Abstract
ObjectiveTo determine associations of traumatic brain injury (TBI) and military employment with activities of daily living (ADL) in late life. DesignPopulation-based prospective cohort study with biennial follow-up and censoring at the time of dementia diagnosis. SettingCommunity-based integrated health care delivery system. ParticipantsParticipants (N=4953) were men (n=2066) and women (n=2887) aged ≥65 years who were dementia free. InterventionsNot applicable. Main Outcome MeasuresADL difficulties at baseline and accumulation during follow-up. ResultsTBI with loss of consciousness (LOC) before the age of 40 years was associated with slightly higher ADL difficulty at baseline for women (rate ratio [RR], 1.44; 95% confidence interval [CI], 1.08-1.93; P=.01). For men, TBI with LOC at any age was associated with greater ADL difficulty at baseline (age <40y: RR, 1.58; 95% CI, 1.20-2.08; P=.001; age ≥40y: RR, 2.14; 95% CI, 1.24-3.68; P=.006). TBI with LOC was not associated with the rate of accumulation of ADL difficulties over time in men or women. There was no evidence of an association between military employment and either outcome, nor of an interaction between military employment and TBI with LOC. Findings were consistent across a variety of sensitivity analyses. ConclusionsFurther investigation into factors underlying greater late life functional impairment among survivors of TBI is warranted.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
