The Residential Status of Working Age Adults Following Severe Traumatic Brain Injury. Issue 3 (17th April 2018)

• Record Type: Journal Article
• Authors: Braaf, Sandra; Beck, Ben; Callaway, Libby; Ponsford, Jennie; Gabbe, Belinda J.
• Is Part Of: Brain impairment. Volume 19:Issue 3(2018)
• Page Start: 201
• Page End: 214
• Publication Date: 2018-04-17
• Subjects: traumatic brain injury, -- rehabilitation, -- aged care, -- accommodation, -- community living; Brain Diseases -- Congresses; Brain Diseases -- Periodicals; Brain -- Diseases -- Periodicals; 616.805
• DOI: 10.1017/BrImp.2018.3
• Languages: English
• ISSNs: 1443-9646

Abstract

Abstract : Objective: To describe place of residence and examine factors associated with place of residence following severe traumatic brain injury (TBI) in working age adults. Setting, participants, design: Retrospective cohort study (1 January 2007 to 31 December 2013) of adults (16–64 years) with severe TBI who survived to hospital discharge in Victoria, Australia. Main measures: Place of residence (dichotomised as 'private residence' and 'other destination') at 6, 12 and 24 months post injury. A modified Poisson model was fitted with a random effect for the participant. Results: There were 684 cases that were followed-up at one or more time points. At 24 months post injury, 87% ( n = 537) adults with TBI were living at a private residence, of whom 66% did not require additional support. Cases were more likely to be living at a private residence at 24 months post injury compared to 6 months (adjusted relative risk = 1.08, 95% Confidence Interval, 1.04–1.11, p < .001). At 24 months post injury, 5% ( n = 29) remained in rehabilitation and 4% ( n = 23) lived in a nursing home. Conclusion: While the majority of cases were living at a private residence at 2 years post injury, 13% were residing in rehabilitation, a nursing home or other supported living. Longer follow-up is needed to understand if a transition to a private residence is possible for these groups.