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The Residential Status of Working Age Adults Following Severe Traumatic Brain Injury

Published online by Cambridge University Press:  17 April 2018

Sandra Braaf ,
Ben Beck ,
Libby Callaway ,
Jennie Ponsford  and
Belinda J. Gabbe
Sandra Braaf*
Affiliation:
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Ben Beck
Affiliation:
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Libby Callaway
Affiliation:
Department of Occupational Therapy, Monash University, Frankston, Victoria, Australia
Jennie Ponsford
Affiliation:
School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia Monash-Epworth Rehabilitation Research Centre, Melbourne, Victoria, Australia
Belinda J. Gabbe
Affiliation:
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
*
Address for correspondence: Dr. Sandra Braaf, Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia. E-mail: sandra.braaf@monash.edu
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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.

Keywords

traumatic brain injuryrehabilitationaged careaccommodationcommunity living
Type
Articles
Information
Brain Impairment , Volume 19 , Issue 3 , December 2018 , pp. 201 - 214
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2018 

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