Abstract
TBI is a leading cause of death and disability worldwide. The effects of TBI can significantly disrupt the lives of those who are injured and survive. TBI can affect patients in the physical, cognitive, behavioral and emotional domains which appear from the acute phase and can remain long-term. This cross sectional survey aimed to examine the disability after TBI by the components of ICF and also to describe the symptom present in one year after TBI. TBI patients were recruited from the medical record data of patients admitted to the neurosurgery unit who at least 12 month after discharge from hospital and able to be followed up. The DRS was used for measured disability. Total 56 TBI patients were recruited in this study, 58.9% of the subjects were classified as mild TBI, while 37.5% and 3.6% of them were classified as moderate and severe TBI respectively. More than half of subjects (62.5%) reported of current symptoms with headache as a most common reported. Based on DRS was found that 83.9% of the subjects have no disability, whereas 3.6% had a mild disability, 5.45 had a partial disability, and 7.2% had a moderate disability. The results demonstrated that a TBI survivors face substantial disability and symptom 1 year after injury. To optimise health and well-being outcomes, clinicians need to identified the needs of patients with less severe TBI and treated during the post-acute period.
Highlights
TBI is a leading cause of death and disability worldwide
Based on GCS, it was found that 58.9% of the subjects were classified as mild TBI, while 37.5% and 3.6% of them were classified as moderate and severe TBI respectively
The disability of the subjects based on Disability Rating Scale (DRS) was found that 83.9% of the subjects have no disability, whereas 3.6% had a mild disability, 5.45 had a partial disability, and 7.2% had a moderate disability (Table 3)
Summary
TBI is a leading cause of death and disability worldwide. The majority of TBI cases are due to road traffic injuries, which account for nearly 60% of all cases of TBI1 The increase in road traffic injuries is projected to become the third leading cause of global disease and the second leading cause of disease for low- and middle-income countries by 2020. The burden of TBI is manifested in all regions of the world, and is especially prominent in low-and middle-income countries.. In Indonesia, based on the Indonesia Health Profile by the Ministry of health Republic of Indonesia, TBI is currently included in the top ten diseases in hospitalized patients. The number of TBI patients in 2010 was 25,281.2. TBI can affect patients in the physical, cognitive, behavioral and
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