创伤性脑损伤后参与的多维配置文件的预测:一个TBI模型系统研究研究
Shannon B Juengst1, Raj G Kumar, Umesh M Venkatesan
1Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas (Drs Juengst and Sander); Department of Physical Medicine & Rehabilitation, UT Health Science Center at Houston, Houston (Dr Juengst); Department of Physical Medicine & Rehabilitation, UT Southwestern Medical Center, Dallas (Dr Juengst); Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York City, New York (Dr Kumar); Moss Rehabilitation Research Institute, Elkins Park, Pennsylvania (Drs Venkatesan and Rabinowitz); Department of Rehabilitation Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania (Drs Venkatesan and Rabinowitz); Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts (Dr O'Neil-Pirozzi); Department of Communication Sciences and Disorders, Northeastern University, Boston, Massachusetts (Dr O'Neil-Pirozzi); Department of Physical Therapy, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, Massachusetts (Dr Evans); H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas (Dr Sander); Richmond Veterans Affairs Medical Center, Richmond, Virginia (Dr Klyce); Virginia Commonwealth University Health System, Richmond (Dr Klyce); Sheltering Arms Institute, Richmond, Virginia (Dr Klyce); Research Department, Craig Hospital, Englewood, Colorado (Drs Agtarap and Whiteneck); Department of Occupational Therapy, MGH Institute of Health Professions, Boston, Massachusetts (Dr Erler); Rusk Rehabilitation, NYU Langone Health, New York City, New York (Dr Bushnik); Rehabilitation Outcomes Center (ROC), Spaulding Hospital, Charlestown, Massachusetts (Dr Kazis); Department of Health Law, Policy & Management, School of Public Health, Boston University, Boston, Massachusetts (Dr Kazis); and Harvard Medical School, Boston, Massachusetts (Dr Kazis).
个人,临床和环境因素影响创伤性脑损伤 (TBI) 后的参与概况. 教育,就业和认知功能是这些独特的TBI恢复模式的关键预测因素.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 创伤性脑损伤 (TBI) 显著影响一个人参与日常生活的能力.
- 之前的研究已经在TBI患者中确定了不同的多维参与配置文件.
- 了解与这些个人资料相关的因素对于有效的康复至关重要.
研究的目的:
- 确定与四个先前识别的不同多维参与配置文件相关的个人,临床和环境因素,在TBI后的个人中.
- 通过了解不同参与结果的驱动因素,为个性化康复策略提供信息.
主要方法:
- 从408名TBI模型系统 (TBIMS) 参与模块的参与者获得的横截面数据的二次数据分析,TBI后1年或更长时间.
- 使用调查问卷评估个人,临床和环境因素,以及参与措施 (频率,重要性,满意度,选举权).
- 采用多项式回归来确定区分四个参与特征组的因素.
主要成果:
- 多位数回归显示,教育,当前就业,当前非法药物使用,当前驾驶状态,社区类型和功能独立度量 (FIM) 认知得分在随访中显著差异化参与特征组.
- 观察到基于种族/西班牙裔种族的参与概况差异的趋势.
- 这些发现突显了个人和环境因素在TBI恢复中的复杂相互作用.
结论:
- 创伤后的不同参与概况与特定的个人,临床和环境因素有关.
- 识别这些因素可以为计划康复干预提供更个性化和细微的指导.
- 这种理解支持持续的临床监测和为TBI患者提供量身定制的支持.
