Short Tilte:Factors affecting hospital length of stay and charges following traumatic brain injury
Journal:Journal of Head Trauma Rehabilitation
Year, Volume, Issue, Page(s):96, 11, 5, 85-96
Article in a special issue dedicated to research findings from the National Institute of Disability and Rehabilitation Research (NIDRR) Traumatic Brain Injury Model Systems (TBIMS). (See AN XJ32562 to XJ32568 for the articles.) This article describes a study that explored factors affecting rehabilitation length of stay (LOS) and charges in patients with traumatic brain injury (TBI). Data for 525 patients enrolled in the TBIMS National Data Base were examined. Results showed that the prediction of rehabilitation LOS and charges on the basis of initial severity of injury is improved by considering the level of functional independence and the duration of acute hospitalization at admission to rehabilitation. In general, patients with lower initial Glasgow Coma Scale (GCS) scores and lower Functional Independence Measure (FIM) scores took longer to reach rehabilitation, stayed in rehabilitation longer, and cost more to treat. A regression model using initial GCS score, duration of impaired consciousness, admission FIM score, and acute care LOS accounted for 48% of the variance in rehabilitation LOS and 42% of the variance in rehabilitation hospital charges.