Model System:

TBI

Reference Type:

Journal

Accession No.:

J72093

Journal:


Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, 96, 8, Supplement 3, S304-S329

Publication Website:

Abstract:

Study examined the contribution patient and injury characteristics, inpatient rehabilitation therapy activities, and neurotropic medications to outcomes at discharge and 9 months postdischarge for patients with traumatic brain injury (TBI). Data were obtained from 2,130 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. Outcomes of interest were rehabilitation length of stay, discharge to home, and Functional Independence Measure (FIM) scores at discharge and 9 months postdischarge. The admission FIM cognitive score was used to create 5 relatively homogeneous subgroups for subsequent analysis of treatment outcomes. Within each subgroup, significant associations were found between outcomes and patient and injury characteristics, time spent in therapy activities, and medications used. Patient and injury characteristics explained on average 35.7 percent of the variation in discharge outcomes and 22.3 percent in 9-month outcomes. Adding time spent and level of effort in therapy activities and percentage of stay using specific medications explained approximately 20 percent more variation for discharge outcomes and 12.9 percent for 9-month outcomes. After patient, injury, and treatment characteristics were used to predict outcomes, center differences added only approximately 1.9 percent additional variance explained.

Author(s):


Horn, Susan D., Corrigan , John D., Beaulieu, Cynthia L., Bogner, Jennifer, Barrett, Ryan S., Giuffrida, Clare G., Ryser, David K., Cooper, Kelli, Carroll, Deborah M., Deutscher, Daniel

Participating Centers: