Causes of death following 1 year postinjury among individuals with traumatic brain injury.

作者: Cynthia Harrison-Felix , Gale Whiteneck , Michael J. DeVivo , Flora M. Hammond , Amitabh Jha

DOI: 10.1097/00001199-200601000-00003

关键词: Traumatic brain injuryPopulationRetrospective cohort studyEmergency medicineMortality rateCause of deathInjury preventionSocial Security Death IndexSurgeryPoison controlMedicine

摘要: OBJECTIVE: To investigate causes of death in individuals with traumatic brain injury (TBI). DESIGN: Retrospective cohort study. SETTING: Utilized data from the TBI Model Systems National Database, Social Security Death Index, certificates, and US population age-race-gender-cause-specific mortality rates for 1994. PATIENTS: Two thousand one hundred forty completing inpatient rehabilitation 1 15 Institute on Disability Rehabilitation Research-funded Care between 1988 2001, surviving past year postinjury. MAIN OUTCOME MEASURES: Primary cause based International Classification Diseases--9th Revision--Clinical Modification-coded certificates. RESULTS: Individuals were about 37 times more likely to die seizures, 12 septicemia, 4 pneumonia, 3 other respiratory conditions (excluding pneumonia), digestive conditions, all external injury/poisoning than general similar age, gender, race. CONCLUSION: Long-term follow-up should increase vigilance for, prevention of, diagnoses frequently causing (circulatory disorders) a high relative risk this (seizures, injury).

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