The natural history of drinking and alcohol-related problems after traumatic brain injury

被引：103

作者：

Bombardier, CH

Temkin, NR

Machamer, J

Dikmen, SS

机构：

[1] Univ Washington, Harborview Med Ctr, Sch Med, Dept Rehabil Med, Seattle, WA 98104 USA

[2] Univ Washington, Sch Med, Dept Neurol Surg, Seattle, WA 98104 USA

[3] Univ Washington, Sch Med, Dept Biostat, Seattle, WA 98104 USA

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2003年 / 84卷 / 02期

基金：

美国医疗保健研究与质量局; 美国国家卫生研究院;

关键词：

alcoholism; brain injuries; natural history; rehabilitation;

D O I：

10.1053/apmr.2003.50002

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To describe changes in drinking from before traumatic brain injury (TBI) to 1 year after TBI. Design: Inception cohort with 1-year follow-up. Setting: Level I trauma center. Participants: Adults (N=197) hospitalized with a broad range of head injury severity. Interventions: Not applicable. Main Outcome Measures: Alcohol consumption and alcohol-related problems. Results: Drinking and alcohol-related problems decreased substantially from preinjury to 1 year after TBI. However, about one quarter of the sample reported heavy drinking, significant problems, or both during the first year after TBI. Preinjury alcohol use and problems were highly predictive of heavy use and problems after TBI. Conclusion: Although drinking and alcohol-related problems decreased after TBI, there appears to be an ongoing need for prevention and intervention efforts. Screening for preinjury alcohol problems can be used to identify the vast majority of persons who will develop alcohol-related problems within 1 year after injury.

引用

页码：185 / 191

页数：7

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