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Health care utiliza...
Health care utilization and outcomes in older adults after Traumatic Brain Injury : a CENTER-TBI study
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- van der Vlegel, Marjolein (författare)
- Department of Public Health, Erasmus MC University Medical Center Rotterdam, Rotterdam, CA, The Netherlands
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Mikolić, Ana (författare)
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Lee Hee, Quentin (författare)
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Kaplan, Z. L. Rana (författare)
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Retel Helmrich, Isabel R. A. (författare)
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van Veen, Ernest (författare)
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Andelic, Nada (författare)
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Steinbuechel, Nicole V. (författare)
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Plass, Anne Marie (författare)
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Zeldovich, Marina (författare)
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Wilson, Lindsay (författare)
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Maas, Andrew I. R. (författare)
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Haagsma, Juanita A. (författare)
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Polinder, Suzanne (författare)
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- Brorsson, Camilla (bidragsgivare)
- Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,CENTER-TBI
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- Koskinen, Lars-Owe D., Professor, 1955- (bidragsgivare)
- Umeå universitet,Neurovetenskaper,CENTER-TBI
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- Sundström, Nina (bidragsgivare)
- Umeå universitet,Institutionen för strålningsvetenskaper,CENTER-TBI
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- Oresic, Matej, 1967- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper
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- Ylén, Peter (författare)
- VTT Technical Research Centre, Tampere, Finland
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(creator_code:org_t)
- Elsevier, 2022
- 2022
- Engelska.
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Ingår i: Injury. - : Elsevier. - 0020-1383 .- 1879-0267. ; 53:8, s. 2774-2782
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- INTRODUCTION: The incidence of Traumatic Brain Injury (TBI) is increasingly common in older adults aged ≥65 years, forming a growing public health problem. However, older adults are underrepresented in TBI research. Therefore, we aimed to provide an overview of health-care utilization, and of six-month outcomes after TBI and their determinants in older adults who sustained a TBI.METHODS: We used data from the prospective multi-center Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. In-hospital and post-hospital health care utilization and outcomes were described for patients aged ≥65 years. Ordinal and linear regression analyses were performed to identify determinants of the Glasgow Outcome Scale Extended (GOSE), health-related quality of life (HRQoL), and mental health symptoms six-months post-injury.RESULTS: Of 1254 older patients, 45% were admitted to an ICU with a mean length of stay of 9 days. Nearly 30% of the patients received inpatient rehabilitation. In total, 554/1254 older patients completed the six-month follow-up questionnaires. The mortality rate was 9% after mild and 60% after moderate/severe TBI, and full recovery based on GOSE was reported for 44% of patients after mild and 6% after moderate/severe TBI. Higher age and increased injury severity were primarily associated with functional impairment, while pre-injury systemic disease, psychiatric conditions and lower educational level were associated with functional impairment, lower generic and disease-specific HRQoL and mental health symptoms.CONCLUSION: The rate of impairment and disability following TBI in older adults is substantial, and poorer outcomes across domains are associated with worse preinjury health. Nonetheless, a considerable number of patients fully or partially returns to their preinjury functioning. There should not be pessimism about outcomes in older adults who survive.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Health care utilization
- Health-related quality of life
- Mental health
- Older adults
- Outcomes
- Traumatic Brain Injury
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Injury
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- Av författaren/redakt...
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van der Vlegel, ...
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Mikolić, Ana
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Lee Hee, Quentin
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Kaplan, Z. L. Ra ...
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Retel Helmrich, ...
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van Veen, Ernest
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Andelic, Nada
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Steinbuechel, Ni ...
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Plass, Anne Mari ...
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Zeldovich, Marin ...
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Wilson, Lindsay
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Maas, Andrew I. ...
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Haagsma, Juanita ...
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Polinder, Suzann ...
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Brorsson, Camill ...
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Koskinen, Lars-O ...
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Sundström, Nina
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Oresic, Matej, 1 ...
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Ylén, Peter
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Anestesi och int ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Neurologi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
- Artiklar i publikationen
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Injury
- Av lärosätet
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Umeå universitet
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Örebro universitet
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Karolinska Institutet