A 1-year longitudinal study of severe traumatic brain injury in Australia using the Sickness Impact Profile

Fleming, JM, Strong, J, Ashton, R and Hassell, M (1997) A 1-year longitudinal study of severe traumatic brain injury in Australia using the Sickness Impact Profile. Journal of Head Trauma Rehabilitation, 12 3: 27-40. doi:10.1097/00001199-199706000-00004


Author Fleming, JM
Strong, J
Ashton, R
Hassell, M
Title A 1-year longitudinal study of severe traumatic brain injury in Australia using the Sickness Impact Profile
Journal name Journal of Head Trauma Rehabilitation   Check publisher's open access policy
ISSN 0885-9701
Publication date 1997-01-01
Sub-type Article (original research)
DOI 10.1097/00001199-199706000-00004
Volume 12
Issue 3
Start page 27
End page 40
Total pages 14
Language eng
Abstract Objective: To document outcome and to investigate patterns of physical and psychosocial recovery in the first year following severe traumatic brain injury (TBI) in an Australian patient sample. Design: A longitudinal prospective study of a cohort of patients, with data collection at 3, 6, 9, and 12 months post injury. Setting: A head injury rehabilitation unit in a large metropolitan public hospital. Patients: A sample of 55 patients selected from 120 consecutive admissions with severe TBI. Patients who were more than 3 months post injury on admission, who remained confused, or who had severe communication deficits or a previous neurologic disorder were excluded. Interventions: All subjects participated in a multidisciplinary inpatient rehabilitation program, followed by varied participation in outpatient rehabilitation and community-based sen ices. Main Outcome Measures: The Sickness impact Profile (SIP) provided physical, psychosocial, and total dysfunction scores at each follow-up. Outcome at 1 year was measured by the Disability Rating Scale. Results: Multivariate analysis of variance indicated that the linear trend of recovery over time was less for psychosocial dysfunction than for physical dysfunction (F(1,51) = 5.87, P < .02). One rear post injury, 22% of subjects had returned to their previous level of employability, and 42% were able to live independently. Conclusions: Recovery from TBI in this Australian sample followed a pattern similar to that observed in other countries, with psychosocial dysfunction being more persistent. Self-report measures such as the SIP in TBI research are limited by problems of diminished self-awareness.
Keyword Rehabilitation
Severe Head-injury
Disability Rating-scale
Follow-up
Social-adjustment
Rehabilitation
Recovery
Reliability
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Health and Rehabilitation Sciences Publications
 
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Created: Tue, 14 Aug 2007, 02:50:27 EST