TY - JOUR
T1 - 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
AU - Kuo, Chia Ying
AU - Liou, Tsan Hon
AU - Chang, Kwang Hwa
AU - Chi, Wen Chou
AU - Escorpizo, Reuben
AU - Yen, Chia Feng
AU - Liao, Hua Fang
AU - Chiou, Hung Yi
AU - Chiu, Wen Ta
AU - Tsai, Jo Ting
PY - 2015/4/14
Y1 - 2015/4/14
N2 - 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.
AB - 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.
KW - Disability
KW - Disability
KW - Health (ICF)
KW - International classification of functioning
KW - Spinal cord injury (SCI)
KW - Traumatic brain injury (TBI)
KW - World health organization disability assessment schedule (WHODAS 2.0)
UR - http://www.scopus.com/inward/record.url?scp=84927950483&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84927950483&partnerID=8YFLogxK
U2 - 10.3390/ijerph120404116
DO - 10.3390/ijerph120404116
M3 - Article
C2 - 25874682
AN - SCOPUS:84927950483
VL - 12
SP - 4116
EP - 4127
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 4
ER -