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
Resource
Int. J. Environ. Res. Public Health, 12(4), 4116-4127
Journal
International Journal of Environmental Research and Public Health
Pages
4116-4127
Date Issued
2015
Date
2015
Author(s)
Kuo, Chia-Ying
Liou, Tsan-Hon
Chang, Kwang-Hwa
Chi, Wen-Chou
Escorpizo, Reuben
Yen, Chia-Feng
Liao, Hua-Fang
Chiou, Hung-Yi
Chiu, Wen-Ta
Tsai, Jo-Ting
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.
Subjects
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)
SDGs
Other Subjects
disability; health care; health services; injury; socioeconomic status; World Health Organization; adult; age distribution; Article; cognitive defect; community living; controlled study; cross-sectional study; daily life activity; demography; disability severity; disease association; disease registry; female; functional status assessment; human; human relation; institutional care; International Classification of Functioning, Disability and Health; major clinical study; male; physical disability; population research; risk factor; self care; sex difference; social participation; social status; spinal cord injury; Taiwan; traumatic brain injury; World Health Organization Disability Assessment Schedule 2.0; adolescent; aged; brain injury; comparative study; disability; evaluation study; middle aged; pathophysiology; psychology; questionnaire; register; retrospective study; spinal cord injury; very elderly; world health organization; young adult; Taiwan; Activities of Daily Living; Adolescent; Adult; Aged; Aged, 80 and over; Brain Injuries; Disability Evaluation; Female; Humans; Male; Middle Aged; Registries; Retrospective Studies; Self Care; Spinal Cord Injuries; Surveys and Questionnaires; Taiwan; World Health Organization; Young Adult