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Long-Term Functional Outcome of Older Adults After a Traumatic Brain Injury

Lecours, Alexandra MSc, OT; Sirois, Marie-Josée PhD; Ouellet, Marie-Christine PhD; Boivin, Karine PhD; Simard, Jean-François BSc

Section Editor(s): Caplan, Bruce PhD, ABPP; Bogner, Jennifer PhD, ABPP

Journal of Head Trauma Rehabilitation: November/December 2012 - Volume 27 - Issue 6 - p 379–390
doi: 10.1097/HTR.0b013e31823b2385
Original Articles

Purpose: To identify factors associated with long-term independence in mobility and self-care activities of daily living of older adults after traumatic brain injury (TBI).

Participants: One hundred thirty-six TBI survivors 55 years or older were assessed 2 to 4 years postinjury (mean of 3.2 years).

Setting: Level I or level II trauma centers in Quebec, Canada.

Main measures: Personal, injury-related, and environmental factors were gathered from hospital records or by telephone interview; a telephone version of the Functional Independence Measure motor scale was collapsed to 4 levels.

Analysis: Logistic regression analyses identified factors associated with independence in mobility and self-care.

Results: The strongest and most consistent factors associated with independence in mobility and self-care were fewer comorbid conditions, no difficulty of access to home modification services and home support services, male gender, younger age at time of injury, and shorter acute care length of stay.

Conclusion: Factors associated with long-term functional outcome should be considered in the development of practice guidelines for rehabilitation of older adults who sustained a TBI.

Département d'ergothérapie, Université du Québec à Trois-Rivières, Trois-Rivières (Ms Lecours and Dr Boivin); Université Laval (Drs Sirois and Ouellet); Axe de recherche en traumatologie-urgence-soins intensifs, du Centre FRSQ du CHA (Centre hospitalier Affilié Universitaire, Hôpital Enfant-Jésus) (Ms Lecours, Dr Sirois, and Mr Simard); and Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS) (Dr Ouellet), Québec, Canada

Corresponding Author: Alexandra Lecours, MSc, OT, Département d'ergothérapie, Université du Québec à Trois-Rivières, Pavillon de la santé, bureau 3831, 3351, boul. des Forges, Trois-Rivières, Quebec, Canada G9A 5H7 (Alexandra.Lecours@uqtr.ca).

This work was partly presented in a poster session at the American Congress of Rehabilitation Medicine and American Society of Neurorehabilitation joint conference; Denver, Colorado, October 2009.

The use of the Functional Independence Measure instrument to collect patient data discussed with in this publication was authorized and conducted in accordance with the terms of a special purpose license granted to Licensee by the Canadian Institute for Health Information (CIHI). The patient data collected have not been processed by CIHI or Uniform Data System for Medical Rehabilitation (UDSmr). No implication is intended that such data have been or will be subjected to CIHI or UDSmr's standard data processing procedures or that they are otherwise comparable with data processed by CIHI or UDSmr.

This study was funded by the Fonds de la Recherche en Santé du Québec through a master (2008–2010) training award to A. Lecours (award no. 16891) and by the Canadian Institutes for Health Research (grant no. 107583).

The authors declare no conflicts of interest.

© 2012 Lippincott Williams & Wilkins, Inc.