Abstract:
OBJECTIVE:To estimate the national 30-day re-admission rate after traumatic brain injury (TBI) in insured patients under age 65 and to examine factors that predict re-admission. METHODS:This study reviewed data on patients hospitalized with a primary diagnosis of TBI in the MarketScan® database from 2010-2012. Patients with substantial concurrent injury to non-head regions were excluded. This study identified all hospitalizations within 30 days after index discharge and compared characteristics of patients who were re-admitted vs those who were not. RESULTS:This study identified 26 831 patients with a primary diagnosis of TBI who survived the index hospitalization. Overall, 6.6% of patients were re-admitted within 30 days. TBI was the most common primary diagnosis for re-admission (28.5%), followed by psychiatric disorders (12.5%). Patients who were older, had a head Abbreviated Injury Score of 3 or more, one or more comorbidities, longer length of stay or who were discharged to an inpatient rehabilitation facility demonstrated greater odds of being re-admitted within 30 days. CONCLUSIONS:Factors associated with re-admission after TBI should be considered in discharge planning. Further research is warranted to examine re-admission beyond 30 days and further elucidate causes of re-admission in order to develop strategies to reduce re-admission among patients with TBI.
journal_name
Brain Injjournal_title
Brain injuryauthors
Canner JK,Giuliano K,Gani F,Schneider EBdoi
10.1080/02699052.2016.1199898subject
Has Abstractpub_date
2016-01-01 00:00:00pages
1570-1575issue
13-14eissn
0269-9052issn
1362-301Xjournal_volume
30pub_type
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