Disability and health consequences of Traumatic Brain Injury: national prevalence.

Objective: To measure the prevalence of traumatic brain injury-related disability and health status in the general population. Design: The French National Survey, conducted in households and institutions, assessed 33,896 adults. Data included sequelae from traumatic brain injury, impairments, current health conditions and uses of health services. Analyses, adjusted for age and gender, compared subjects who declared sequelae from traumatic brain injury (n=479) to the remaining survey population (n=33,287). Use of weighting factors ensured that results were representative of the national population. Results: Prevalence of persistent sequelae from traumatic brain injury in France was 704/100,000. Median time since injury was 14 years. For all Core Set items of the International Classification of Functioning, subjects with traumatic brain injury reported more impairments than the control population: adjusted odds ratios from 1.7 (behavioral difficulties) to 8.6 (motor difficulties). Rates of cardiovascular, respiratory, musculoskeletal, digestive, urological, neurological and psychiatric conditions were higher in the traumatic brain injury population. Use of health services was greater, and women with traumatic brain injury had higher rates of unmet health needs. Conclusion: Persistent sequelae from traumatic brain injury significantly affect health in the general population. Planning of post-traumatic brain injury-care should address the chronic needs of these persons. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved.

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