TRAUMA RESEARCH METHODS AND PRACTICE WORKSHOP - UNIVERSITY

TRAUMA RESEARCH METHODS AND PRACTICE WORKSHOP - UNIVERSITY

TRAUMA RESEARCH METHODS AND PRACTICE WORKSHOP - UNIVERSITY OF MELBOURNE, 2008 Its never just about the numbers, but Nick Rushworth Executive Officer Brain Injury Australia peak of peaks BIA member organisations members members Brain Injury Australia works to ensure that all people living with an ABI have access to supports and resources each person requires to optimise their social and economic participation. Click to edit Master title style Click toprogram edit Master subtitle A advocacy for Australian Government allocations and policies that reflect the needs and prioritiesstyle of people with an ABI and their families. the provision of effective and timely input into policy, legislation and program development through active contact

with Australian Government ministers, parliamentary representatives, Australian Government departments and agencies, and national disability organisations. 02/22/20 Brain Injury Network of South Austral ia AGM, 2008 3 Click to edit Master title style In 2003, 432,700 people (2.2% of the Its never just about the Click to edit Master subtitle style Brain numbers, but population) had an Acquired Injury with activity limitations or participation restrictions - Australian Bureau of Statistics 2003 Survey of Disability, Ageing and Carers

Nick Rushworth 02/22/20 Executive Officer Brain Injury Australia Brain Injury Network of South Austral ia AGM, 2008 4 Almost 3 out of every 4 PWABI were aged less than 65 years, half of them between 15 Discussion andMaster 34 years title of age Click to of edit Topics 2 out of every 3style said that they acquired their brain to edit Master subtitle State theClick Click to edit Master main

ideas youll be talking injury when they were aged under 25 years subtitle style about 9 out of every 10 said their ABI was caused by accident or injury (more than half of them said the accident or injury occurred on a street, road or highway) 3 out of every 4 were men 02/22/20 02/22/20 Brain Brain Injury Injury Network Network of of South South Austral Austral ia AGM, 2008 ia AGM, 2008 5 5 27,300 people with an ABI aged under 65 years experiencing activity limitations or participation restrictions said their ABI was their main disabling conditionthe one reported as causing the most problems. A traffic injury was the main Click

to edit Master subtitle cause for more than half of these people Click to edit Master title style Its never just aboutstylethe Onenumbers, in four reportedbut four or more disability groups, compared with one in eighteen of all people with disability One in three reported 5 or more health conditions, compared with about one in eight of all people with disability 02/22/20 Nick Rushworth Brain Injury Network of South Austral ia AGM, 2008 6 Click to edit Master title 11,866 people with an ABI style Click to edit Master subtitle accessed Commonwealth

style State/Territory Disability Agreement (CSTDA)-funded services in 2004-05 02/22/20 Brain Injury Network of South Austral ia AGM, 2008 7 outcomes1? Click to edit Master title What This Means 20-26 year follow-up of 100 men with TBI admitted to Sydneys Lidcombe Hospital between 1976 and 1981: style Clickstatement to edit Master subtitle Add a strong that 85% had used at least one service in the preceding 12 months, most style summarizes

how you or think commonly financial (69%), transport (64%) and homefeel support (52%). Unmet about topic needs were high, especially in thethis social participation (73%), vocational (67%), and respite (38%) areas Summarize key points you want your audience to remember Significant proportions of the series continued to experience activity limitations in mobility (25%) and basic self-care tasks (21%), although restrictions in social participation were much more prevalent (e.g., 66% for employability, 54% for interpersonal relationships) 02/22/20 - Long-Term Outcomes After Traumatic Brain Injury: Following up a Consecutive Series at 20-26 Years Post-Trauma - Final Report to the MotorBrain Accidents OfSouth New South Injury Authority Network of AustralWales, R Tate et al. Rehabilitation8

ia AGM, 2008 of Medicine, University of Sydney, 2004 Studies Unit, Faculty outcomes2? Click to editMeans Master title Next Steps What This Brain Injury Outcomesstyle Study (BIOS) - 198 clients with severe TBI sustained between 1999 and 2001: Click toactions edit Master subtitle Add Summarize a strong any statement that required of good recovery in the Physical domain, with onlystyle 10% continuing to have your summarizes audience

youfunctioning feel or think significant impairments that interfered withhow everyday in mobility at about this topic three years post trauma Summarize any follow up action items By contrast, clinically significant requiredimpairments Summarize of you key points you want your and persisted in the Cognitive Behavioural domains for many clients:toforremember example, 61% for memory, 52% for audience problem solving and 20% for social interaction At three years, the longest PTA [Post-Traumatic Amnesia] group had significantly lower levels of [community] participation 02/22/20

- Brain Injury Outcomes Study (Final report) May 2004, Robyn Tate, Ian Cameron, Julie Winstanley, Bridget Myles, Ross Harris, Rehabilitation Studies Unit, Northern Clinical School, Faculty of Medicine, The University of Sydney. Brain Injury Network of South Austral 9 ia AGM, 2008 injury Click to prone: edit Master title People with an ABI arestyle drawn from the same populations as those at the greatest risk of any injury: Click to edit Master subtitle style low levels of education low workforce participation rates poor housing large family size histories of marital breakdown, of neglect, physical and sexual abuse parental drug or alcohol abuse and substance abuse mental illness 02/22/20

