Cited by 624Traumatic Brain Injury ResearchTraumatic Brain Injury and Neurovascular DisturbancesMedical Practices and Rehabilitation

Longitudinal Follow-Up of Patients with Traumatic Brain Injury: Outcome at Two, Five, and Ten Years Post-Injury

Ponsford, Jennie L., Downing, Marina G., Olver, John, Ponsford, Michael, Acher, Rose, Carty, Meagan, Spitz, Gershon·2014·Journal of Neurotrauma

Abstract

The deleterious consequences of traumatic brain injury (TBI) impair capacity to return to many avenues of pre-morbid life. However, there has been limited longitudinal research examining outcome beyond five years post-injury. The aim of this study was to examine aspects of function, previously shown to be affected following TBI, over a span of 10 years. One hundred and forty one patients with TBI were assessed at two, five, and 10 years post-injury using the Structured Outcome Questionnaire. Fatigue and balance problems were the most common neurological symptoms, with reported rates decreasing only slightly during the 10-year period. Mobility outcomes were good in more than 75% of patients, with few participants requiring aids for mobility. Changes in cognitive, communication, behavioral, and emotional functions were reported by approximately 60% of the sample at all time points. Levels of independence in activities of daily living were high during the 10-year period, and as many as 70% of subjects returned to driving. Nevertheless, approximately 40% of patients required more support than before their injury. Only half the sample returned to previous leisure activities and fewer than half were employed at each assessment time post-injury. Although marital status remained stable over time, approximately 30% of participants reported difficulties in personal relationships. Older age at injury did not substantially alter the pattern of changes over time, except in employment. Ove…

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Crossref · 10.1089/neu.2013.2997

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Authors
Ponsford, J. L., Downing, M. G., Olver, J., Ponsford, M., Acher, R., Carty, M., & Spitz, G.
Affiliations
Epworth Hospital (AU)
Corresponding author
Ponsford, Jennie L.
Venue
Journal of Neurotrauma
Published
2014-01
Volume
31
Issue
1
Pages
64-77
ISSN
  • 0897-7151 (ISSN-L)
  • 1557-9042
OpenAlex
W1976527985
Cited by
621
References
39
Citations by year
2026: 41 · 2025: 68 · 2024: 55 · 2023: 59 · 2022: 61 · 2021: 64 · 2020: 55 · 2019: 59 · 2018: 40 · 2017: 38 · 2016: 41 · 2015: 23 · 2014: 11 · 2013: 1 · 2012: 1
FWCI
18.45
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Neurotrauma (publishedVersion)
  • PubMed (publishedVersion)
Funders
Transport Accident Commission
Topics
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
traumatic brain injury, long-term outcomes, fatigue, balance problems, mobility (physical function), cognitive function, communication, activities of daily living, return to driving, employment, leisure, marital relationships, age at injury, rehabilitation
MeSH terms
Activities of Daily Living, Adolescent, Adult, Aged, Brain Injuries, Cognition, Disability Evaluation, Emotions, Employment, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Surveys and Questionnaires, Injury Severity Score, Treatment Outcome, Recovery of Function, Young Adult

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