Yi Honggang, Corrigan John D, Singichetti Bhavna, Bogner Jennifer A, Manchester Kara, Guo Jinhong, Yang Jingzhen
Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio (Drs Yi, Guo, and Yang and Ms Singichetti); Department of Pediatrics (Drs Yi and Yang) and Department of Physical Medicine and Rehabilitation (Drs Corrigan and Bogner), Ohio State University, Columbus, Ohio; Department of Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, China (Dr Yi); and Violence and Injury Prevention Program, Ohio Department of Health, Columbus, Ohio (Ms Manchester).
J Head Trauma Rehabil. 2018 Jul/Aug;33(4):E24-E32. doi: 10.1097/HTR.0000000000000352.
To examine the associations between lifetime history of traumatic brain injury (TBI) with loss of consciousness (LOC) and several types of current disability among adult, noninstitutionalized residents of Ohio.
2014 Ohio Behavioral Risk Factors Surveillance System participants (n = 6998).
Statewide population-based survey.
Lifetime history of TBI with LOC (number and severity of injury, age of first injury), and number and type of disability (vision, cognition, mobility, self-care, and/or independent living).
Of the 6998 participants, 1325 reported lifetime history of TBI with LOC, and 1959 reported currently having one or more disabilities. When weighted, these represented 21.7% and 23.7% of Ohio's noninstitutionalized adult population, respectively. Adults with a history of TBI with LOC showed greater odds of any disability compared with adults with no history (odds ratio = 2.49; 95% confidence interval = 1.97-3.15). The likelihood of having any and each type of disability increased as the number of TBIs or the severity of worst TBI increased, regardless of sustaining first TBI before or after the age of 15 years.
Lifetime history of TBI with LOC is significantly associated with disability among Ohio adults. Further research on the natural course of the relation and preventive strategies is warranted.
研究俄亥俄州非机构化成年居民中，有昏迷史的创伤性脑损伤（TBI）终生病史与几种当前残疾类型之间的关联。
2014年俄亥俄州行为危险因素监测系统的参与者（n = 6998）。
基于全州人口的调查。
有昏迷史的TBI终生病史（损伤的数量和严重程度、首次受伤年龄），以及残疾的数量和类型（视力、认知、行动能力、自我护理和/或独立生活）。
在6998名参与者中，1325人报告有昏迷史的TBI终生病史，1959人报告目前有一项或多项残疾。加权后，这些分别占俄亥俄州非机构化成年人口的21.7%和23.7%。有昏迷史的TBI成年患者与无病史的成年人相比，出现任何残疾的几率更高（优势比 = 2.49；95%置信区间 = 1.97 - 3.15）。无论首次TBI发生在15岁之前还是之后，任何类型残疾以及每种残疾的发生可能性都会随着TBI的数量或最严重TBI的严重程度增加而增加。
有昏迷史的TBI终生病史与俄亥俄州成年人的残疾显著相关。有必要对这种关系的自然病程和预防策略进行进一步研究。
