Model System:

TBI

Reference Type:

Journal

Accession No.:

J75490

Journal:


Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, 98, 3, 425-433

Publication Website:

Abstract:

Study investigated trends of hospital-based healthcare utilization among patients admitted to a level I trauma center between January 1, 2006, and June 30, 2014 after experiencing an acute traumatic brain injury (TBI). The medical records of participants were retrospectively reviewed. Outcome measures included the incidence and type of select hospital-based services received. Analyses were also categorized based on demographic and injury-related information. Of the 5,291 patients with newly acquired TBI who were admitted, 512 died, leaving 4779 patients for inclusion in the final analysis. Additional healthcare utilization from January 1, 2006, and June 30, 2014, was recorded for 3,158 patients, totaling 12,307 encounters, with a median of 3 encounters and a maximum of 102 encounters. Most non-admission urgent or procedural visits (96 percent) and inpatient encounters (93 percent) occurred in the first year. Of all the additional encounters, 9,769 visits were non-admission urgent or procedural visits (79 percent) with a median charge of $1,955. The most common type of encounter was elective (46 percent), followed by medical emergency (29 percent). Of the remaining 2,538 inpatient encounters, the mean length of stay was 6 days with a median charge of $28,450. Medical emergency (39 percent) and elective admissions (33 percent) again were the most common encounter type. This analysis encompasses healthcare utilization across the range of TBI severity and numerous hospital systems, allowing for a more comprehensive and objective identification of reasons for readmission. This represents an initial step to developing a preventive intervention to manage secondary complications postinjury.

Author(s):


Salisbury, David B., Driver, Simon J., Reynolds, Megan, Bennett, Monica, Petrey, Laura B., Warren, Anne M.

Participating Centers: