Functioning and Disability Analysis of Patients with Traumatic Brain Injury and Spinal Cord Injury by Using the World Health Organization Disability Assessment Schedule 2.0

Chia-Ying Kuo, Tsan-Hon Liou, Kwang-Hwa Chang, Wen-Chou Chi, Reuben Escorpizo, Chia-Feng Yen, Hua-Fang Liao, Hung-Yi Chiou, Wen-Ta Chiu and Jo-Ting Tsai
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Chia-Ying Kuo: School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
Tsan-Hon Liou: Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
Kwang-Hwa Chang: Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
Wen-Chou Chi: School of Occupational Therapy, Chung Shan Medical University, Taichung City 40201 Taiwan
Reuben Escorpizo: Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington, VT 05401, USA
Chia-Feng Yen: Department of Public Health, Tzu Chi University, Hualien City 97004, Taiwan
Hua-Fang Liao: Chinese Association of Early Intervention Profession for Children with Developmental Delays, Hualien City 97064, Taiwan
Hung-Yi Chiou: School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
Wen-Ta Chiu: School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
Jo-Ting Tsai: Radiation Oncology Department, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561,Taiwan

IJERPH, 2015, vol. 12, issue 4, 1-12

Abstract: The purpose of this study is to compare traumatic brain injuries (TBI) and spinal cord injuries (SCI) patients’ function and disability by using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0); and to clarify the factors that contribute to disability. We analyzed data available between September 2012 and August 2013 from Taiwan’s national disability registry which is based on the International Classification of Functioning, Disability, and Health (ICF) framework. Of the 2664 cases selected for the study, 1316 pertained to TBI and 1348 to SCI. A larger percentage of patients with TBI compared with those with SCI exhibited poor cognition, self-care, relationships, life activities, and participation in society (all p < 0.001). Age, sex, injury type, socioeconomic status, place of residence, and severity of impairment were determined as factors that independently contribute to disability (all p < 0.05). The WHODAS 2.0 is a generic assessment instrument which is appropriate for assessing the complex and multifaceted disability associated with TBI and SCI. Further studies are needed to validate the WHODAS 2.0 for TBI and SCI from a multidisciplinary perspective.

Keywords: disability; traumatic brain injury (TBI); spinal cord injury (SCI); World Health Organization Disability Assessment Schedule (WHODAS 2.0); International Classification of Functioning, Disability, and Health (ICF) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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