Article

OBJECTIVE: To compare the rate and nature of rehospitalization in a cohort of
patients enrolled in the National Institute on Disability and Rehabilitation
Research Traumatic Brain Injury Model Systems (TBIMS) who have disorders of
consciousness (DOC) at the time of rehabilitation admission with those in persons
with moderate or severe traumatic brain injury (TBI) but without DOC at
rehabilitation admission. DESIGN: Prospective observational study. SETTING:
Inpatient rehabilitation within TBIMS with annual follow-up. PARTICIPANTS: Of
9028 persons enrolled from 1988 to 2009 (N=9028), 366 from 20 centers met
criteria for DOC at rehabilitation admission and follow-up data, and another 5132
individuals met criteria for moderate (n=769) or severe TBI (n=4363).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Participants and/or their
family members completed follow-up data collection including questions about
frequency and nature of rehospitalizations at 1 year postinjury. For the subset
of participants with DOC, additional follow-up was conducted at 2 and 5 years
postinjury. RESULTS: The DOC group demonstrated an overall 2-fold increase in
rehospitalization in the first year postinjury relative to those with moderate or
severe TBI without DOC. Persons with DOC at rehabilitation admission have a
higher rate of rehospitalization across several categories than persons with
moderate or severe TBI. CONCLUSIONS: Although the specific details of
rehospitalization are unknown, greater injury severity resulting in DOC status on
rehabilitation admission has long-term implications. Data highlight the need for
a longitudinal approach to patient management.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS