Evidence map›Paper›PMID 26212407›Full record

Observational studyArchives of physical medicine and rehabilitation2015

Rehospitalization During 9 Months After Inpatient Rehabilitation for Traumatic Brain Injury.

Flora M Hammond, Susan D Horn, Randall J Smout, Ronald T Seel, Cynthia L Beaulieu, John D Corrigan, Ryan S Barrett, Nora Cullen, Teri Sommerfeld, Murray E Brandstater

Abstract readMulticenter StudyObservational 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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

10 authors.

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.
Ronald T SeelCrawford Research Institute, Shepherd Center, Atlanta, GA.
Cynthia L BeaulieuBrooks Rehabilitation Hospital, Jacksonville, FL.
John D CorriganOhio State University, Columbus, OH.
Ryan S BarrettInstitute for Clinical Outcomes Research, Salt Lake City, UT.
Nora CullenToronto Rehabilitation Institute, Toronto, Ontario, Canada.
Teri SommerfeldRush University Medical Center, Chicago, IL.
Murray E BrandstaterLoma Linda University Medical Center, Loma Linda, CA.

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 frequency of, causes for, and factors associated with acute rehospitalization during 9 months after discharge from inpatient rehabilitation for traumatic brain injury (TBI).

designMulticenter observational cohort.

settingCommunity.

participantsIndividuals with TBI (N=1850) admitted for inpatient rehabilitation.

interventionsNot applicable.

main outcome measuresOccurrences of proxy or self-report of postrehabilitation acute care rehospitalization, as well as length of and causes for rehospitalizations.

resultsA total of 510 participants (28%) had experienced 775 acute rehospitalizations. All experienced 1 admission (510 participants [66%]), whereas 154 (20%) had 2 admissions, 60 (8%) had 3, 23 (3%) had 4, 27 had between 5 and 11, and 1 had 12. The most common rehospitalization causes were infection (15%), neurological (13%), neurosurgical (11%), injury (7%), psychiatric (7%), and orthopedic (7%). The mean time from rehabilitation discharge to first rehospitalization was 113 days. The mean rehospitalization duration was 6.5 days. Logistic regression analyses revealed that older age, history of seizures before injury or during acute care or rehabilitation, history of brain injuries, and non-brain injury medical severity increased the risk of rehospitalization. Injury etiology of motor vehicle collision and high motor functioning at discharge decreased rehospitalization risk.

conclusionsApproximately 28% of patients with TBI were rehospitalized within 9 months of TBI rehabilitation discharge owing to various medical and surgical reasons. Future research should evaluate whether some of these occurrences may be preventable (such as infections, injuries, and psychiatric disorders) and should evaluate the extent to which persons at risk may benefit from additional screening, surveillance, and treatment protocols.

Indexed as

AdultAge FactorsBrain InjuriesCanadaCohort StudiesComorbidityDisability EvaluationFemaleHumansIncidenceLength of StayLogistic ModelsMaleMiddle AgedOutcome Assessment, Health CarePatient ReadmissionBrain injuriesComorbidityHospitalizationPatient readmissionRehabilitation

Identifiers

PMID26212407
PMCPMC4517292

What OpenQuestion holds

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Registered trials

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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.