Traumatic brain injury as a chronic health condition

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Article conceptualized traumatic brain injury (TBI) as a chronic health condition termed chronic brain injury (CBI) that can include escalating, deleterious effects on overall health and functioning. Growing evidence indicates that multiple types of brain injury, including TBI, are dynamic conditions that continue to change years after onset. For a subset of individuals who incur these injuries, decline occurs over time and is likely due to progressive neurodegenerative processes, comorbid conditions, aging, behavioral choices, and/or psychosocial factors. Deterioration, whether directly or indirectly associated with the original brain injury, necessitates a clinical approach as a chronic health condition, including identification of risk and protective factors, protocols for early identification, evidence-based preventive and ameliorative treatment, and training in self-management. The authors propose that the acknowledgment of CBI will facilitate the research necessary to provide a disease management approach.

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