Details

Autor(en) / Beteiligte

• Holcomb, Erin M., MA
• Millis, Scott R., PhD
• Hanks, Robin A., PhD

Titel

Comorbid Disease in Persons With Traumatic Brain Injury: Descriptive Findings Using the Modified Cumulative Illness Rating Scale

Ist Teil von

• Archives of physical medicine and rehabilitation, 2012-08, Vol.93 (8), p.1338-1342

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2012

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Holcomb EM, Millis SR, Hanks RA. Comorbid disease in persons with traumatic brain injury: descriptive findings using the Modified Cumulative Illness Rating Scale. Objective To provide descriptive findings regarding the overall health status and prevalence of medical comorbidities experienced by traumatic brain injury (TBI) patients. Design Inception cohort design with cross-sectional follow-up at 1 to 15 years. Setting Rehabilitation hospital. Participants Adults (N=258) with moderate to severe TBI. Interventions Not applicable. Main Outcome Measure The Modified Cumulative Illness Rating Scale is a 14-item rating scale used to indicate health status by rating impairment across 14 different domains. Results The TBI sample had lower rates of comorbidities compared with other rehabilitation populations, including stroke and orthopedic samples. The most commonly encountered medical conditions within our sample were eyes, ears, nose, and throat problems, psychiatric or behavioral disturbances, hypertension, and musculoskeletal injury at mild to moderate severity. Prevalence of conditions did not differ by sex, race, or cause of TBI. Conclusions The current TBI sample was relatively healthy with few medical comorbidities. Further, the Modified Cumulative Illness Rating Scale may better be used as a standardized checklist to assess for the presence of co-occurring conditions, given the near absence of conditions in the higher range of severity.