ArticleNeurorehabilitation and neural repair2023
Access to Rehabilitation After Hospitalization for Traumatic Brain Injury: A National Longitudinal Cohort Study in Sweden.
Article in Neurorehabilitation and neural repair, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Absolute risk of acquired brain injury and rehabilitation needs in Denmark, 2014-2023: a population-based prospective cohort study.The Lancet regional health. Europe · 2026Article
- Integrating Acute Polytrauma Rehabilitation Into Modern Trauma Systems: Benefits, Challenges, and Future Directions.Cureus · 2026Review
- Traumatic brain injury and mortality in older adults with and without pre-injury dementia.Age and ageing · 2025Article
- Cognitive reserve and disparities in healthcare usage after traumatic brain injury and stroke: an observational cohort study.Journal of rehabilitation medicine · 2025Observational
- Short- and Long-Term Mortality in Severely Injured Older Trauma Patients: A Retrospective Analysis.Journal of clinical medicine · 2025Article
- Influence of health insurance on withdrawal of life sustaining treatment for patients with isolated traumatic brain injury: a retrospective multi-center observational cohort study.Critical care (London, England) · 2024Observational
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Authors and funding
8 authors.
Funding
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Abstract
backgroundRehabilitation is suggested to improve outcomes following traumatic brain injury (TBI), however, the extent of access to rehabilitation among TBI patients remains unclear.
objectiveTo examine the level of access to rehabilitation after TBI, and its association with health and sociodemographic factors.
methodWe conducted a longitudinal cohort study using Swedish nationwide healthcare and sociodemographic registers. We identified 15 880 TBI patients ≥18 years hospitalized ≥3 days from 2008 to 2012 who were stratified into 3 severity groups; grade I (n = 1366; most severe), grade II (n = 5228), and grade III (n = 9268; least severe). We examined registered contacts with specialized rehabilitation or geriatric care (for patients ≥65 years) during the hospital stay, and/or within 1 year post-discharge. We performed a generalized linear model analysis to estimate the risk ratio (RR) for receiving specialized rehabilitation or geriatric care after a TBI based on sociodemographic and health factors.
resultsAmong TBI patients, 46/35% (grade I), 14/40% (grade II), and 5/18% (grade III) received specialized rehabilitation or geriatric care, respectively. Being currently employed or studying was positively associated (RR 1.7, 2.3), while living outside of a city area was negatively associated (RR 0.36, 0.79) with receiving specialized rehabilitation or geriatric care. Older age and a prior substance use disorder were negatively associated with receiving specialized rehabilitation (RR 0.51 and 0.81).
conclusionOur results suggest insufficient and unequal access to rehabilitation for TBI patients, highlighting the importance of organizing and standardizing post-TBI rehabilitation to meet the needs of patients, regardless of their age, socioeconomic status, or living area.
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