Presentation Type
Poster
Start Date
5-8-2024 11:00 AM
End Date
5-8-2024 1:00 PM
Subjects
Biology
Other
EXITO DREAM
Advisor
Javier Huerta Montoya
Student Level
Undergraduate
Abstract
Traumatic Brain Injury (TBI) is a critical public health issue that disproportionately affects select vulnerable populations, including race/ethnic minorities, low-income individuals, and those without health insurance. Despite high incidences of TBI and its considerable impact on morbidity and mortality, research is limited in addressing how the intersectionality of vulnerabilities contributes to outcomes post-TBI. This literature review aims to synthesize existing knowledge regarding Social determinants of health (SDH) on TBI outcomes, focusing on functional recovery and health-related quality of life (HRQOL). This study will use a prospective cohort research design where TBI patients at Oregon Health and Science University (OHSU) will be evaluated alongside literature reviews on TBI epidemiology, outcomes, and disparities. Key measures for patients after discharge for this study include the Functional Independence Measure (FIM) and Functional Assessment Measure (FAM) to establish a baseline cognitive function.The Glasgow Outcome Scale-Extended (GOS-E) and the EQ-5D-5L surveys will be administered at three, six, and twelve months following the initial assessments. This approach aims to systematically evaluate the health-related quality of life (HRQOL) of patients over time. Preliminary findings suggest that disparities in TBI outcomes based on SDH exist with worse outcomes in function and HRQOL seen in those populations under vulnerability. By identifying and analyzing the roles of these intersecting vulnerabilities in TBI recovery, this study seeks to contribute to the understanding of TBI disparities and inform any future research, policy, and interventions aimed at improving outcomes for all TBI patients, regardless of their background.
Creative Commons License or Rights Statement
This work is licensed under a Creative Commons Attribution 4.0 License.
Included in
Impact of Intersecting Vulnerabilities on Functional Outcome and Health-Related Quality of Life after Traumatic Brain Injury: A Prospective Cohort Study
Traumatic Brain Injury (TBI) is a critical public health issue that disproportionately affects select vulnerable populations, including race/ethnic minorities, low-income individuals, and those without health insurance. Despite high incidences of TBI and its considerable impact on morbidity and mortality, research is limited in addressing how the intersectionality of vulnerabilities contributes to outcomes post-TBI. This literature review aims to synthesize existing knowledge regarding Social determinants of health (SDH) on TBI outcomes, focusing on functional recovery and health-related quality of life (HRQOL). This study will use a prospective cohort research design where TBI patients at Oregon Health and Science University (OHSU) will be evaluated alongside literature reviews on TBI epidemiology, outcomes, and disparities. Key measures for patients after discharge for this study include the Functional Independence Measure (FIM) and Functional Assessment Measure (FAM) to establish a baseline cognitive function.The Glasgow Outcome Scale-Extended (GOS-E) and the EQ-5D-5L surveys will be administered at three, six, and twelve months following the initial assessments. This approach aims to systematically evaluate the health-related quality of life (HRQOL) of patients over time. Preliminary findings suggest that disparities in TBI outcomes based on SDH exist with worse outcomes in function and HRQOL seen in those populations under vulnerability. By identifying and analyzing the roles of these intersecting vulnerabilities in TBI recovery, this study seeks to contribute to the understanding of TBI disparities and inform any future research, policy, and interventions aimed at improving outcomes for all TBI patients, regardless of their background.