ABSTRACT

Objective: Examine effects of age cohort on post-injury life satisfaction in elderly persons with TBI

Design: Retrospective cohort

Setting: TBI Model Systems centers.

Participants: 5,109 elderly participants with TBI in the TBI Model Systems National Database

Interventions: Not applicable

Main Outcome Measures: Demographics, injury characteristics and cause, outcomes, age at time of analysis, time to follow commands, maximum follow-up period, and scores on the Satisfaction With Life Scale (SWLS) and Participation Assessment with Recombined Tools-Objective (PART-O) scores at 1, 2, 5, or 10 years post-injury.

Results: Life satisfaction post-TBI across groups increased with age. The young-old sub-group demonstrated the poorest life satisfaction outcomes, while the oldest sub-group experienced greatest life satisfaction. In contrast, participation decreased with age.

Conclusions: Findings show diversity in satisfaction with life following moderate to severe TBI for three elderly age-cohorts. Differences may be due to variations in generation-based lived experience, in perceived meaningfulness of participation, could echo prior evidence of greater resilience in the oldest group, or could reflect bias within the study sample. Further research into between- and within- differences for elderly TBI age cohorts is needed to more precisely meet their needs for physical and functional rehabilitation as well as psychological supports.

摘要

目的：考察年龄队列对老年脑外伤患者伤后生活满意度的影响

设计：回顾性队列

设置：TBI 模型系统中心。

参与者：TBI 模型系统国家数据库中的 5,109 名老年 TBI 参与者

干预措施：不适用

主要结果测量：人口统计学、损伤特征和原因、结果、分析时的年龄、遵循命令的时间、最长随访期以及对生活满意度量表 (SWLS) 和使用重组工具的参与评估的分数 - 目标（ PART-O) 在受伤后 1、2、5 或 10 年得分。

结果：TBI 后各组的生活满意度随年龄增长而增加。年长的亚组表现出最差的生活满意度结果，而年龄最大的亚组则表现出最高的生活满意度。相比之下，参与度随着年龄的增长而下降。

结论：研究结果表明，三个老年人群中度至重度 TBI 后的生活满意度存在差异。差异可能是由于基于世代的生活经验的变化，参与的感知意义的变化，可能与先前的证据表明年龄最大的群体具有更大的弹性，或者可能反映研究样本中的偏见。需要进一步研究老年 TBI 年龄组之间的差异，以更准确地满足他们对身体和功能康复以及心理支持的需求。