Article Text

Download PDFPDF

The lifetime history of traumatic Brain injury and associated outcomes: a state-wide population-based survey
  1. G Whiteneck1,
  2. J Cuthbert1,
  3. J Corrigan2,
  4. J Bogner2
  1. 1Craig Hospital, USA
  2. 2Ohio State University, USA


    Background The number of non-hospitalised cases of traumatic brain injury (TBI) exceeds hospitalised cases, and the extent of disability following non-hospitalised TBI is unknown.

    Aims/Objectives/Purpose Document the lifetime history of TBI in a general population survey and assess the relationship of lifetime TBI severity to outcomes.

    Methods A total of 2701 Coloradoans participated in a random-digit-dialed computer assisted telephone interview. Using an adaptation of the Ohio State University TBI Identification Method, a lifetime history of injury was collected with details about the severity and place of treatment; brief standardised measures assessed current health status, disability, and related outcomes.

    Results/Outcomes Respondents were categorised into four injury groups: 24% reported no lifetime injuries, 37% reported injuries but none including TBI, 14% reported one or more TBIs but none with loss of consciousness, and 24% reported one or more TBIs with loss of consciousness. Among those reporting TBI, 24% reported their most severe TBI was treated in a hospital, 38% reported emergency department treatment, 12% were seen in a physician's office or clinic, and 25% stated they did not seek medical attention. After controlling for age, gender, race/ethnicity, and place of treatment, the four injury groups were significant predictors of cognitive impairment, post concussive symptoms, health status, and life satisfaction.

    Significance/Contribution to the Field Substantial numbers of the general population (38%) report having one or more TBIs during their lifetime, but only 24% report being hospitalised. Prior estimates of disability after TBI based on hospitalised cases are likely underestimates.

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.