title: Long-term functional outcome of older adults after a traumatic brain injury.
abstract: OBJECTIVE
  To identify factors associated with long-term independence in mobility and self-care activities of daily living of older adults after traumatic brain injury (TBI).
  
  
  METHODS
  One hundred thirty-six TBI survivors 55 years or older were assessed 2 to 4 years postinjury (mean of 3.2 years).
  
  
  METHODS
  Level I or level II trauma centers in Quebec, Canada.
  
  
  METHODS
  Personal, injury-related, and environmental factors were gathered from hospital records or by telephone interview; a telephone version of the Functional Independence Measure motor scale was collapsed to 4 levels.
  
  
  METHODS
  Logistic regression analyses identified factors associated with independence in mobility and self-care.
  
  
  RESULTS
  The strongest and most consistent factors associated with independence in mobility and self-care were fewer comorbid conditions, no difficulty of access to home modification services and home support services, male gender, younger age at time of injury, and shorter acute care length of stay.
  
  
  CONCLUSIONS
  Factors associated with long-term functional outcome should be considered in the development of practice guidelines for rehabilitation of older adults who sustained a TBI.
authors.affiliation: Département d'ergothérapie, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada. Alexandra.Lecours@uqtr.ca
authors.forename: Alexandra
authors.initials: A
authors.lastname: Lecours
authors.forename: Marie-Josée
authors.initials: MJ
authors.lastname: Sirois
authors.forename: Marie-Christine
authors.initials: MC
authors.lastname: Ouellet
authors.forename: Karine
authors.initials: K
authors.lastname: Boivin
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Simard
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D017410:Practice Guidelines as Topic; D020127:Recovery of Function; D012944:Social Support; D016896:Treatment Outcome