@article{ref1,
title="Reinjury after moderate to severe TBI: rates and risk factors in the NIDILRR Traumatic Brain Injury Model Systems",
journal="Journal of head trauma rehabilitation",
year="2020",
author="Bannon, Sarah M. and Kumar, Raj G. and Bogner, Jennifer and Oʼneil-Pirozzi, Therese M. and Spielman, Lisa and Watson, Eric M. and Dams-Oʼconnor, Kristen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: To compare characteristics of those who do and do not sustain subsequent traumatic brain injuries (TBIs) following index TBI and to identify reinjury risk factors.   DESIGN: Secondary data analysis of an ongoing longitudinal cohort study.   SETTING: TBI Model Systems Centers.   PARTICIPANTS: In total, 11 353 individuals aged 16+ years.   MAIN OUTCOME MEASURES: Ohio State University TBI Identification Method.   RESULTS: In total, 7.9% of individuals reported sustaining a TBI post-index TBI. Twenty percent of reinjuries occurred within a year of the index TBI. Reinjury risk followed an approximate U-shaped distribution such that risk was higher in the first year, declined 2 to 10 years postinjury, and then increased after 10 years. A multivariable Weibull model identified predictors of reinjury: younger (<29 years) and middle-aged and older (50+ years) age at index TBI relative to middle age, pre-index TBI, pre-index alcohol and illicit drug use, incarceration history, and less severe index TBI.   CONCLUSIONS: A subset of individuals who receive inpatient rehabilitation for TBI are at an increased risk for reinjury, and an injury-prone phenotype may be characterized by engagement in risk behaviors. Factors associated with reinjury risk may differ for younger versus middle-aged and older adults. <br><br>FINDINGS underscore the need for empirically informed risk stratification models to identify TBI survivors at risk for reinjury.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000586",
url="http://dx.doi.org/10.1097/HTR.0000000000000586"
}