Model System:

TBI

Reference Type:

Journal

Accession No.:

J76501

Journal:


Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, , ,

Publication Website:

Abstract:

Study compared subgroups of survivors with assault-related versus self-inflicted traumatic brain injuries (TBIs) via firearms at the time of inpatient rehabilitation and at 1-, 2-, and 5-year follow-up. A secondary analysis was conducted of data from the Traumatic Brain Injury Model Systems National Database (TBIMS NDB), a multicenter, longitudinal cohort study. Participants were 399 Individuals aged 16 years and older (310 via assault, 89 via self-inflicted injury) with a primary diagnosis of TBI caused by firearm injury enrolled in the TBIMS NDB. Measures included: Disability Rating Scale, Glasgow Outcome Scale-Extended, sociodemographic variables (sex, age, race, marital status), injury-related/acute care information (posttraumatic amnesia, loss of consciousness, time from injury to acute hospital discharge), and mental health variables (substance use history, psychiatric hospitalizations, suicide history, incarcerations). Individuals who survived TBI secondary to a firearm injury differed by injury mechanism (assault vs self-inflicted) on critical demographic, injury-related/acute care, and mental health variables at inpatient rehabilitation and across long-term recovery. Groups differed in terms of geographic area, age, ethnicity, education, marital status, admission Glasgow Coma Scale score, and alcohol abuse, suicide attempts, and psychiatric hospitalizations at various time points. These findings have implications for prevention and for rehabilitation planning (e.g., by incorporating training with coping strategies and implementation of addictions-related services) for firearm-related TBI, based on subtype of injury.

Author(s):


Bertisch, Hilary, Krellman, Jason W., Bergquist, Thomas F., Dreer, Laura E., Ellois, Valerie, Bushnik, Tamara

Participating Centers: