ArticleThe Journal of head trauma rehabilitation
Comorbid Conditions Among Adults 50 Years and Older With Traumatic Brain Injury: Examining Associations With Demographics, Healthcare Utilization, Institutionalization, and 1-Year Outcomes.
Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Long-term life expectancy in severe traumatic brain injury: a systematic review.European journal of physical and rehabilitation medicine · 2024Pooled it
- Comorbidity in traumatic brain injury and functional outcomes: a systematic review.European journal of physical and rehabilitation medicine · 2021Pooled it
- Authors' Reply to Letter to the Editor: "Impact of Rehabilitation in the Neurointensive Care Unit on Long-Term Survival in Patients With Traumatic Brain Injury".Acta anaesthesiologica Scandinavica · 2026Article
- Protocol for RETRO-TBI: A prospective cohort study of mild traumatic brain injury in older adults.PloS one · 2026Article
- Functional independence trajectories over 5 years in older veterans with traumatic brain injury: A model systems study.PM & R : the journal of injury, function, and rehabilitation · 2025Observational
- Trends in the Characteristics and Outcomes of Older Medicare Patients With Traumatic Brain Injury Treated in Inpatient Rehabilitation Facilities: 2013 to 2018.Archives of physical medicine and rehabilitation · 2024Article
- Factors associated with unfavorable outcomes in older patients with traumatic brain injury: analysis from theFrontiers in neurology · 2024Article
- Risk factors of prognosis in older patients with severe brain injury after surgical intervention.European journal of medical research · 2023Article
- Care patterns and predictors of community residence among older patients after hospital discharge for traumatic brain injury.Journal of the American Geriatrics Society · 2023Article
- Successful Community Discharge Among Older Adults With Traumatic Brain Injury Admitted to Inpatient Rehabilitation Facilities.Archives of rehabilitation research and clinical translation · 2022Article
- Functional motor improvement during inpatient rehabilitation among older adults with traumatic brain injury.PM & R : the journal of injury, function, and rehabilitation · 2022Article
- Health and cognition among adults with and without Traumatic Brain Injury: A matched case-control study.Brain injury · 2022Article
- Development and Validation of a Functionally Relevant Comorbid Health Index in Adults Admitted to Inpatient Rehabilitation for Traumatic Brain Injury.Journal of neurotrauma · 2022Article
- A Population-Based Study of Pre-Existing Health Conditions in Traumatic Brain Injury.Neurotrauma reports · 2021Article
- Social Determinants of Health and Their Role in Basilar Skull Fracture Outcomes: A Level 1 Trauma Multicenter Retrospective Study.Neurotrauma reportsArticle
- The TBI Model Systems Neighborhood Socioeconomic Disadvantage Index (TBIMS-NSDI): Development and Comparison to Individual Socioeconomic Characteristics.The Journal of head trauma rehabilitationArticle
- Prevalence of Medical and Psychiatric Comorbidities Following Traumatic Brain Injury.The Journal of head trauma rehabilitationArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo assess the relationship of acute complications, preexisting chronic diseases, and substance abuse with clinical and functional outcomes among adults 50 years and older with moderate-to-severe traumatic brain injury (TBI).
designProspective cohort study.
participantsAdults 50 years and older with moderate-to-severe TBI (n = 2134). MEASURES: Clusters of comorbid health conditions empirically derived from non-injury International Classification of Diseases, Ninth Revision codes, demographic/injury variables, and outcome (acute and rehabilitation length of stay [LOS], Functional Independence Measure efficiency, posttraumatic amnesia [PTA] duration, institutionalization, rehospitalization, and Glasgow Outcome Scale-Extended (GOS-E) at 1 year).
resultsIndividuals with greater acute hospital complication burden were more often middle-aged men, injured in motor vehicle accidents, and had longer LOS and PTA. These same individuals experienced higher rates of 1-year rehospitalization and greater odds of unfavorable GOS-E scores at 1 year. Those with greater chronic disease burden were more likely to be rehospitalized at 1 year. Individuals with more substance abuse burden were most often younger (eg, middle adulthood), black race, less educated, injured via motor vehicle accidents, and had an increased risk for institutionalization.
conclusionPreexisting health conditions and acute complications contribute to TBI outcomes. This work provides a foundation to explore effects of comorbidity prevention and management on TBI recovery in older adults.
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