患有先前残疾的人的创伤性脑损伤:患病率,特征和心理社会功能
Amelia J Hicks1, Nicola L de Souza, Jill Del Pozzo
1Author Affiliations: Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, New York (Drs Hicks, de Souza, Del Pozzo, and Dams-O'Connor); and Institute for Health and Disability Policy Studies, University of Kansas, Lawrence, Kansas (Ms Kurth, Dr Hall).
The Journal of head trauma rehabilitation
|July 24, 2025
概括
创伤性脑损伤带有意识丧失在残疾人中很常见,特别是那些患有精神疾病或早期残疾发病的人. 这种TBI增加了健康状况不佳和孤独的可能性.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 关于残疾人的研究.
背景情况:
- 有意识丧失的创伤性脑损伤 (TBI与LOC) 是一个重大问题.
- 具有先前存在的残疾人代表了一个脆弱的人群,在TBI研究中经常被忽视.
- 了解这一群体中TBI与LOC的流行率和影响对于有针对性的干预至关重要.
研究的目的:
- 确定先前存在残疾的成年人中TBI与LOC的患病率.
- 调查TBI与LOC之间的关联以及残疾发病时的年龄,残疾类型和心理社会功能等因素.
- 在这个队列中检查多个TBI与LOC的发生情况.
主要方法:
- 利用了2023/2024年国家健康和残疾调查 (NSHD) 的数据.
- 包括235名先前患有残疾的成年人 (≥18岁),在残疾发作后经历TBI和LOC,以及1211名对照人.
- 采用横截面观察在线调查设计,使用NSHD和缩写的脑损伤查问卷.
主要成果:
- 235名参与者在残疾开始后报告TBI与LOC,第一次TBI的平均年龄为20.3岁.
- 34.1%的参与者经历了多次TBI与LOC.
- 初级精神疾病/精神疾病残疾和残疾发病时年龄较小与LOC的TBI更高的几率有关. 那些患有TBI与LOC的人报告了更糟糕的身体/心理健康日和更大的孤独感.
结论:
- 带有LOC的TBI在具有先前残疾的个体中普遍存在.
- 带有LOC的TBI与残疾发病时年龄较小,健康状况不佳日数增加和孤独感增加有关.
- 建议对所有原因的残疾人进行TBI查,并为这个服务不足的群体提供协调照顾.
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