Agimi Yll, Marion Donald, Schwab Karen, Stout Katharine
Defense and Veterans Brain Injury Center, Silver Spring, Maryland (Drs Agimi, Marion, Schwab, and Stout); General Dynamics Information Technology, Falls Church, Virginia (Drs Agimi and Marion); and 9Line, LLC, Tampa, Florida (Dr Schwab).
J Head Trauma Rehabil. 2021;36(1):1-9. doi: 10.1097/HTR.0000000000000573.
Traumatic brain injury (TBI) is a significant health issue in the US military. The purpose of this study was to estimate the probability of long-term disability among hospitalized service members (SMs) with TBIs, using the South Carolina Traumatic Brain Injury and Follow-up Registry (SCTBIFR) model developed on civilian hospitalized patients.
We identified military patients in military or civilian hospitals or theater level 3 to 5 military treatment facilities (MTFs) whose first TBI occurred between October 1, 2013, and September 30, 2015. TBI-related disability at 1-year post-hospital discharge was estimated using regression coefficients from the SCTBIFR.
Among the identified 4877 SMs, an estimated 65.6% of SMs with severe TBI, 56.2% with penetrating TBI, 31.4% with moderate TBI, and 12.0% with mild TBI are predicted to develop long-term disability. TBI patients identified at theater level 4 and 5 MTFs had an average long-term disability rate of 56.9% and 61.1%, respectively. In total, we estimate that 25.2% of all SMs hospitalized with TBI will develop long-term disability.
Applying SCTBIFR long-term probability estimates to US SMs with TBIs provides useful disability estimates to inform providers and health systems on the likelihood that particular subgroups of TBI patients will require continued support and long-term care.
创伤性脑损伤（TBI）是美国军队中的一个重大健康问题。本研究的目的是使用基于 civilian 住院患者开发的南卡罗来纳州创伤性脑损伤及随访登记册（SCTBIFR）模型，估计住院的创伤性脑损伤军人（SMs）发生长期残疾的概率。
我们确定了在军事或 civilian 医院或战区 3 至 5 级军事治疗设施（MTFs）中，首次创伤性脑损伤发生在 2013 年 10 月 1 日至 2015 年 9 月 30 日之间的军事患者。使用 SCTBIFR 的回归系数估计出院后 1 年时与创伤性脑损伤相关的残疾情况。
在确定的 4877 名军人中，预计重度创伤性脑损伤的军人中有 65.6%、穿透性创伤性脑损伤的军人中有 56.2%、中度创伤性脑损伤的军人中有 31.4%、轻度创伤性脑损伤的军人中有 12.0%会发生长期残疾。在战区 4 级和 5 级 MTFs 中确定的创伤性脑损伤患者的平均长期残疾率分别为 56.9%和 61.1%。我们估计，所有因创伤性脑损伤住院的军人中，有 25.2%会发生长期残疾。
将 SCTBIFR 长期概率估计应用于患有创伤性脑损伤的美国军人，可为医疗服务提供者和卫生系统提供有用的残疾估计，以告知他们特定亚组的创伤性脑损伤患者需要持续支持和长期护理的可能性。
