Bogner, J.A.,
Corrigan, J.D., Mysiw, W.J., Chinchot, D., Fugate, L. (2001) A comparison
of substance abuse and violence in the prediction of long-term rehabilitation
outcomes after traumatic brain injury. Archives of Physical Medicine
and Rehabilitation, 82(5), 571-7.
Type of
Study |
Longitudinal study of outcomes
1 year postdischarge from rehabiliation.
|
|
Subjects |
351 individuals consecutively
admitted for rehabilitation.
|
|
Diagnosis |
Individuals sustaining a
traumatic brain injury requiring inpatient rehabilitation.
|
|
Purpose |
To determine the relative
contributions of substance abuse history and violent etiology
to the prediction of outcomes for individuals who sustained
a traumatic brain injury requiring inpatient rehabilitation.
|
|
Methods |
Gathered data from patients'
medical records (including etiology of injury, initial Glasgow
Coma Scale scores, and FIMtrade mark instrument scores at
discharge), demographic details, and history of substance
abuse; phone and mail survey data from individuals (Satisfaction
of Life Scale [SWLS]); Community Integration Questionnaire
[CIQ].
|
|
Results
|
Almost 80% of persons with
injurires from violence-related causes had a history of
substance abuse. Substance abuse was found to contribute
to the prediction of life satisfaction and productivity,
while violent etiology was not a significant contributor
to predictive models.
|
Treatment
Implications |
Results emphasize the need
to include substance abuse history in all studies of outcomes
after TBI, and to increase prevention efforst to limit the
effects of such a history.
|
|
|
|
