دورية أكاديمية
أعرض في EDS

Surrogate Perception of Disability after Hospitalization for Traumatic Brain Injury.

التفاصيل البيبلوغرافية
العنوان: Surrogate Perception of Disability after Hospitalization for Traumatic Brain Injury.
المؤلفون: Maiga AW; From the Division of Acute Care Surgery (Maiga, Nordness, Rakhit, Patel), Vanderbilt University Medical Center, Nashville, TN.; Critical Illness, Brain Dysfunction, and Survivorship Center, Vanderbilt Center for Health Services Research, Vanderbilt Institute for Medicine and Public Health (Maiga, Rakhit, Rivera, Patel), Vanderbilt University Medical Center, Nashville, TN., Cook M; Department of Surgery, Temple University Hospital, Philadelphia, PA (Cook)., Nordness MF; From the Division of Acute Care Surgery (Maiga, Nordness, Rakhit, Patel), Vanderbilt University Medical Center, Nashville, TN., Gao Y; Biostatistics (Gao, Harrell), Vanderbilt University Medical Center, Nashville, TN., Rakhit S; From the Division of Acute Care Surgery (Maiga, Nordness, Rakhit, Patel), Vanderbilt University Medical Center, Nashville, TN.; Critical Illness, Brain Dysfunction, and Survivorship Center, Vanderbilt Center for Health Services Research, Vanderbilt Institute for Medicine and Public Health (Maiga, Rakhit, Rivera, Patel), Vanderbilt University Medical Center, Nashville, TN., Rivera EL; Departments of Surgery, Section of Surgical Sciences (Rivera, Sharp), Vanderbilt University Medical Center, Nashville, TN.; Critical Illness, Brain Dysfunction, and Survivorship Center, Vanderbilt Center for Health Services Research, Vanderbilt Institute for Medicine and Public Health (Maiga, Rakhit, Rivera, Patel), Vanderbilt University Medical Center, Nashville, TN., Harrell FE; Biostatistics (Gao, Harrell), Vanderbilt University Medical Center, Nashville, TN., Sharp KW; Departments of Surgery, Section of Surgical Sciences (Rivera, Sharp), Vanderbilt University Medical Center, Nashville, TN., Patel MB; From the Division of Acute Care Surgery (Maiga, Nordness, Rakhit, Patel), Vanderbilt University Medical Center, Nashville, TN.; Critical Illness, Brain Dysfunction, and Survivorship Center, Vanderbilt Center for Health Services Research, Vanderbilt Institute for Medicine and Public Health (Maiga, Rakhit, Rivera, Patel), Vanderbilt University Medical Center, Nashville, TN.; Geriatric Research Education and Clinical Center, Surgical Services, Tennessee Valley Healthcare System (Patel), Vanderbilt University Medical Center, Nashville, TN.
المصدر: Journal of the American College of Surgeons [J Am Coll Surg] 2024 Apr 01; Vol. 238 (4), pp. 589-597. Date of Electronic Publication: 2024 Mar 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 9431305 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1190 (Electronic) Linking ISSN: 10727515 NLM ISO Abbreviation: J Am Coll Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2022- : [Baltimore, MD] : Lippincott Williams & Wilkins, Inc.
Original Publication: Chicago, Ill. : The College, c1994-
مواضيع طبية MeSH: Brain Injuries, Traumatic*/therapy, Humans ; Middle Aged ; Cross-Sectional Studies ; Glasgow Outcome Scale ; Hospitalization ; Perception ; Adult
مستخلص: Background: The Glasgow Outcome Scale Extended (GOSE) is a measure of recovery after traumatic brain injury (TBI). Public surveys rate some GOSE states as worse than death. Direct family experience caring for patients with TBI may impact views of post-TBI disability.
Study Design: We conducted a national cross-sectional computer-adaptive survey of surrogates of TBI dependents incurring injury more than 1 year earlier. Using a standard gamble approach in randomized order, surrogates evaluated preferences for post-TBI GOSE states from GOSE 2 (bedridden, unaware) to GOSE 8 (good recovery). We calculated median (interquartile range [IQR]) health utilities for each post-TBI state, ranging from -1 to 1, with 0 as reference (death = GOSE 1), and assessed sociodemographic associations using proportional odds logistic regression modeling.
Results: Of 515 eligible surrogates, 298 (58%) completed scenarios. Surrogates were median aged 46 (IQR 35 to 60), 54% married, with Santa Clara strength of faith 14 (10 to 18). TBI dependents had a median GOSE5 (3 to 7). Median (IQR) health utility ratings for GOSE 2, GOSE 3, and GOSE 4 were -0.06 (-0.50 to -0.01), -0.01 (-0.30 to 0.45), and 0.30 (-0.01 to 0.80), rated worse than death by 91%, 65%, and 40%, respectively. Surrogates rated GOSE 4 (daily partial help) worse than the general population. Married surrogates rated GOSE 4 higher (p < 0.01). Higher strength of faith was associated with higher utility scores across GOSE states (p = 0.034).
Conclusions: In this index study of surrogate perceptions about disability after TBI, poor neurologic outcomes-vegetative, needing all-day or partial daily assistance-were perceived as worse than death by at least 1 in 3 surrogates. Surrogate perceptions differed from the unexposed public. Long-term perceptions about post-TBI disability may inform earlier, tailored shared decision-making after neurotrauma.
(Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.)
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معلومات مُعتمدة: R01 GM120484 United States GM NIGMS NIH HHS; F32 AG062045 United States AG NIA NIH HHS; T32 GM135094 United States GM NIGMS NIH HHS; UL1 RR024975 United States RR NCRR NIH HHS; K23 GM150110 United States GM NIGMS NIH HHS; R01 AG058639 United States AG NIA NIH HHS
تواريخ الأحداث: Date Created: 20240112 Date Completed: 20240318 Latest Revision: 20240326
رمز التحديث: 20240326
مُعرف محوري في PubMed: PMC10947846
DOI: 10.1097/XCS.0000000000000960
PMID: 38214447
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1190
DOI:10.1097/XCS.0000000000000960