Plano, Plano, Texas (Dr Dahdah).

Copyright

(Copyright © 2019, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0000000000000465

PMID

30608311

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.

Language: en