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roshni
02-05-2006, 01:31 PM
J Head Trauma Rehabil. (javascript:AL_get(this, 'jour', 'J Head Trauma Rehabil.');) 2006 January/February;21(1):22-33.Related Articles, (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Display&dopt=pubmed_pubmed&from_uid=16456389&tool=ExternalSearch) Links (javascript:PopUpMenu2_Set(Menu16456389);)
Causes of Death Following 1 Year Postinjury Among Individuals With Traumatic Brain Injury.

Harrison-Felix C (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Harrison%2DFelix+C%22%5BAuthor%5D), Whiteneck G (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Whiteneck+G%22%5BAuthor%5D), Devivo MJ (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Devivo+MJ%22%5BAuthor%5D), Hammond FM (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Hammond+FM%22%5BAuthor%5D), Jha A (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Jha+A%22%5BAuthor%5D).

Research Department, Craig Hospital, Englewood, Colo (Drs Harrison-Felix, Whiteneck, and Jha); Department of Rehabilitation Medicine, University of Colorado Health Sciences Center, Denver (Drs Harrison-Felix, Whiteneck, and Jha); Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham (Dr DeVivo); Charlotte Institute of Rehabilitation, Charlotte, NC (Dr Hammond); and Denver Health Medical Center, Denver, Colo (Dr Jha).

OBJECTIVE: To investigate causes of death in individuals with traumatic brain injury (TBI). DESIGN: Retrospective cohort study. SETTING: Utilized data from the TBI Model Systems National Database, the Social Security Death Index, death certificates, and the US population age-race-gender-cause-specific mortality rates for 1994. PATIENTS: Two thousand one hundred forty individuals with TBI completing inpatient rehabilitation in 1 of 15 National Institute on Disability and Rehabilitation Research-funded TBI Model Systems of Care between 1988 and 2001, and surviving past 1 year postinjury. MAIN OUTCOME MEASURES: Primary cause of death based on the International Classification of Diseases - 9th Revision - Clinical Modification - coded death certificates. RESULTS: Individuals with TBI were about 37 times more likely to die of seizures, 12 times more likely to die of septicemia, 4 times more likely to die of pneumonia, and about 3 times more likely to die of other respiratory conditions (excluding pneumonia), digestive conditions, and all external causes of injury/poisoning than were individuals in the general population of similar age, gender, and race. CONCLUSION: Long-term follow-up of individuals with TBI should increase vigilance for, and prevention of, diagnoses frequently causing death (circulatory disorders) and diagnoses with a high relative risk of causing death in this population (seizures, septicemia, respiratory and digestive conditions, and external causes of injury).

PMID: 16456389 [PubMed - as supplied by publisher]