Search: WFRF:(van Veen Ernest) >
Health care utiliza...
Health care utilization and outcomes in older adults after Traumatic Brain Injury : a CENTER-TBI study
-
- van der Vlegel, Marjolein (author)
- Department of Public Health, Erasmus MC University Medical Center Rotterdam, Rotterdam, CA, The Netherlands
-
Mikolić, Ana (author)
-
Lee Hee, Quentin (author)
-
show more...
-
Kaplan, Z. L. Rana (author)
-
Retel Helmrich, Isabel R. A. (author)
-
van Veen, Ernest (author)
-
Andelic, Nada (author)
-
Steinbuechel, Nicole V. (author)
-
Plass, Anne Marie (author)
-
Zeldovich, Marina (author)
-
Wilson, Lindsay (author)
-
Maas, Andrew I. R. (author)
-
Haagsma, Juanita A. (author)
-
Polinder, Suzanne (author)
-
- Brorsson, Camilla (contributor)
- Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,CENTER-TBI
-
- Koskinen, Lars-Owe D., Professor, 1955- (contributor)
- Umeå universitet,Neurovetenskaper,CENTER-TBI
-
- Sundström, Nina (contributor)
- Umeå universitet,Institutionen för strålningsvetenskaper,CENTER-TBI
-
- Oresic, Matej, 1967- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper
-
- Ylén, Peter (author)
- VTT Technical Research Centre, Tampere, Finland
-
show less...
-
(creator_code:org_t)
- Elsevier, 2022
- 2022
- English.
-
In: Injury. - : Elsevier. - 0020-1383 .- 1879-0267. ; 53:8, s. 2774-2782
- Related links:
-
https://doi.org/10.1...
-
show more...
-
https://umu.diva-por... (primary) (Raw object)
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
http://kipublication...
-
show less...
Abstract
Subject headings
Close
- 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.
Subject headings
- 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)
Keyword
- Health care utilization
- Health-related quality of life
- Mental health
- Older adults
- Outcomes
- Traumatic Brain Injury
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
-
Injury
(Search for host publication in LIBRIS)
To the university's database
- By the author/editor
-
van der Vlegel, ...
-
Mikolić, Ana
-
Lee Hee, Quentin
-
Kaplan, Z. L. Ra ...
-
Retel Helmrich, ...
-
van Veen, Ernest
-
show more...
-
Andelic, Nada
-
Steinbuechel, Ni ...
-
Plass, Anne Mari ...
-
Zeldovich, Marin ...
-
Wilson, Lindsay
-
Maas, Andrew I. ...
-
Haagsma, Juanita ...
-
Polinder, Suzann ...
-
Brorsson, Camill ...
-
Koskinen, Lars-O ...
-
Sundström, Nina
-
Oresic, Matej, 1 ...
-
Ylén, Peter
-
show less...
- About the subject
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
and Klinisk medicin
-
and Anestesi och int ...
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
and Klinisk medicin
-
and Neurologi
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
and Hälsovetenskap
-
and Folkhälsovetensk ...
- Articles in the publication
-
Injury
- By the university
-
Umeå University
-
Örebro University
-
Karolinska Institutet