Brain Waves: UAB Traumatic Brain Injury Model System Newsletter Volume 14 | Number 2 | Page 4

TBI INFORMATION SPOTLIGHT Moderate to Severe TBI is a Lifelong Condition The Centers for Disease Control and Prevention and the National Institute on Disability, Independent Living, and Rehabilitation Research have released a fact sheet that outlines the long-term consequences of moderate and severe traumatic brain injury (TBI). What they found is that moderate and severe often leads to a lifetime of physical, cognitive, emotional, and behavioral changes. The fact sheet highlights several health issues faced by people with moderate to severe TBI. When compared to people without TBI, for example, people with TBI are: The fact sheet highlights several areas of concern faced by people with moderate to severe TBI. When compared to people without a TBI, for example, people with TBI are: • 50x more likely to die from seizures. • 11x more likely to die from accidental drug poisoning. • 9x more likely to die from infections. • 6x more likely to die from pneumonia. The fact sheet also highlights some concerning statistics related to a person’s ability to function in their everyday life with moderate to severe TBI. Of those persons who are living 5 years after injury: • 57% are moderately or severely disabled. • 55% do not have a job (but were employed at the • • • • • time of their injury). 50% return to a hospital at least once. 33% rely on others for help with everyday activities. 29% are not satisfied with life. 29% use illicit drugs or misuse alcohol. 12% reside in nursing homes or other institutions. The statistics are based on data from the TBI Model Systems (TBIMS) National Database and shows the overwhelming need for coordinated, long-term care can help increased life expectancy and improve health, function, and quality of life. To this end, the fact sheet offers a guide on what TBI researchers, federal and state lawmakers, and healthcare providers can do to better promote long-term health and well-being. The TBIMS National Database is a prospective longitudinal multicenter study that currently captures data from less than 10% of all persons hospitalized with a TBI in the U.S. Memory and Moderate to Severe TBI Did you know that there are several types of “Memory?” There is, and traumatic brain injury (TBI) seems to affect some types memory more than others. TBI does not usually affect the long-term memory that was stored in the brain before the injury. This means most people with TBI can remember things from their past. However, short-term memory is often affected by TBI in one or two ways. Sometimes people with TBI cannot store new information in their brain, so the have trouble learning new information. Sometimes they can learn the new information but cannot easily remember it without reminders. Some cannot learn or remember new information. Here are a couple of examples. • Forgetting important details of a conversation, such as remembering to pass along a phone message • Feeling unsure of what you did or said this morning, yesterday, or last week; this can lead you to say things or ask the same questions many times There is prospective memory. This is the “remembering to remember” type of memory that many people with 4 uab.edu/tbi TBI have, so they might show up at the wrong time for an appointment or forget to do something that was planned. Here are a couple of examples. • Forgetting what you were supposed to do or • intended to do at home, work, or school or in the community Forgetting important occasions, such as birthdays, holidays, and family events So why do most people with TBI not remember the injury itself? And what can people do to help their memory? The TBI Model System Knowledge Translation Center has released a new fact sheet, Memory and Moderate to Severe Traumatic Brain Injury, that explains the types of memory and how TBI affects memory. It also provides strategies to help work around memory problems. It also offers information on how people with TBI can get support with work or school if memory is a problem. Portions of this column were taken from the fact sheet, Memory and Moderate to Severe Traumatic Brain Injury. Go to the website to find this and other fact sheets offered by the TBI Model System Knowledge Translation Center.