Your browser doesn't support javascript.
loading
Predictors for 30-Day Readmissions After Traumatic Brain Injury.
Pollifrone, Maria; Callender, Librada; Bennett, Monica; Driver, Simon; Petrey, Laura; Hamilton, Rita; Dubiel, Rosemary.
Afiliación
  • Pollifrone M; Baylor Scott and White Institute for Rehabilitation, Dallas, Texas (Dr Pollifrone, Hamilton, and Dubiel); Baylor Scott and White Research Institute (Ms Callender and Dr Bennett), Dallas, Texas; Sports Therapy and Research, Baylor Scott and White Research, Frisco, Texas (Dr Driver); and Department of General Surgery, Baylor Scott and White University Medical Center, Dallas, Texas (Dr Petrey).
J Head Trauma Rehabil ; 36(3): E178-E185, 2021.
Article en En | MEDLINE | ID: mdl-33201037
OBJECTIVE: To examine predictors for 30-day readmission post-onset of traumatic brain injury (TBI) after initial trauma hospitalization. DESIGN: Retrospective cohort. PARTICIPANTS: In total, 5284 patients with an acute TBI admitted from January 1, 2006, through December 31, 2015. METHODS: Demographic and clinical data after initial TBI onset were extracted from the local trauma registry and matched with the Dallas-Fort Worth Hospital Council registry. Multiple logistic regression analysis was used to determine factors significantly associated with 30-day readmission. Top diagnosis codes for 30-day readmission were also described. RESULTS: Patients were primarily male (64.6%), non-Hispanic White (47.6%), uninsured (35.4%), and aged 46.1 ± 23.3 years. In total, 448 patients (8.5%) had a 30-day readmission. Median cumulative charges for each readmitted subject was $34 313. Factors significantly associated with 30-day readmission were falling as the cause of injury, having increased Charlson Comorbidity Index and Injury Severity Score, and discharging to a skilled nursing facility or long-term acute care. Being uninsured was associated with decreased odds of a 30-day readmission. Top diagnosis codes among the readmission visits included cardiac codes (57.7%), fluid and acid-base disorders (54.8%), and hypertension (50.1%). CONCLUSION: These data highlight those at risk for 30-day readmission across a diverse population of TBI at a large medical center. Interventions such as health literacy education or patient navigation may help mitigate 30-day readmission for at-risk patients.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Lesiones Traumáticas del Encéfalo Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: J Head Trauma Rehabil Asunto de la revista: REABILITACAO / TRAUMATOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Lesiones Traumáticas del Encéfalo Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: J Head Trauma Rehabil Asunto de la revista: REABILITACAO / TRAUMATOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos