Functioning and disability analysis of patients with traumatic brain injury and spinal cord injury by using the world health organization disability assessment schedule 2.0

Chia Ying Kuo, Tsan Hon Liou, Kwang Hwa Chang, Wen Chou Chi, Reuben Escorpizo, Chia Feng Yen, Hua Fang Liao, Hung Yi Chiou, Wen Ta Chiu, Jo Ting Tsai

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18 Citations (Scopus)

Abstract

The purpose of this study is to compare traumatic brain injuries (TBI) and spinal cord injuries (SCI) patients’ function and disability by using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0); and to clarify the factors that contribute to disability. We analyzed data available between September 2012 and August 2013 from Taiwan’s national disability registry which is based on the International Classification of Functioning, Disability, and Health (ICF) framework. Of the 2664 cases selected for the study, 1316 pertained to TBI and 1348 to SCI. A larger percentage of patients with TBI compared with those with SCI exhibited poor cognition, self-care, relationships, life activities, and participation in society (all p <0.001). Age, sex, injury type, socioeconomic status, place of residence, and severity of impairment were determined as factors that independently contribute to disability (all p <0.05). The WHODAS 2.0 is a generic assessment instrument which is appropriate for assessing the complex and multifaceted disability associated with TBI and SCI. Further studies are needed to validate the WHODAS 2.0 for TBI and SCI from a multidisciplinary perspective.

Original languageEnglish
Pages (from-to)4116-4127
Number of pages12
JournalInternational Journal of Environmental Research and Public Health
Volume12
Issue number4
DOIs
Publication statusPublished - Apr 14 2015

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Keywords

  • Disability
  • Disability
  • Health (ICF)
  • International classification of functioning
  • Spinal cord injury (SCI)
  • Traumatic brain injury (TBI)
  • World health organization disability assessment schedule (WHODAS 2.0)

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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