Additional tables and questionnaire

Table B

Table C

Figure A

 

Table A: Reports of Incidence

    AuthorSource of InformationEstimate
    per 100,000 population
    /per yr.
    Field 1976 1Study of GP Practice and Hospital Inpatient data for England and Wales 2.7
    Bryden 1989 2Social Work Dept study of
    prevalence of disability in Strathclyde Region
    2
    Wade 1987 3Extrapolation from report of admissions to Edinburgh Neurosurgical Unit (4)10
    Kraus 1993 5Extrapolation from previous U.S. brain injury incidence studies 33-45
    Masson 1997 6Extrapolation from 3 hospitals of 59 surveyed in Aquitaine France 24 
     
    References
    1. Field JH. Epidemiology of Head Injuries in England and Wales, Research Division Department of Health & Social Security, 1975.
    2. Bryden J. How many head injuries? The epidemiology of post head injury disability. In: Models of Brain Injury Rehabilitation. R. Wood & P. Eames (Eds.) John Hopkins University Press 1989; pp 17-26.
    3. Wade DT, Hewer RL. Epidemiology of some neurological diseases with special reference to work load on the NHS. Int Rehabil Med 1987; 8 (3): 129-37.
    4. Miller D, Jones PA. The work of a regional head injury service. Lancet 1985; 1:1141-1144.
    5. Kraus JF, . Epidemiology of head injury. Head Injury 3rd Edition. PR Cooper, 1993
    6. Masson F, Vecsey J, Salmi LR, Dartigues JF, Erny PH, Maurette P. Disability and handicap 5 years after a head injury: A population based study. J Clin Epidemiol 1997; 50 (5): 595-601.
        Table B: Features of 2962 adults admitted after a head injury to one of the five general hospitals in Glasgow
         
        Total
        n = 2962
        Glasgow Coma Score (A&E)  
        Mild 13-15
        2668
        90%
        Moderate 9-12
        133
        5%
        Severe <=8
        102
        3%
        Unclassified
        59
        2%
        Age  
        Mean
        43 yrs
        Median
        39 yrs
        Range
        14 – 98 yrs
        Sex  
        Male
        2290
        77%
        Female
        672
        23%
        Cause of Injury  
        Fall
        1268
        43%
        Assault
        1018
        34%
        RTA
        289
        10%
        Other
        319
        11%
        Missing
        68
        2%
        Other Injury  
        none
        890
        30%
        minor
        1445
        49%
        moderate
        455
        15%
        major
        160
        5%
        missing
        12
        0%
        Alcohol Involved  
        Yes
        1806
        61%
        Suspected
        103
        4%
        No
        828
        28%
        Missing
        225
        8%
        Drinking Habits  
        Non-drinker
        332
        11%
        Normal
        1003
        34%
        Excessive/problem
        846
        29%
        Requiring treatment
        155
        5%
        Missing
        626
        21%
        Social Conditions  
        Lives alone
        882
        30%
        Lives with family
        1533
        52%
        Lives with friends
        119
        4%
        Other
        262
        9%
        Missing
        166
        6%
        Physical Limitations  
        No
        1444
        49%
        Yes
        833
        28%
        Missing
        685
        23%
        Report of Previous Head Injury *  
        No
        1056
        36%
        Yes (GP or A&E)
        176
        6%
        Yes (Hospitalised)
        511
        17%
        Yes (Surgery)
        50
        2%
        Missing
        1169
        39%
        Mental Problems *  
        No
        1183
        40%
        Yes (Medication only)
        97
        3%
        Yes (Treatment)
        96
        3%
        Yes (Hospitalised)
        183
        6%
        Missing
        1403
        47%
        Other Brain Illness *  
        No
        1522
        51%
        Yes (GP or A&E)
        54
        2%
        Yes (Adm to hospital)
        277
        9%
        Yes (Adm & Surgery)
        14
        0%
        Missing
        1095
        37%
        Stroke *  
        No
        2183
        74%
        Yes (GP or A&E)
        7
        0%
        Yes (Adm to hospital)
        76
        3%
        Yes (Adm & Surgery)
        2
        0%
        Missing
        694
        23%
        Documented History of Brain Illness **  
        No
        1779
        60%
        Yes
        1183
        40%

        * Components of ‘Documented History of Brain Illness

        ** Any of the four components indicated ‘*’ above


        Table C: Problems Reported by Survivors related to Initial Severity Groupings

          Initial Severity

          Survivors Assessed

          Mild

          GCS 13-15

          n = 333 

          Moderate

          GCS 9-12

          n = 81

          Severe

          GCS 3-8

          n = 45

          Frequency of Reporting Specific Problems(*)
          Activities of Daily Living
          %
          %
          %
          Home
          Eat/Dress

          Phone

          Housework

          Any

          11

          10

          17

          22

          17

          23

          24

          28

           

          24

          24

          38

          42

          Outside
          Shop

          Transport

          Leisure

          Any

          18

          19

          28

          34

          22

          23

          28

          38

          42

          42

          49

          67

          Physical   
          Vision/Hearing

          Fits

          Sleep

          Tiredness

          Balance

          Headaches

          Speech

          Any

          30

          19

          38

          36

          38

          46

          28

          58

          35

          21

          35

          37

          44

          42

          42

          66

          44

          36

          53

          64

          58

          53

          53

          82

          Mental   
          Cognitive
          Decision Making

          Memory

          Concentration

          Any

          28

          36

          33

          43

          29 

          45 

          38

          49

          40 

          67 

          62

          76

          Mood
          Anxiety/Panic

          Depression

          Irritability/Temper

          Any

          34 

          37

          40

          47

          32

          40

          42

          48

          58

          69

          69

          76

          *N.B. Total subjects providing information about specific problems varies slightly in each group: mild, 321-333; moderate, 77-80; severe 41-45; percentages given are of those responding.


          Figure A:  Please click the link to access the Problem Orientented Questionaire