Monitoring and Prognosis System Based on the ICF for People with Traumatic Brain Injury.

Laia Subirats,Raquel Lopez-Blazquez,Jose Tormos,Luigi Ceccaroni,Alejandro García-Rudolph,Felip Miralles,Mariona Gifre

doi:10.3390/ijerph120809832

Abstract

The objective of this research is to provide a standardized platform to monitor and predict indicators of people with traumatic brain injury using the International Classification of Functioning, Disability and Health, and analyze its potential benefits for people with disabilities, health centers and administrations. We developed a platform that allows automatic standardization and automatic graphical representations of indicators of the status of individuals and populations. We used data from 730 people with acquired brain injury performing periodic comprehensive evaluations in the years 2006–2013. Health professionals noted that the use of color-coded graphical representation is useful for quickly diagnose failures, limitations or restrictions in rehabilitation. The prognosis system achieves 41% of accuracy and sensitivity in the prediction of emotional functions, and 48% of accuracy and sensitivity in the prediction of executive functions. This monitoring and prognosis system has the potential to: (1) save costs and time, (2) provide more information to make decisions, (3) promote interoperability, (4) facilitate joint decision-making, and (5) improve policies of socioeconomic evaluation of the burden of disease. Professionals found the monitoring system useful because it generates a more comprehensive understanding of health oriented to the profile of the patients, instead of their diseases and injuries.

Highlights

In 1990, the World Health Organization (WHO) introduced a new measure, the disability-adjusted life years (DALYs) [1]—as a unified measure to quantify the burden of disease, injury and risk factors
The DALYs take into account the years of life lost to premature death and years of life that live in states of poor health or disability
In this study we have worked with data from acquired brain injury (ABI) and traumatic brain injury (TBI) (I60–I69 classes of the International Classification of Diseases version 10 (ICD-10) [2])

Summary

Introduction

In 1990, the World Health Organization (WHO) introduced a new measure, the disability-adjusted life years (DALYs) [1]—as a unified measure to quantify the burden of disease, injury and risk factors.The DALYs take into account the years of life lost to premature death and years of life that live in states of poor health or disability.In this study we have worked with data from acquired brain injury (ABI) and traumatic brain injury (TBI) (I60–I69 classes of the International Classification of Diseases version 10(ICD-10) [2]). In 1990, the World Health Organization (WHO) introduced a new measure, the disability-adjusted life years (DALYs) [1]—as a unified measure to quantify the burden of disease, injury and risk factors. The DALYs take into account the years of life lost to premature death and years of life that live in states of poor health or disability. In this study we have worked with data from acquired brain injury (ABI) and traumatic brain injury (TBI) The main cause of TBI is traffic accidents in Catalonia and 60% of those affected by TBI are under 25 years [3]. Road accidents are the ninth leading cause of death with 1.3 M of deaths in 2012 [4].

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Discussion

Conclusion