• Corpus ID: 14939940

Life Expectancy Determinations : Cerebral Palsy , Traumatic Brain Injury , and Spinal Cord Injury Analysis and Comparison

  title={Life Expectancy Determinations : Cerebral Palsy , Traumatic Brain Injury , and Spinal Cord Injury Analysis and Comparison},
  author={Audrius V. Plioplys},
In preparing a life care plan for a disabled individual, a determination of life expectancy is usually necessary. The most common disorders in which life expectancy results have been studied in individuals with chronic, non-progressive neurologic disabilities are cerebral palsy (CP), traumatic brain injury (TBI,) and spinal cord injury (SCI). The interpretation of published results, and their practical application to an individual patient, must be determined by evaluating methodological aspects… 


Long-term survival of children and adolescents after traumatic brain injury.
After the initial high-risk period, mortality risk for TBI was much lower than for similarly functioning persons with cerebral palsy (a comparison group), although after 10 years the two sets of mortality rates had largely converged.
Mortality following spinal cord injury
The projected mean life expectancy of spinal cord injured people compared to that of the whole population was estimated to approach 70% of normal for individuals with complete tetraplegia and 84% ofnormal for complete paraplegia (Frankel grade A).
Trends in life expectancy after spinal cord injury.
The absence of a substantial decline in mortality after the first 2 years postinjury is contrary to widely held impressions, and the finding is based on a large database and sensitive analytic methods and is consistent with previous research.
Long-Term Survival After Childhood Spinal Cord Injury
Life expectancy for persons injured as children appears to be slightly lower than that of otherwise comparably injured persons who suffered their injuries as adults, but persons who are injured young can enjoy relatively long life expectancies.
Health, secondary conditions, and life expectancy after spinal cord injury.
Several secondary health conditions represent risk factors for mortality and diminish LE after SCI and the presence of 1 or more of these factors should be taken as an indicator of the need for intervention.
Mortality over four decades after traumatic brain injury rehabilitation: a retrospective cohort study.
Life expectancy after TBI rehabilitation is reduced and associated with specific risk factors and causes of death in persons with traumatic brain injury.
Life expectancy after spinal cord injury: a 50-year study
Survival related strongly to extent of neurological impairment, and future research should focus on identifying contextual factors, personal or environmental, that may contribute to the reduced life expectancy after SCI.
Risk of Mortality and Life Expectancy After Spinal Cord Injury: The Role of Health Behaviors and Participation.
Several behaviors identified may become targets of prevention strategies to promote longevity, including smoking cessation, stopping binge drinking, avoiding overreliance on psychotropic prescription medications, and promoting daily activities away from home.
Income and risk of mortality after spinal cord injury.
There was a clear gradation in survival based on familial income (high, middle, low), not just an effect of the lowest income, after adjusting for age, sex, race, and severity of injury.
Recent trends in mortality and causes of death among persons with spinal cord injury.
While great improvements in life expectancy have been achieved since the Model SCI Systems program began, current data support the need for renewed efforts to improve the prevention and treatment of the complications of spinal cord injury.