ArticleJournal of clinical medicine2021
In the Aftermath of Acute Hospitalization for Traumatic Brain Injury: Factors Associated with the Direct Pathway into Specialized Rehabilitation.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- CT-positive traumatic brain injury in patients ≥ 80 years: mortality and 6-months functional outcome.Acta neurochirurgica · 2026Article
- Decision-making in interhospital transfer of traumatic brain injury patients: exploring the perspectives of surgeons at general hospitals and neurosurgeons at neurotrauma centres.BMC health services research · 2025Article
- Bicycle helmets are associated with fewer and less severe head injuries and fewer neurosurgical procedures.Acta neurochirurgica · 2024Article
- Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study.Injury epidemiology · 2023Article
- Referrals to Early Specialized Rehabilitation after Traumatic Brain Injury during the Covid-19 Pandemic.Journal of rehabilitation medicine · 2022Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Previous research has demonstrated that early initiation of rehabilitation and direct care pathways improve outcomes for patients with severe traumatic brain injury (TBI). Despite this knowledge, there is a concern that a number of patients are still not included in the direct care pathway. The study aim was to provide an updated overview of discharge to rehabilitation following acute care and identify factors associated with the direct pathway. We analyzed data from the Oslo TBI Registry-Neurosurgery over a five-year period (2015-2019) and included 1724 adults with intracranial injuries. We described the patient population and applied multivariable logistic regression to investigate factors associated with the probability of entering the direct pathway. In total, 289 patients followed the direct pathway. For patients with moderate-severe TBI, the proportion increased from 22% to 35% during the study period. Significant predictors were younger age, low preinjury comorbidities, moderate-severe TBI and disability due to TBI at the time of discharge. In patients aged 18-29 years, 53% followed the direct pathway, in contrast to 10% of patients aged 65-79 years (moderate-severe TBI). This study highlights the need for further emphasis on entering the direct pathway to rehabilitation, particularly for patients aged >64 years.
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