Evidence map›Paper›PMID 26212405›Full record

Observational studyArchives of physical medicine and rehabilitation2015

Readmission to an Acute Care Hospital During Inpatient Rehabilitation for Traumatic Brain Injury.

Flora M Hammond, Susan D Horn, Randall J Smout, Cynthia L Beaulieu, Ryan S Barrett, David K Ryser, Teri Sommerfeld

Abstract readObservational Study
In one paragraph

Observational study in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Frequency and reasons for unplanned transfer to the primary acute care service of inpatient rehabilitation glioblastoma multiforme patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Effects of Age and Sex on Hospital Readmission in Traumatic Brain Injury.Archives of physical medicine and rehabilitation · 2018
    Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Flora M HammondCarolinas Rehabilitation, Charlotte, NC; Indiana University School of Medicine, Indianapolis, IN. Electronic address: flora.hammond@rhin.com.
Susan D HornInstitute for Clinical Outcomes Research, Salt Lake City, UT.
Randall J SmoutInstitute for Clinical Outcomes Research, Salt Lake City, UT.
Cynthia L BeaulieuBrooks Rehabilitation Hospital, Jacksonville, FL.
Ryan S BarrettInstitute for Clinical Outcomes Research, Salt Lake City, UT.
David K RyserIntermountain Medical Center, Salt Lake City, UT.
Teri SommerfeldRush University Medical Center, Chicago, IL.
Outcomes Research Consortium · USBrooks Rehabilitation Clinical Research Center · USIndiana University – Purdue University Indianapolis · USIntermountain Medical Center · USRush University Medical Center · US

Funding

Improving Outcomes in Acute Rehabilitation for TBIR01HD050439 · NICHD · INTERNATIONAL SEVERITY INFO SYSTEMS,INC. · PI HORN, SUSAN D · 2007 to 2011
$3.3M
NICHD NIH HHS 1R01HD050439-01NICHD NIH HHS R01 HD050439
6 · The paper itself

Abstract

objectiveTo assess the incidence of, causes for, and factors associated with readmission to an acute care hospital (RTAC) during inpatient rehabilitation for traumatic brain injury (TBI).

designProspective observational cohort.

settingInpatient rehabilitation.

participantsIndividuals with TBI admitted consecutively for inpatient rehabilitation (N=2130).

interventionsNot applicable.

main outcome measuresRTAC incidence, RTAC causes, rehabilitation length of stay (RLOS), and rehabilitation discharge location.

resultsA total of 183 participants (9%) experienced RTAC for a total of 210 episodes. Of 183 participants, 161 patients experienced 1 RTAC episode, 17 had 2, and 5 had 3. The mean time from rehabilitation admission to first RTAC was 22±22 days. The mean duration in acute care during RTAC was 7±8 days. Eighty-four participants (46%) had ≥1 RTAC episodes for medical reasons, 102 (56%) had ≥1 RTAC episodes for surgical reasons, and 6 (3%) participants had RTAC episodes for unknown reasons. Most common surgical RTAC reasons were neurosurgical (65%), pulmonary (9%), infection (5%), and orthopedic (5%); most common medical reasons were infection (26%), neurological (23%), and cardiac (12%). Any RTAC was predicted as more likely for patients with older age, history of coronary artery disease, history of congestive heart failure, acute care diagnosis of depression, craniotomy or craniectomy during acute care, and presence of dysphagia at rehabilitation admission. RTAC was less likely for patients with higher admission FIM motor scores and education less than high school diploma. RTAC occurrence during rehabilitation was significantly associated with longer RLOS and smaller likelihood of discharge home.

conclusionsApproximately 9% of patients with TBI experienced RTAC episodes during inpatient rehabilitation for various medical and surgical reasons. This information may help inform interventions aimed at reducing interruptions in rehabilitation for RTAC. RTACs were associated with longer RLOS and discharge to an institutional setting.

Indexed as

AdultBrain InjuriesCanadaCohort StudiesDisability EvaluationEvidence-Based PracticeFemaleHumansInpatientsLength of StayMaleMiddle AgedPatient ReadmissionProspective StudiesRecovery of FunctionTreatment OutcomeBrain injuriesComorbidityHospitalizationPatient readmissionRehabilitation

Identifiers

PMID26212405
PMCPMC4518455
OpenAlexW1503725619

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.