Rehospitalization After Traumatic Brain Injury: A Population-Based Study.
Arch Phys Med Rehabil
; 97(2 Suppl): S19-25, 2016 Feb.
Article
en En
| MEDLINE
| ID: mdl-25944501
ABSTRACT
OBJECTIVE:
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.DESIGN:
Retrospective cohort study.SETTING:
Acute care hospitals.PARTICIPANTS:
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.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
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.RESULTS:
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.CONCLUSIONS:
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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Readmisión del Paciente
/
Lesiones Encefálicas
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Aceptación de la Atención de Salud
/
Factores Sexuales
/
Factores de Edad
Tipo de estudio:
Etiology_studies
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Incidence_studies
/
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2016
Tipo del documento:
Article
País de afiliación:
Canadá