Severe traumatic brain injury in New South Wales: Comparable outcomes for rural and urban residents

P G Harradine; Julie Winstanley; R Tate; I D Cameron; I J Baguley; R D Harris

doi:10.5694/j.1326-5377.2004.tb06202.x

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Severe traumatic brain injury in New South Wales: Comparable outcomes for rural and urban residents

Journal article

Open access

Peer reviewed

Severe traumatic brain injury in New South Wales: Comparable outcomes for rural and urban residents

P G Harradine, Julie Winstanley, R Tate, I D Cameron, I J Baguley and R D Harris

Medical Journal of Australia, Vol.181(3), pp.130-134

2004

DOI: https://doi.org/10.5694/j.1326-5377.2004.tb06202.x

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Abstract

Medical and Health Sciences

traumatic brain injury

Objective: To compare differences in functional outcomes between urban and rural patients with traumatic brain injury (TBI). Design: A longitudinal, prospective, multicentre study of a 2-year cohort from the Brain Injury Rehabilitation Program (BIRP) for New South Wales, with follow-up at 18 months after injury. Participants: 198 patients (147 urban, 51 rural) with severe TBI from the 11 participating rehabilitation units. Main outcome measures: Demographic and injury details collected prospectively using a standardised questionnaire, and measures from five validated instruments (Disability Rating Scale, Mayo-Portland Adaptability Inventory, Sydney Psychosocial Reintegration Scale, Medical Outcomes Study Short Form and the General Health Questionnaire - 28-item version) administered at follow-up to document functional, psychosocial, emotional and vocational outcomes. Results: Demographic details, injury severity, lengths of stay in intensive and acute care wards were similar for both rural and urban groups. There were no significant group differences in functional outcomes, including return to work, at follow-up. Conclusions: Our findings contrast with previous research that has reported poorer outcomes after TBI for rural residents, and suggest that the integrated network of inpatient, outpatient and outreach services provided throughout NSW through the BIRP provides effective rehabilitation for people with severe TBI regardless of where they live.

Details

Title: Severe traumatic brain injury in New South Wales: Comparable outcomes for rural and urban residents
Authors: P G Harradine (Author) - Tamworth Base Hospital
Julie Winstanley (Author) - University of the Sunshine Coast - Faculty of Science, Health and Education
R Tate (Author) - University of Sydney
I D Cameron (Author) - University of Sydney
I J Baguley (Author) - Westmead Hospital
R D Harris (Author) - University of Sydney
Publication details: Medical Journal of Australia, Vol.181(3), pp.130-134
Publisher: Australasian Medical Publishing Company Pty. Ltd.
Date published: 2004
DOI: 10.5694/j.1326-5377.2004.tb06202.x
ISSN: 0025-729X
Copyright note: Harradine P G, Winstanley J, Tate R, et al. Osborne RH. Severe traumatic brain injury in New South Wales: comparable outcomes for rural and urban residents. Med J Aust 2004; 181 (3): 130-134. © Copyright 2004. The Medical Journal of Australia - reproduced with permission.
Organisation Unit: University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99449427602621
Output Type: Journal article

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Web Of Science research areas: Rehabilitation

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