Citation

Jourdan C, Azouvi P, Genêt F, Selly N, Josseran L, Schnitzler A. Am. J. Phys. Med. Rehabil. 2018; 97(5): 323-331.

Affiliation

1Département de Médecine Physique et de Réadaptation, Service de Médecine Physique et de Réadaptation, CHRU Montpellier, Site Lapeyronie, 371 avenue du Doyen Gaston Giraud, 34295, Montpellier cedex 5, France 2HANDIReSP EA 4047, Université de Versailles Saint-Quentin, UFR des Sciences de la Santé - Simone Veil, 2 avenue de la Source de la Bièvre, 78180 Montigny-Le-Bretonneux, France 3CIC-IT 1429, 104, boulevard Raymond Poincaré, 92380 Garches, France 4« End:icap » U1179 INSERM, Université Versailles Saint Quentin en Yvelines, UFR des Sciences de la Santé - Simone Veil, 2 avenue de la Source de la Bièvre, 78180 Montigny-Le-Bretonneux, France 5Département d'Information Médicale, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond Poincaré, 104, boulevard Raymond Poincaré, 92380 Garches, France.

Copyright

(Copyright © 2018, Lippincott Williams and Wilkins)

DOI

10.1097/PHM.0000000000000848

PMID

29016402

Abstract

OBJECTIVE: To measure the prevalence of traumatic brain injury-related disability and health status in the general population.

DESIGN: The French National Survey, conducted in households and institutions, assessed 33,896 adults. Data included sequelae from traumatic brain injury, impairments, current health conditions and uses of health services. Analyses, adjusted for age and gender, compared subjects who declared sequelae from traumatic brain injury (n=479) to the remaining survey population (n=33,287). Use of weighting factors ensured that results were representative of the national population.

RESULTS: Prevalence of persistent sequelae from traumatic brain injury in France was 704/100,000. Median time since injury was 14 years. For all Core Set items of the International Classification of Functioning, subjects with traumatic brain injury reported more impairments than the control population: adjusted odds ratios from 1.7 (behavioral difficulties) to 8.6 (motor difficulties). Rates of cardiovascular, respiratory, musculoskeletal, digestive, urological, neurological and psychiatric conditions were higher in the traumatic brain injury population. Use of health services was greater, and women with traumatic brain injury had higher rates of unmet health needs.

CONCLUSION: Persistent sequelae from traumatic brain injury significantly affect health in the general population. Planning of post-traumatic brain injury-care should address the chronic needs of these persons.

Language: en