Article

OBJECTIVE: To assess the frequency of, causes for, and factors associated with
acute rehospitalization during 9 months after discharge from inpatient
rehabilitation for traumatic brain injury (TBI). DESIGN: Multicenter
observational cohort. SETTING: Community. PARTICIPANTS: Individuals with TBI
(N=1850) admitted for inpatient rehabilitation. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Occurrences of proxy or self-report of postrehabilitation
acute care rehospitalization, as well as length of and causes for
rehospitalizations. RESULTS: A total of 510 participants (28%) had experienced
775 acute rehospitalizations. All experienced 1 admission (510 participants
[66%]), whereas 154 (20%) had 2 admissions, 60 (8%) had 3, 23 (3%) had 4, 27 had
between 5 and 11, and 1 had 12. The most common rehospitalization causes were
infection (15%), neurological (13%), neurosurgical (11%), injury (7%),
psychiatric (7%), and orthopedic (7%). 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 non-brain injury medical severity increased the risk of
rehospitalization. Injury etiology of motor vehicle collision and high motor
functioning at discharge decreased rehospitalization risk. CONCLUSIONS:
Approximately 28% of patients with TBI were rehospitalized within 9 months of TBI
rehabilitation discharge owing to various medical and surgical reasons. Future
research should evaluate whether some of these occurrences may be preventable
(such as infections, injuries, and psychiatric disorders) and should evaluate the
extent to which persons at risk may benefit from additional screening,
surveillance, and treatment protocols.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS