Evidence map›Paper›PMID 28115070›Full record

ArticleArchives of physical medicine and rehabilitation2017

Longitudinal Investigation of Rehospitalization Patterns in Spinal Cord Injury and Traumatic Brain Injury Among Medicare Beneficiaries.

Christopher R Pretz, James E Graham, Addie Middleton, Amol M Karmarkar, Kenneth J Ottenbacher

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Observational
  2. Risk factors for rehospitalization after trauma: a follow-up study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
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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

5 authors.

Christopher R PretzResearch Department, Craig Hospital, Englewood, CO.
James E GrahamDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX. Electronic address: jegraham@utmb.edu.
Addie MiddletonDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX.
Amol M KarmarkarDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX.
Kenneth J OttenbacherDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX.

Funding

Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
Technique Development CoreP2CHD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GRAHAM, JAMES E. · 2015 to 2019
$5.2M
Patient Centered Outcomes Research in the ElderlyR24HS022134 · AHRQ · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2013 to 2017
$4.8M
Center for Rehabilitation Research Using Large DatasetsR24HD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2010 to 2014
$4.0M
Hospital Readmission and Inpatient Medical RehabilitationR01HD069443 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2012 to 2015
$927k
Comparing Access and Effectiveness of Post-Acute Care Settings Among Medicare BeneficiariesK01HD086290 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI KARMARKAR, AMOL · 2016 to 2020
$636k
AHRQ HHS R24 HS022134NICHD NIH HHS K01 HD086290NICHD NIH HHS K12 HD055929NICHD NIH HHS P2C HD065702NICHD NIH HHS R01 HD069443NICHD NIH HHS R24 HD065702
6 · The paper itself

Abstract

objectivesTo model 12-month rehospitalization risk among Medicare beneficiaries receiving inpatient rehabilitation for spinal cord injury (SCI) or traumatic brain injury (TBI) and to create 2 (SCI- and TBI-specific) interactive tools enabling users to generate monthly projected probabilities of rehospitalization on the basis of an individual patient's clinical profile at discharge from inpatient rehabilitation.

designSecondary data analysis.

settingInpatient rehabilitation facilities.

participantsMedicare beneficiaries receiving inpatient rehabilitation for SCI (n=2587) or TBI (n=10,864).

interventionsNot applicable.

main outcome measuresMonthly rehospitalization (yes/no) based on Medicare claims.

resultsResults are summarized through computer-generated interactive tools, which plot individual level trajectories of rehospitalization probabilities over time. Factors associated with the probability of rehospitalization over time are also provided, with different combinations of these factors generating different individual level trajectories. Four case studies are presented to demonstrate the variability in individual risk trajectories. Monthly rehospitalization probabilities for the individual high-risk TBI and SCI cases declined from 33% to 15% and from 41% to 18%, respectively, over time, whereas the probabilities for the individual low-risk cases were much lower and stable over time: 5% to 2% and 6% to 2%, respectively.

conclusionsRehospitalization is an undesirable and multifaceted health outcome. Classifying patients into meaningful risk strata at different stages of their recovery is a positive step forward in anticipating and managing their unique health care needs over time.

Indexed as

AgedAged, 80 and overBrain Injuries, TraumaticComorbidityDisability EvaluationFemaleHumansMaleMedicareMiddle AgedPatient DischargePatient ReadmissionRecovery of FunctionRetrospective StudiesRisk AssessmentSocioeconomic FactorsBrain injuries, traumaticLongitudinal studiesPatient readmissionRehabilitationSpinal cord injuries

Identifiers

PMID28115070
PMCPMC5403607

What OpenQuestion holds

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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.