From the Département de Médecine Physique et de Réadaptation, CHU Montpellier, Montpellier, France (CJ); HANDIReSP EA 4047, Université de Versailles Saint-Quentin, UFR des Sciences de la Santé - Simone Veil, Montigny-Le-Bretonneux, France (CJ, PA, NS, LJ, AS); Service de Médecine Physique et de Réadaptation, APHP CHU Raymond Poincaré, Garches, France (PA, FG, LJ, AS); CIC-IT 1429, Garches, France (FG); « End:icap » U1179 INSERM, Université Versailles Saint-Quentin en Yvelines, UFR des Sciences de la Santé - Simone Veil, Montigny-Le-Bretonneux, France (FG); and Département d'Information Médicale, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond Poincaré, Garches, France (LJ).
Am J Phys Med Rehabil. 2018 May;97(5):323-331. doi: 10.1097/PHM.0000000000000848.
The aim of the study was to measure the prevalence of traumatic brain injury (TBI)-related disability and health status in the general population.
The French National Survey, conducted in households and institutions, assessed 33,896 adults. Data included sequelae from TBI, impairments, current health conditions, and uses of health services. Analyses, adjusted for age and sex, compared subjects who declared sequelae from TBI (n = 479) with the remaining survey population (n = 33,287). Use of weighting factors ensured that results were representative of the national population.
Prevalence of persistent sequelae from TBI in France was 704/100,000. Median time since injury was 14 yrs. For all Core Set items of the International Classification of Functioning, subjects with TBI reported more impairments than the control population: adjusted odds ratios from 1.7 (behavioral difficulties) to 8.6 (motor difficulties). Rates of cardiovascular, respiratory, musculoskeletal, digestive, urological, neurological, and psychiatric conditions were higher in the TBI population. Use of health services was greater, and women with TBI had higher rates of unmet health needs.
Persistent sequelae from TBI significantly affect health in the general population. Planning of post-TBI care should address the chronic needs of these persons.
本研究旨在测量普通人群中创伤性脑损伤（TBI）相关残疾和健康状况的患病率。
这项在家庭和机构中进行的法国全国性调查评估了 33896 名成年人。数据包括 TBI 后遗症、损伤、当前健康状况和卫生服务利用情况。分析结果针对年龄和性别进行了调整，将报告有 TBI 后遗症的受试者（n=479）与其余调查人群（n=33287）进行了比较。使用加权因素确保了结果能够代表全国人口。
法国 TBI 后持续后遗症的患病率为 704/100000。自损伤以来的中位数时间为 14 年。对于功能国际分类的所有核心项目，TBI 患者报告的障碍比对照组更严重：调整后的优势比从 1.7（行为困难）到 8.6（运动困难）。TBI 患者心血管、呼吸、肌肉骨骼、消化、泌尿系统、神经系统和精神疾病的发病率更高。卫生服务的利用也更高，TBI 女性的未满足健康需求率更高。
TBI 的持续后遗症显著影响普通人群的健康。TBI 后的护理计划应解决这些患者的慢性需求。
