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首页> 美国卫生研究院文献>Journal of Neurotrauma >A Survey of Very-Long-Term Outcomes after Traumatic Brain Injury among Members of a Population-Based Incident Cohort
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A Survey of Very-Long-Term Outcomes after Traumatic Brain Injury among Members of a Population-Based Incident Cohort

机译：基于人群的突发事件人群中脑外伤后的长期预后调查

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To assess quality of life and barriers to participation in vocational and community life for persons with traumatic brain injury (TBI) over the very-long term, a population-based cohort was identified in Olmsted County, Minnesota; 1623 individuals were identified as having experienced a confirmed TBI while a resident of Olmsted County, Minnesota, during the period from 1935–2000. A survey was sent to eligible individuals that included elements of standardized instruments addressing health status and disability, and questions that assessed issues important to successful social reintegration after TBI. Of 1623 eligible participants sent surveys, 605 responded (37% response rate). Thirty-nine percent of respondents were female and 79% had mild injuries. Mean age at injury was 30.8 years, and mean years since injury was 28.8. Overall, respondents reported living in the community; the majority were married and had achieved education beyond high school. Problems with memory, thinking, and physical and emotional health were most often reported. Respondents reported low levels of depression and anxiety, and high levels of satisfaction with life. Seventy-three percent of respondents reported no problems that they attributed to their TBI. Increasing injury severity was associated with a significant risk of reporting injury-related problems at survey completion. Respondents with a longer time since injury were less likely to report any TBI-related problems. These results indicate that self-reported outcomes and adaptation to impairment-related limitations improve as the time since injury increases. These findings highlight the importance of providing coordinated medical rehabilitation and community-based support services to promote positive outcomes over the life span after TBI.
机译：为了长期评估创伤性脑损伤患者的生活质量以及参加职业和社区生活的障碍，在明尼苏达州的奥尔姆斯特德县确定了一个以人群为基础的队列；在1935年至2000年期间，明尼苏达州Olmsted县的居民中有1623人被确诊患有TBI。向符合条件的个人进行了一项调查，其中包括涉及健康状况和残疾的标准化工具的内容，以及评估对TBI后成功重新融入社会至关重要的问题的问题。在1623位合格的参与者中进行了问卷调查，其中605位做出了回应（回复率为37％）。 39％的受访者是女性，而79％的人有轻度伤害。受伤的平均年龄为30.8岁，受伤后的平均年龄为28.8。总体而言，受访者报告说他们生活在社区中。大多数人已婚，并已接受了中学以上的教育。记忆力，思维以及身体和情绪健康方面的问题最常报告。受访者表示抑郁和焦虑水平较低，对生活的满意度较高。 73％的受访者表示没有归因于其TBI的问题。伤害严重程度的增加与在调查完成时报告伤害相关问题的重大风险相关。自受伤以来时间较长的受访者不太可能报告任何与TBI相关的问题。这些结果表明，自受伤后的时间越长，自我报告的结果和对与损伤相关的局限性的适应性就会提高。这些发现凸显了提供协调的医学康复和社区支持服务以促进TBI后整个生命周期中取得积极成果的重要性。

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