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Relative contribution of acute cognitive and motor functioning on community integration 1 year after moderate-severe TBI.
Swank, Chad; Esterov, Dmitry; Bennett, Monica; Hammond, Flora M; Dams-O'Connor, Kristen.
Afiliação
  • Swank C; Baylor Scott & White Institute for Rehabilitation, Dallas, Texas, USA.
  • Esterov D; Baylor Scott & White Research Institute, Dallas, Texas.
  • Bennett M; Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA.
  • Hammond FM; Baylor Scott & White Research Institute, Dallas, Texas.
  • Dams-O'Connor K; Dept Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Brain Inj ; 37(9): 1056-1065, 2023 07 29.
Article em En | MEDLINE | ID: mdl-37165639
OBJECTIVES: The objective of this study was to understand the relative contribution of acute motor versus cognitive functioning on community integration 1 year after moderate-severe traumatic brain injury (TBI). METHODS: Secondary data analysis of 779 participants in the TBI Model Systems National Database who experienced a moderate-severe TBI requiring inpatient rehabilitation. Participants were categorized into four groups: low motor/low cognition, low motor/high cognition, high motor/low cognition, or high motor/high cognition. Community integration outcomes measured 1 year post-TBI included the Participation Assessment with Recombined Tools-Objective (PART-O), driving status, Supervision Rating Scale, residence, re-injury, and employment status. RESULTS: Participants with both high motor/high cognition had higher scores on the PART-O total score (p < 0.001), living independently (p = 0.023), living in a private residence (p = 0.002), and being employed (p = 0.026) at 1 year. Participants with high motor/high cognition and high motor/low cognition had higher odds of driving (p = 0.001 and p = 0.034, respectively) when compared to low motor/low cognition. All groups relative to the low motor/low cognition group had higher odds of being re-injured. DISCUSSION AND CONCLUSIONS: High motor and high cognitive function at rehabilitation are associated with favorable community integration outcomes 1 year post-injury, though greater participation afforded by high function may confer elevated risk of re-injury.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article