Research Reports - Traumatic brain injury with and without late posttraumatic seizures: What are the impacts in the post-acute phase: A NIDRR Traumatic Brain Injury Model Systems study
J Head Trauma Rehabil. 2012 Nov;27(6):E36-44
Bushnik T, Englander J, Wright J, Kolakowsky-Hayner SA
OBJECTIVE: : To compare and contrast the levels of impairment, disability, and
community participation of individuals with traumatic brain injury (TBI) with or
without late posttraumatic seizures (LPTS).
DESIGN: : Prospective survey study.
SETTING: : Community.
PARTICIPANTS: : Two groups of 91 individuals with TBI, with and without LPTS,
were enrolled in the TBI Model Systems National Database between 1989 and 2002
and interviewed at years 1, 2, and 5 postinjury.
INTERVENTIONS: : Not applicable.
MAIN OUTCOME MEASURES: : Demographic, injury severity, productivity, and
RESULTS: : The majority of the demographic and productivity outcomes up to 5
years postinjury were similar between individuals in the LPTS and non-LPTS
groups. Both the LPTS and non-LPTS groups showed an increasing percentage of
individuals who began to live alone after the first year postinjury and a
decreasing percentage of individuals who were living with family members at 5
years postinjury compared with the first year post-TBI. A higher percentage of
individuals in the LPTS group reported using more dependent forms of
transportation such as riding with others or using public transportation.
Individuals in the LPTS group had higher Disability Rating Scale scores at all
time points, denoting greater functional disability, than individuals in the
non-LPTS group, despite the 2 groups having similar Disability Rating Scale
scores at discharge from rehabilitation. Satisfaction With Life Scale scores
showed no changes over time but were significantly different between both groups
at all time points, with individuals in the LPTS group reporting lower
Satisfaction With Life Scale score than individuals in the non-LPTS group.
CONCLUSIONS: : It does appear that the development of LPTS following a TBI is
associated with poorer functional and psychosocial outcomes in the first 5 years
after injury. It remains to be determined whether there are other factors that
also may account for these differences and that may be amenable to intervention.