Good Recovery, Poor Participation? A Secondary Analysis of the Dissociation Between Global Disability and Real-Life Participation Five Years After Traumatic Brain Injury.

ABSTRACT: Background/Objectives: Global disability scales such as the Glasgow Outcome Scale-Extended (GOS-E) may not fully capture real-life participation after traumatic brain injury (TBI). This secondary analysis quantified mismatch between global disability and participation 5 years after moderate-to-severe TBI and identified predictors of a "good recovery, poor participation" profile. Methods: We analysed the TBIMS National Database Public Use Data Set, including adults ≥ 16 years with moderate-to-severe TBI, 5-year follow-up, and valid GOS-E, PART-O, and employment data. High versus low global outcome was defined as GOS-E 7-8 versus 3-6; good versus poor participation was defined using PART-O total (≥median vs. ≤25th percentile) plus productive role engagement. Four outcome profil

SUBMITTER: Calderone A 

PROVIDER: S-EPMC12921937 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature