Understanding outcomes based on the post-acute hospitalization pathways followed by persons with traumatic brain injury

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Study examined factors that determine the pathways of care patients with traumatic brain injury (TBI) follow after discharge from acute hospitalization and identified differences in outcomes based on the those pathways. Data were collected through structured telephone interviews conducted 12 to 18 months after injury, and from hospital records. Almost two-thirds of the 1,059 participants received no additional services following discharge from acute care. Six post-acute-hospitalization pathways were identified based on combinations of inpatient rehabilitation, community-based services, and long-term care. In each pathway, except for the one involving discharge directly to home, people with the most severe TBIs were disproportionately overrepresented. Older people and people whose care was funded by government payers were overrepresented in both pathways involving long-term care, while members of minority groups were underrepresented. Those in long-term care had the poorest outcomes.

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