Session Information
Session Title: AA 2022 Posters - Neurological Rehabilitation
Session Time: None. Available on demand.
Disclosures: Jacob L. Schultz, MD: No financial relationships or conflicts of interest
Background and/or Objectives: To find the association between early head CT findings after traumatic brain injury and community participation at 1 and 5 years post-injury via the Participation Assessment with Recombined Tools – Objective (PART-O) score.
Design: Longitudinal prospective research study with cross-sectional analysis at years 1 and 5.
Setting: Traumatic Brain Injury Model System (TBIMS) database specifically from a university center.
Participants: 710 participants at year 1 and 600 participants at year 5.
Interventions: Not applicable.
Main Outcome Measures: The PART-O summary score at follow-up was used, along with TBIMS coding of CT head findings within the first 7 days of injury.
Results: The 1-year sample CT findings included 15.9% with midline shift > 5mm, 15.1% with punctate petechial hemorrhage, 72.7% with subarachnoid hemorrhage, 28.9% with intraventricular hemorrhage, 71.7% with cortical contusion/hemorrhage, 27.5% with non-cortical contusion/hemorrhage, 64.2% with presence of extra-axial collection, and 8.5% with intraparenchymal fragments. The 5-year sample CT findings were similar. Overall average summary scores for PART-O at 1 and 5 years post-injury were 1.61 and 1.63, respectively. Differences in participation were observed between those with and without positive CT measures. For example, those with > 5mm midline shift exhibited poorer participation at 5 years post-injury (mean=1.36) compared to those without (mean=1.74). Extent of compression yielded the greatest score differences.
Conclusions: Community participation increased over time after brain injury between 1 and 5 years, and community participation at 5 years post-injury was negatively associated with midline shift > 5 mm at time of injury.
Level of Evidence: Level II
To cite this abstract in AMA style:
Schultz JL, Marwitz JH. Determining the Relationship Between Head Computed Tomography Findings and Community Participation After Traumatic Brain Injury [abstract]. PM R. 2022; 14(S1)(suppl 1). https://pmrjabstracts.org/abstract/determining-the-relationship-between-head-computed-tomography-findings-and-community-participation-after-traumatic-brain-injury/. Accessed May 21, 2025.« Back to AAPM&R Annual Assembly 2022
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/determining-the-relationship-between-head-computed-tomography-findings-and-community-participation-after-traumatic-brain-injury/