Evidence map›Paper›PMID 38417777›Full record

ArticleArchives of physical medicine and rehabilitation2024

Trends in the Characteristics and Outcomes of Older Medicare Patients With Traumatic Brain Injury Treated in Inpatient Rehabilitation Facilities: 2013 to 2018.

Anne Deutsch, Raj Kumar, Mitch Sevigny, John Potelle, Tara McMullen

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Observational
  4. Article
  5. Article
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.

Anne DeutschRTI International; Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: adeutsch@rti.org.
Raj KumarIcahn School of Medicine at Mount Sinai Department of Rehabilitation and Human Performance, New York, NY.
Mitch SevignyCraig Hospital Research Department, Englewood, CO.
John PotelleRTI International, Waltham, MA.
Tara McMullenDivision of Chronic and Post-Acute Care, Center for Clinical Standards and Quality (CCSQ), Centers for Medicare & Medicaid Services, Woodlawn, ML.

Funding

Validating an Administrative Claims Based Case Definition for Traumatic Brain InjuryR00HD106060 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KUMAR, RAJ GOPALAN · 2023 to 2025
$745k
Leveraging existing data resources to characterize health and clinical care among older adults with traumatic brain injuryK99HD106060 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KUMAR, RAJ GOPALAN · 2021 to 2022
$260k
ACL HHS 90DPTB0018NICHD NIH HHS K99 HD106060NICHD NIH HHS R00 HD106060
6 · The paper itself

Abstract

objectiveTo describe the characteristics and outcomes of older (65+) Medicare beneficiaries with traumatic brain injury (TBI) treated in inpatient rehabilitation facilities between 2013 and 2018.

designDescriptive study using IRF Patient Assessment Instrument (IRF-PAI) data reporting trends of the sociodemographic and clinical characteristics and outcomes of inpatient rehabilitation facilities Medicare patients with TBI.

settingInpatient rehabilitation facilities in the United States.

participants99,804 older Medicare fee-for-service and Medicare Advantage patients with TBI (N=99,804).

interventionsNot applicable.

main outcome measuresLength of stay, self-care, and mobility functional outcomes, discharge destination.

resultsThe number of older Medicare beneficiaries with TBI treated in inpatient rehabilitation facilities increased from 14,657 in 2013 to 18,791 in 2018, an increase of 28.2%. In addition to this overall increase in patients, we also found the percentage of men increased slightly (52.9% to 54.8%), there was a higher percentage of patients with tier 3 comorbidities, there was a decrease in the variability of length of stay, there was slightly more self-care and mobility improvement and a slightly higher percentage of patients discharged to the community (67.8% in 2013 and 71.6% in 2018). Newer standardized data showed that prior to the injury, more than one-third used a walker and more than three-quarters had a history of recent falls.

conclusionsBetween 2013 and 2018, the number of Medicare beneficiaries with TBI treated in IRFs increased by approximately 28%. The characteristics of IRF older patients with TBI changed between 2013 and 2018 toward a slightly higher proportion of men, more comorbidities, and a higher percentage being discharged home after inpatient rehabilitation.

Indexed as

Brain Injuries, TraumaticLength of StayMedicareRehabilitation CentersAgedAged, 80 and overComorbidityFee-for-Service PlansFemaleHumansInpatientsMalePatient DischargeSelf CareUnited StatesBrain injuryMobilityOutcomesRehabilitationSelf-care

Identifiers

PMID38417777
PMCPMC11144561

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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.