Australian Institute of Health and Welfare, Key National Indicators of Childrens Health, Development and Wellbeing: Indicator Framework for a Picture of Brain Injury Network South Austral 10 Australias Children 2009, of Canberra, 2008. ia AGM, 2008 prisoners - research priority? to edit Master title 2003-04 survey ofClick 200 New South Wales prisoners: 82% had experience of TBI style with over half reporting ongoing effects (headaches, memory loss, personality behavioural change, Click to or edit Master subtitle anxiety, depression etc.) 22% had sustained four styleor more TBIs 2003 Young People in Custody Health Survey (NSW): 40% of young men had sustained an ABI resulting in significant loss of consciousness

NSW Prison Injury Surveillance Program: assaults accounted for 80% of violence in prisons - the second most common injury treated in prison clinics 02/22/20 - Prison Violence: Perspectives And Epidemiology, Tony Butler and Azar Kariminia, Centre for Health Research in Criminal Justice, NSW Justice Health and School of Public Health and Community Medicine, University of New South Wales NSW Public Health BulletinBrain Vol. Injury 17 No.Network 12, andofPeter Schofield South Austral et. al, Traumatic brain injury 11 ia AGM, 2008 rates, recurrence and sequelae, Brain Injury, May 2006. among Australian prisoners: homelessClick - research priority? to edit Master title 10% of people using inner-city Sydney hostels and refuges style as a result of alcohol-related brain had cognitive impairment Click to edit Master subtitle style injury or TBI

Two Victorian studies of pension-only Supported Residential Services found between 13 per cent and 17 per cent of residents had a history of ABI Three-year study of outreach service use found 33% of clients had a diagnosed alcohol-related brain injury 02/22/20 - Hatzitaskos., P. (1995) Crime Times, Vol. 1, No.1-2, p.5., Byrne, B. (1997) SRS Socialization Facilitation Project (Caulfield General Medical Centre, Melbourne) and Community (Residential Services) Visitors Board, Annual Report of Community Visitors, 1996, Health Services Act 1988 (Office of the Public Advocate, Melbourne) cited in HACC Program Development & Access SRS/Rooming House Project, Final Report December 1998, McGregor, Robb (2000) Comparative data between clients with alcohol brain and other clients, Ozanam Community 12 Brain Injuryrelated Network of injuries South Austral ia AGM, 2008 Support Services Outreach Program. Indigenous - research priority? to edit Master the transport injuryClick rate for Indigenous Australians is up totitle three times that

of non-Indigenous Australians style the rate of head injury due to assault in the populations of Click to editIndigenous Master subtitle QLD, WA, SA and the NT was more than 20 timesstyle that of non-Indigenous populations. The rate of head injury due to assault in Indigenous women was almost 70 times that for non-Indigenous women the median age for stroke in the Northern Territory is 20 years below the national average between 1999 and 2006, 60 Indigenous Australians in the Northern Territory have died from petrol-sniffing and a further 120 have suffered permanent brain damage 02/22/20 - Australian Institute of Health and Welfare, Hospitalisation for head injury due to assault among Indigenous and non-Indigenous Australians, July 1999-June 2005, Jamieson et al., Medical Journal of Australia, May 2008; Australasian Consortium of Rehabilitation Outcomes;l Beyond Petrol Sniffing: Renewing Brain Injury Network of South Austral 13 Hope for Indigenous Communities, report of the Australian Senates Community ia AGM, 2008

Affairs Reference Committee "trimodal age structure" in c id e n c e (p e r 1 0 0 ,0 0 0 ) age falls-related Click TBI toresearch priority? edit Master title style 22,710 hospitalisations for TBI in 200405 most common causes ofTBIClick were falls (42%), transportation (29%) and assault to edit Master (14%) subtitle style while traffic accidents and assault are the main mechanisms of injury in younger people, falls are the foremost mechanism of TBI in older people, followed by traffic accidents as pedestrians, drivers or passengers rates of TBI due to fallswere highest in the 85 plus age bracket the proportion of hospitalisations with TBI as Principal Diagnosis that resulted in death were highest for falls (63%) followed by transportation (27%) and assault (4%)

02/22/20 - Helps Y, Henley G and Harrison JE. 2008. Hospital separations due to traumatic brain injury, Australia 200405. Injury research andAustral statistics series number 45, Adelaide: Brain Injury Network of South 15 ia AGM, 2008 AIHW falls-relatedClick TBI toresearch priority? edit Master title style United States: geriatric TBI costs $2.2 billion per annum toof edit Master aged care admissions Major reason forupClick to 40% residential subtitle style to 70 million by 2030 Population 65+ - to double

the costs of caring for older adults with a TBI in monetary and human terms will be staggering Australia: older demographic profile than US Falls-related TBI: rates triple by 2050 = 750,000 additional hospital bed days, 3,320 additional residential aged care places 02/22/20 - Helps Y, Henley G and Harrison JE. 2008. Hospital separations due to traumatic brain injury, Australia 200405. Injury research andAustral statistics series number 45, Adelaide: Brain Injury Network of South 16 ia AGM, 2008 AIHW stroke research priority? Click to edit Master title style Between 40,000 and 48,000 strokes each year (and Click to edit Master subtitle style growing) 70% are first-ever strokes cause 7% of all deaths in Australia highly preventable

highly costly ($1.3 billion in 1997) 02/22/20 Brain Injury Network of South Austral ia AGM, 2008 17 Click to edit Master title style Click to edit Master subtitle style www.braininjuryaustralia.org.au 02/22/20 Brain Injury Network of South Austral ia AGM, 2008 18

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