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Poster Spotlight

Brain Injury

Associations between cognitive performance changes and 1-year participation and quality of life outcomes: A TBIMS Study

Tuesday, October 31, 2023
3:55 PM – 4:01 PM  
Location: Station 11

    Presenting Author(s)

  • Natalie Gilmore, PhD, CCC-SLP

    Postdoctoral Research Fellow
    Massachusetts General Hospital
    Boston, Massachusetts, United States

    • Non-presenting Author(s)

  • Thomas F. Bergquist, Ph.D., ABPP, FACRM

    Associate Professor
    Mayo Clinic
    Rochester, Minnesota, United States

  • JB

    Jennifer Bogner, PhD, ABPP, FACRM

    Bert C. Wiley Professor of Physical Medicine and Rehabilitation, Professor of PM & R
    College of Medicine, Department of Physical Medicine and Rehabilitation, The Ohio State University College of Medicine
    Columbus, Ohio, United States

  • John D. Corrigan, PhD

    Professor
    The Ohio State University Wexner Medical Center
    Columbus, Ohio, United States

  • Kristen Dams-O'Connor, PhD

    Jack Nash Professor and Vice Chair; Director of Brain Injury Research
    Icahn School of Medicine at Mount Sinai
    New York, New York, United States

  • Laura E. Dreer, PhD

    Psychologist
    UAB
    Birmingham, Alabama, United States

  • BH

    Brian C. Healy, PhD

    Associate Professor in the Department of Biostatistics
    Harvard T.H. Chan School of Public Health, United States

  • Shannon B. Juengst, PhD, CRC

    Clinical Investigator and Adjunct Associate Professor
    TIRR Memorial Hermann
    Houston, Texas, United States

  • Raj G. Kumar, PhD MPH

    Instructor
    Icahn School of Medicine at Mount Sinai
    New York, New York, United States

  • TO

    Therese M. O'Neil-Pirozzi, ScD

    Associate Professor; Research Faculty
    Spaulding/Harvard TBI Model System; Northeastern University
    Boston, Massachusetts, United States

  • Amy K. K. Wagner, MD

    Professor
    University of Pittsburgh
    Pittsburgh, Pennsylvania, United States

  • Joseph T. Giacino, PhD

    ACRM Past President; Director of Rehabilitation Neuropsychology
    Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital
    Acton, Massachusetts, United States

  • BE

    Brian L. Edlow, MD

    Director, Laboratory for NeuroImaging of Coma and Consciousness (NICC)
    Massachusetts General Hospital
    Boston, Massachusetts, United States

  • Yelena G. Bodien, PhD

    Assistant Professor, Research Scientist
    Spaulding Rehabilitation Hospital
    Boston, Massachusetts, United States

Research Objectives: To investigate the relationship between change in cognition (i.e., Brief Test of Adult Cognition [BTACT] Executive Function [EF] and Episodic Memory [EM] scores, from rehabilitation discharge to one-year post-TBI) and one-year participation and quality of life outcomes in individuals with moderate-severe traumatic brain injury

Design: Secondary analysis of data prospectively collected for the Traumatic Brain Injury Model Systems Model Systems (TBIMS) National Database cohort study

Setting: Inpatient rehabilitation/community

Participants: Individuals with moderate-severe TBI enrolled in TBIMS during inpatient rehabilitation and followed at one-year post-injury

Interventions: Not applicable

Main Outcome Measures: Participation Assessment with Recombined Tools-Objective (PART-O) and Satisfaction with Life Scale (SWLS) at one-year post-injury

Results: Participants (n = 499, 72% male) were mean (SD) 45 (19) years old at the time of injury. In a multivariable linear regression model adjusting for clinical and demographic variables and baseline (i.e., rehabilitation discharge) Functional Independence Measure [FIM] Motor, and FIM Cognitive scores, change in BTACT EF from inpatient rehabilitation discharge to one-year post-TBI was not associated with participation (PART-O: b = 0.087, 95 % CI = -0.004, 0.178, p = 0.061) or quality of life (SWLS: b = 0.091, 95% CI = -0.0001, 0.182, p = 0.050) at one-year post-injury. Using a multivariable linear regression with the same model structure, BTACT EM change from rehabilitation discharge to one-year post-injury was associated with SWLS (b = 0.103, 95% CI= 0.014, 0.191, p = 0.023) scores at one-year post-injury, but not with PART-O (b = 0.067, 95% CI = -0.10, 0.145, p = 0.089).

Conclusions: The magnitude of gains in episodic memory between inpatient rehabilitation discharge and one-year post-TBI were related to greater quality of life one-year post-injury in individuals with moderate-severe TBI. Targeting memory during outpatient therapy in the year following inpatient rehabilitation may positively impact quality of life.

Author(s) Disclosures: No disclosures relevant to the abstract.

Learning Objectives:

  • To determine the effect of change in executive function from inpatient rehabilitation discharge to one-year post injury on participation outcomes after moderate-severe TBI.
  • To determine the effect of change in episodic memory from inpatient rehabilitation discharge to one-year post injury on quality of life outcomes after moderate-severe TBI.
  • To understand other demographic and clinical factors that may play a role in participation and quality of life in the early post-injury rehaiblitation period after moderate-severe TBI.