Article

This review summarizes comorbidity measurements used on patients with
nontraumatic brain injury in inpatient rehabilitation and describes findings on
measurement validation and comorbidity profiles. MEDLINE and MEDLINE In-Process,
EMBASE, PsycINFO, the Cochrane Database of Systematic Reviews, Health, and
Psychosocial Measurement Instruments were searched.
Two reviewers screened
results according to predefined inclusion and exclusion criteria. Population,
statistical methods, comorbidity measurement, justification of its use, and
results involving comorbidity were extracted using a standard table. Of 9476
articles retrieved, 16 were included. Comorbidity has been measured using various
methods including the following: number and type within various classification
systems, such as the International Disease Classification system, the Charlson
comorbidity index, Centers for Medicare and Medicaid Services comorbidity tiers
and patient comorbidity and complexity level values and subsets of diagnoses
within nonadministrative data studies. No studies have assessed the predictive
ability of the comorbidity measurements for inpatient rehabilitation outcomes in
this population. Because comorbidities are common among the nontraumatic brain
injury population, the predictive validity of comorbidity measurements should be
assessed to determine the most appropriate measure to predict or risk adjust
rehabilitation outcomes, which has implications for the development of clinical
guidelines, and to inform health service research, planning, and delivery.

Langue : ANGLAIS