Humphries, T.J., Ingram, S., Sinha, S. orcid.org/0000-0001-7453-9576 et al. (3 more authors) (2020) The effect of socioeconomic deprivation on 12 month Traumatic Brain Injury (TBI) outcome. Brain Injury, 34 (3). pp. 343-349. ISSN 0269-9052
Abstract
Objectives: To assess the impact of social deprivation on Traumatic Brain Injury (TBI) global outcome.
Design: The study was a prospective observational study conducted using consecutive admissions with TBI.
Subjects: 1322 consecutive adult patients with TBI were recruited into the study between 2010 and 2015.
Methods: All patients were assessed by the TBI rehabilitation team at both six weeks and 12 months following TBI. Details of the injury and demographic data was collated at six weeks. This included age, gender and ZIP Code. Social deprivation was measured by the Indices of Multiple Deprivation (IMD) Score. The outcome measure used was the Extended Glasgow Outcome Score (GOSE) at 12 months. Univariate analysis was followed by a Multi-Ordinal Regression to evaluate predictor variables.
Results: With regard to the representation of IMD deciles, the study population approximated to the general Sheffield population (p = .139). Within the univariate analysis, statistically significant relationships were noted between IMD and GOSE (p = <.001). The Ordinal Regression revealed a significant relationship between worse GOSE and IMD (p = .002), age (p = .001), GCS (p < .001), alcohol intoxication (p < .001) and Medical Comorbidity (p = .041).
Conclusion: Increasing social deprivation is associated with poorer global TBI outcomes at 12 months.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2020 Taylor & Francis Group, LLC. This is an author-produced version of a paper subsequently published in Brain Injury. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Traumatic brain injury; global outcome; social deprivation; socio-economic status |
Dates: |
|
Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research The University of Sheffield > Faculty of Social Sciences (Sheffield) > Management School (Sheffield) The University of Sheffield > Sheffield Teaching Hospitals |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 16 Apr 2020 14:11 |
Last Modified: | 17 Jan 2021 01:38 |
Status: | Published |
Publisher: | Informa UK Limited |
Refereed: | Yes |
Identification Number: | 10.1080/02699052.2020.1715481 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:159590 |