TY - JOUR
PY - 2018//
TI - Examining age-related differences in functional domain impairment following traumatic brain injury
JO - International journal of older people nursing
A1 - Cheng, Chieh
A1 - Chi, Nai-Ching
A1 - Williams, Ellita
A1 - Thompson, Hilaire J.
SP - e12208
EP - e12208
VL - 13
IS - 4
N2 - OBJECTIVE: To examine differences in the functional recovery trajectories between younger and older adults with mild-moderate traumatic brain injury (TBI) in the first year postinjury as well as health-related quality of life.
DESIGN: Observational cohort. SETTING: Level one trauma centre in the State of Washington. PARTICIPANTS: Adults with mild-moderate TBI (N = 34; younger adults, n = 19, and older adults, n = 15). INTERVENTIONS: None. MAIN OUTCOME MEASURES: Functional Status Examination (FSE) and health-related quality of life (HRQOL; SF-12v2).
RESULTS: Older adults consistently showed significantly worse functional performance than younger adults following TBI in the following FSE domains: mobility, ability to travel, home maintenance and overall functional status. For both groups, preinjury physical health was significantly correlated with ability to travel and social integration at 12-month postinjury. Older participants' preinjury physical and mental health had significant and negative correlation with their functional status.
CONCLUSIONS: Our study provides insights and implications into adults' specific functional impairments following TBI, and which domains have persistent deficits. IMPLICATIONS FOR PRACTICE: Early intervention and rehabilitation should focus on improving older adults' physical functioning and mobility. Our study may also inform future research and design of post-TBI interventions for older adults.
© 2018 John Wiley & Sons Ltd.
Language: en
LA - en SN - 1748-3735 UR - http://dx.doi.org/10.1111/opn.12208 ID - ref1 ER -