Research Reports - Community integration 2 years after moderate and severe traumatic brain injury
Brain Inj. 2015 May 12:1-6
Sandhaug M(1), Andelic N, Langhammer B, Mygland A
OBJECTIVE: The aim of this study was to examine community integration by the
Community Integration Questionnaire (CIQ) 2 years after injury in a divided TBI
sample of moderately and severely injured patients. The second aim was to
identify social-demographic, injury-related and rehabilitation associated
predictors of CIQ.
DESIGN: A cohort study.
SETTING: Outpatient follow-up.
PARTICIPANTS: Fifty-seven patients with moderate (n = 21) or severe (n = 36) TBI
were examined with the Community Integration Questionnaire (CIQ) at 2 years after
injury. Possible predictors were analysed in a regression model using CIQ total
score at 2 years as the outcome measure.
MAIN OUTCOME MEASURES: The Community Integration Questionnaire.
RESULTS: At 2 years follow-up, there was significant difference between the
moderately and severely injured patients in the productivity scores (p < 0.003),
while difference in the total CIQ scores approached the significance level
(p = 0.074). Significant predictors of a higher CIQ score were living with a
spouse, higher Glasgow Coma Scale (GCS) in the acute phase, shorter
Post-Traumatic Amnesia (PTA), longer rehabilitation stay (LOS) and use of
rehabilitation service. Use of rehabilitation service (B = 7.766) and living with
a spouse (B = 4.251) had the largest influence. This means that living with a
spouse, better score on the GCS scale, shorter PTA, longer LOS and use of
rehabilitation service after discharge equated to better community integration 2
years after TBI Conclusions: Two years after TBI the moderately injured patients
have a higher productivity level than the severely injured patients. Marital
status, injury severity and rehabilitation after injury were associated with
community integration 2 years after TBI.