Rehospitalization After Traumatic Brain Injury: A Population-Based Study

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• 作者：Cristina Saverino ; MA<sup>asup><sup> ; sup><sup>bsup><sup> ; sup><sup>csup> ; Bonnie Swaine ; PhD<sup>dsup> ; Susan Jaglal ; PhD<sup>csup><sup> ; sup><sup>esup> ; John Lewko ; PhD<sup>fsup> ; Lee Vernich ; MSc<sup>gsup> ; Jennifer Voth ; PhD<sup>csup> ; Andrew Calzavara ; MSc<sup>hsup> ; Angela Colantonio ; PhD ; OT<sup>csup><sup> ; sup><sup>hsup><sup> ; sup><sup>isup><sup> ; sup><sup>angela.colantonio@utoronto.ca" class="auth_mail" title="E-mail the corresponding authorsup>
• 关键词：Brain injuries ; Patient readmission ; hospital readmission ; Rehabiliation ; Risk factors
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：97
• 期：2_supp_S
• 页码：S19-S25
• 全文大小：218 K

文摘

To examine, from a Canadian population-based perspective, the incidence and etiology of long-term hospital utilization among persons living with traumatic brain injury (TBI) by age and sex.

sSec_2">Design

spara0015">Retrospective cohort study.

sSec_3">Setting

spara0020">Acute care hospitals.

sSec_4">Participants

spara0025">Index cases of TBI (N=29,269) were identified from the Discharge Abstract Database for fiscal years 2002/2003 through 2009/2010 and were followed-up until 36 months after injury.

sSec_5">Interventions

spara0030">Not applicable.

sSec_6">Main Outcome Measures

spara0035">Rehospitalization was defined as admission to an acute care facility that occurred up to 36 months after index injury. Diagnoses associated with subsequent rehospitalization were examined by age and sex.

sSec_7">Results

spara0040">Of the patients with TBI, 35.5% (n=10,390) were subsequently hospitalized during the 3-year follow-up period. Multivariable logistic regression (controlling for index admission hospital) identified men, older age, mechanism of injury being a fall, greater injury severity, rural residence, greater comorbidity, and psychiatric comorbidity to be significant predictors of rehospitalization in a 3-year period postinjury. The most common causes for rehospitalization differed by age and sex.

sSec_8">Conclusions

spara0045">Rehospitalization after TBI is common. Factors associated with rehospitalization can inform long-term postdischarge planning. Findings also support examining causes for rehospitalization by age and sex.