Evidence map›Paper›PMID 28195958›Full record

Observational studyThe Journal of head trauma rehabilitation

Rehospitalization in the First Year Following Veteran and Service Member TBI: A VA TBI Model Systems Study.

Johanna Tran, Flora Hammond, Kristen Dams-OʼConnor, Xinyu Tang, Blessen Eapen, Marissa McCarthy, Risa Nakase-Richardson

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Johanna TranPMRS (Dr Tran), MHBS (Dr Nakase-Richardson), VA HSR&D Center of Innovation in Disability Rehabilitation and Research (CINDRR) (Dr Nakase-Richardson), Defense and Veterans Brain Injury Center (DVBIC) (Dr Nakase-Richardson), James A. Haley Veterans Hospital, Tampa, Florida; Departments of Neurology (Dr Tran) and Internal Medicine (Dr Nakase-Richardson), University of South Florida, Tampa; Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine and Rehabilitation Hospital of Indiana, Indianapolis (Dr Hammond); Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York (Dr Hammond); Departments of Biostatistics (Dr Tang) and Pediatrics (Dr Tang), University of Arkansas For Medical Sciences, Little Rock; and Polytrauma Rehabilitation Center, South Texas Veterans Health Care System, San Antonio (Dr Eapen).
Flora Hammond
Kristen Dams-OʼConnor
Xinyu Tang
Blessen Eapen
Marissa McCarthy
Risa Nakase-Richardson
University of Tampa · US

Funding

Promotion of Physical Activity in the Latino CommunityU48DP000036 · DP · SAN DIEGO STATE UNIVERSITY · PI ELDER, JOHN P. · 2004 to 2008
$2.5M
Comprehensive Investigation of the Clinical Course of Traumatic Brain InjuryK01HD074651 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI DAMS-O'CONNOR, KRISTEN · 2014 to 2018
$536k
Action Ethnography of Community Reintegration for Veterans with TBII01HX001089 · VA · JAMES A. HALEY VA MEDICAL CENTER · PI BESTERMAN-DAHAN, KAREN, POWELL-COPE, GAIL M. · 2014 to 2020
–
Center of Innovation on Disability and Rehabilitation Research (CIDRR)I50HX001233 · VA · VETERANS HEALTH ADMINISTRATION · PI MANN, WILLIAM C. · 2015 to 2015
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HSRD VA I01 HX001089HSRD VA I50 HX001233NCCDPHP CDC HHS U48 DP000036NICHD NIH HHS K01 HD074651
6 · The paper itself

Abstract

objectiveTo determine the incidence and causes of rehospitalization following military or Veteran traumatic brain injury (TBI).

settingDepartment of Veterans Affairs (VA) Veterans Health Administration Polytrauma Rehabilitation Centers (VHA PRCs).

participantsConsecutive sample of VHA TBI Model System participants (N = 401).

designProspective observational cohort study. MAIN MEASURES: Number and type of rehospitalizations in first year post-TBI.

resultsForty-one percent of 401 participants were rehospitalized. Rehospitalization status was associated with greater injury severity and receipt of TBI while active duty. Of those rehospitalized, 30% had 2 or more readmissions. Participants experiencing multiple rehospitalizations (2+) were more likely to have sustained their TBI during deployment than those with none or single rehospitalization. This group also sustained more severe injuries and spent more time in VA PRC inpatient rehabilitation. Common reasons for rehospitalization included inpatient rehabilitation (33%), unspecified (26%), orthopedic (10%), seizures (8%), infection (8%), and psychiatric (7%).

conclusionThis is the first study examining military and Veteran rehospitalization following TBI requiring inpatient rehabilitation at a VA PRC. Findings indicate frequent rehospitalizations in the first year postinjury, suggesting the need for preventive models of health maintenance following inpatient rehabilitation discharge. Greater surveillance of those with deployment-related TBI or active duty at the time of injury and greater TBI severity may be warranted.

Indexed as

Military PersonnelVeteransAdultBrain Injuries, TraumaticFemaleHumansIncidenceLongitudinal StudiesMalePatient ReadmissionProspective StudiesRisk FactorsTime FactorsUnited StatesYoung Adult

Identifiers

PMID28195958
PMCPMC6087471
OpenAlexW2587555368

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.