Article

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 OUTCOME MEASURES: 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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS