Predictors of inpatient (neuro)rehabilitation after acute care of severe traumatic brain injury: An epidemiological study.
Objective: To describe the discharge destination of patients with severe traumatic brain injury (sTBI) after acute care. To identify predictors associated with inpatient rehabilitation (vs discharge home) and to identify predictors associated with neurorehabilitation (vs general rehabilitation). Met...
| Publicado en: | Brain Injury Vol. 30; no. 10; pp. 1186 - 1194 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118094249&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 118094249 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02699052 B6W jtl: Brain Injury issn: 02699052 maglogo: Y pubinfo: dt: 2016 vid: 30 iid: 10 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 118094249 118094249 118094249 10.1080/02699052.2016.1183821 118094249 ppf: 1186 ppct: 8 formats: tig: atl: Predictors of inpatient (neuro)rehabilitation after acute care of severe traumatic brain injury: An epidemiological study. aug: au: Schumacher, Rahel Walder, Bernhard Delhumeau, Cécile Müri, René M. affil: Division of Cognitive and Restorative Neurology, Department of Neurology sug: subj: Brain Injuries Rehabilitation Transfer, Discharge After Care Outcomes (Health Care) Multicenter Studies Prospective Studies Epidemiological Research Human Scales Multiple Logistic Regression Severity of Injury Referral and Consultation Switzerland Trauma Centers Trauma Severity Indices Rehabilitation Centers Nursing Homes T-Tests Wilcoxon Signed Rank Test Chi Square Test Fisher's Exact Test P-Value Data Analysis Software Descriptive Statistics Confidence Intervals Odds Ratio Male Female Adult Middle Age Aged Inpatients Socioeconomic Factors Glasgow Coma Scale Neuropsychological Tests Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective: To describe the discharge destination of patients with severe traumatic brain injury (sTBI) after acute care. To identify predictors associated with inpatient rehabilitation (vs discharge home) and to identify predictors associated with neurorehabilitation (vs general rehabilitation). Methods: A national, multi-centre, prospective study with adult survivors after sTBI (abbreviated injury scale head score > 3). Univariate and multivariate logistic regression models included patient characteristics, pre-injury conditions, initial neuro-physiological assessment, trauma mechanisms, severity of TBI and pre-hospital conditions to find predictors of discharge destination. Results: Out of the 566 included patients, 341 (60%) were referred to inpatient rehabilitation, thereof 249 (73%) to neurorehabilitation; 225 (40%) were discharged home or to a nursing home. Lower scores on the Glasgow Coma Scale at admission/at 14 days, higher injury severity scores and older age were predictors for inpatient rehabilitation. Younger age and male gender were predictors for neurorehabilitation. Conclusions: Patients’ pathways after acute care are not only determined by the severity of their brain injury, but also by their overall injury severity and socio-biological factors. More than half of the patients after sTBI are not discharged to specialized inpatient neurorehabilitation and, therefore, efforts should be taken to optimize post-acute care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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