Model System:

TBI

Reference Type:

Journal

Accession No.:

J72094

Journal:


Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, 96, 8, Supplement 3, S330-S339, S339.e1-S339.e4

Publication Website:

Abstract:

Study assessed the frequency of, causes for, and factors associated with acute rehospitalization during 9 months after discharge from inpatient rehabilitation for traumatic brain injury (TBI). Data were obtained from 1,850 patients admitted to 10 acute inpatient rehabilitation centers as part of a comparative effectiveness study in which patient characteristics, environmental factors, and interventions were evaluated to identify factors associated with key TBI inpatient rehabilitation outcomes. The occurrences of proxy or self-report of postrehabilitation acute care rehospitalization, as well as length of and causes for the rehospitalizations were examined. Results showed that a total of 510 participants (28 percent) had experienced 775 acute rehospitalizations. All experienced 1 admission, whereas 154 (20 percent) had 2 admissions, 60 (8 percent) had 3, 23 (3 percent) had 4, 27 had between 5 and 11, and 1 had 12. The most common rehospitalization causes were infection, neurological, neurosurgical, injury, psychiatric, and orthopedic. The mean time from rehabilitation discharge to first rehospitalization was 113 days. The mean rehospitalization duration was 6.5 days. Logistic regression analyses revealed that older age, history of seizures before injury or during acute care or rehabilitation, history of brain injuries, and nonebrain injury medical severity increased the risk of rehospitalization. Injury etiology of motor vehicle collision and high motor functioning at discharge decreased rehospitalization risk.

Author(s):


Hammond, Flora M., Horn, Susan D., Smout, Randall J., Seel, Ronald T., Beaulieu, Cynthia L., Corrigan , John D., Barrett, Ryan S., Giuffrida, Clare G., Cullen, Nora, Sommerfeld, Teri, Brandstater, Murray E.

Participating Centers: