Table 2

Summary of measures

MeasureSource (Instrument)Instrument psychometrics/measurement propertiesFrequencyGroups
Transitional factorsAge
Insurance status
Gender
Medical Record Review (Patient Enrolment Form)Day 01, 2, 3, 4
Education
Income
Pre-existing conditions
Self/Family Report (Patient Enrolment Form, Elixhauser)Day 0
Day 3 (or as early as able to obtain information reliably)
3, 4
1, 2
New onset illness or injurySelf/Family Report on Patient Data Form-Follow up visitDay 7
1, 3, 6 months
1, 2
1, 2, 3, 4
Social supportMOS Social Support Survey47 α>0.91Day 0
Day 3 (or when able to obtain reliable information)
3, 4
1, 2
Pathology: injuryInjury
 Type
 Location
 Mechanism
 Severity
Medical record (GCS, IISS,48 Injury Mechanism E-code,49 Head CT findings)
Confirm with Trauma Registry (Patient Enrolment Form)
Day 01,2
Inflammatory markers
Interleukin (IL)−1 beta IL-2, IL-4, IL-5, IL-6, Ll-7, IL-10, IL-12, IL-13, GM-CSF, TNF-alpha, leptin, fractalkine
Plasma (Multiplex Bead based assay)Day 0, 3, 7
1, 3 and 6 months
(Day 3, 7 and 3 month for TBI groups only*)
1, 2, 3, 4
Cellular immune response (IFN-γ secretion in response to PHA or LPS)PBMCs (ELISpot assay)Inter-rater reliability in pilot >0.92; test retest reliability >0.90Day 0, 3, 7
1, 3 and 6 months
(Day 3, 7 and 3 month for TBI groups only*)
1, 2, 3, 4
Impairment: symptomsSymptom presence and burdenRPQ50 Rho=0.67 at 3 months postinjury; 0.56 at 6 months. Test-retest reliability 0.8950 Day 0
Day 7
1, 3, 6 months
3, 4
1,2
1, 2, 3, 4
BSI-1851 Test-retest in patients with TBI 0.57–0.67 on the subscales; Internal consistency reported to be α=0.75–0.9151
Neuropsychological impairmentRAVLT52 Internal reliability high with reported α>0.9; test retest good.52–54 Day 0
Day 7
3, 6 months
(3 month for TBI group only*)
3, 4
1, 2
1, 2, 3, 4
TMT52 Inter-rater reliability is reported as 0.94 for Part A and 0.90 for Part B55
Processing Speed Index from Wechsler Adult Intelligence Scale56 High internal consistency (0.8–0.89). Good test-retest reliability52
Functional limitation disabilityFunctional change postinjury disabilityFunctional Independence Measure57 Construct and predictive validity demonstrated in patients with TBI. Inter-rater reliability of the FIM is reported to be >0.90; >0.90 test-retest reliability57 Day 0
Day 7
1, 3, 6 months
3, 4
1, 2
1, 2, 3, 4
GOS-E58 Inter-rater reliability of the GOS-E is reported to be 0.78 with a weighted kappa of.8558 3, 6 months1, 2, 3, 4
Quality of lifeHealth-related quality of lifeSelf-Report (MOS Short Form-36v2 Acute Recall)59 Reliability of the SF-36 reported to be 0.92 and 0.88 for the subscales.59 60 In patients with mild TBI, α 0.83–0.91 reported61 Day 0
Day 7
1, 3, 6 months
3, 4
1, 2
1, 2, 3, 4
SWLS62 Internal consistency exceeds 0.80; Test-retest reliability 0.82–0.8963 Day 0
Day 7
1, 3, 6 months
3, 4
1, 2
1, 2, 3, 4
  • Group 1: Older mild TBI; Group 2: Younger mild TBI; Group 3: Older non-injured control; Group 4: Younger non-injured control.

  • *For non-injured control, no 3-day visit, phone visit only at 3-month visit to reduce burden and increase subject retention based on pilot work.

  • BSI-18, Brief Symptom Inventory-18; GCS, Glasgow Coma Scale;GOS-E, Glasgow Outcome Scale-Extended; ISS, Injury Severity Score; LPS, lipopolysaccharide; PHA, phytohemagglutinin; RAVLT, Rey Auditory Verbal Learning Test; RPQ, Rivermead Postconcussion Symptom Questionnaire; SWLS, Satisfaction with Life Scale; TMT, Trail Making Test.