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. 2013 Oct;94(10):1940-50.
doi: 10.1016/j.apmr.2013.05.018. Epub 2013 Jun 14.

Prior history of traumatic brain injury among persons in the Traumatic Brain Injury Model Systems National Database

John D Corrigan  1 , Jennifer Bogner, Dave Mellick, Tamara Bushnik, Kristen Dams-O'Connor, Flora M Hammond, Tessa Hart, Stephanie Kolakowsky-Hayner
Affiliations

Prior history of traumatic brain injury among persons in the Traumatic Brain Injury Model Systems National Database

John D Corrigan et al. Arch Phys Med Rehabil. 2013 Oct.

Abstract

Objective: To determine the association between demographic, psychosocial, and injury-related characteristics and traumatic brain injury (TBI) occurring prior to a moderate or severe TBI requiring rehabilitation.

Design: Secondary data analysis.

Setting: TBI Model System inpatient rehabilitation facilities.

Participants: Persons (N=4464) 1, 2, 5, 10, 15, or 20 years after TBI resulting in participation in the TBI Model System National Database.

Interventions: Not applicable.

Main outcome measures: History of TBI prior to the TBI Model System Index injury, pre-Index injury demographic and behavioral characteristics, Index injury characteristics, post-Index injury behavioral health and global outcome.

Results: Twenty percent of the cohort experienced TBIs preceding the TBI Model System Index injury-80% of these were mild and 40% occurred before age 16. Pre- and post-Index injury behavioral issues, especially substance abuse, were highly associated with having had a prior TBI. Greater severity of the pre-Index injury as well as occurrence before age 6 often showed stronger associations. Unexpectedly, pre-Index TBI was associated with less severe Index injuries and better functioning on admission and discharge from rehabilitation.

Conclusions: Findings suggest that earlier life TBI may have important implications for rehabilitation after subsequent TBI, especially for anticipating behavioral health issues in the chronic stage of recovery. Results provide additional evidence for the potential consequences of early life TBI, even if mild.

Keywords: Anxiety; BAC; Brain injuries; Craniocerebral trauma; Depression; LOC; OSU TBI-ID; Ohio State University Traumatic Brain Injury Identification Method; Rehabilitation; TBI; TBIMS; Traumatic Brain Injury Model Systems; blood alcohol content; loss of consciousness; traumatic brain injury.

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Conflict of interest statement

No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

Figures

Fig 1
Fig 1
Severity of pre-Index TBI and mood disorders on follow-up. Abbreviation: AC, altered consciousness.
Fig 2
Fig 2
Age at first TBI and pre- and post-Index injury problem substance use.
See this image and copyright information in PMC

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