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Description of the Moderate Brain Injured Patient and Predictors of Discharge to Rehabilitation

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dc.contributor.advisor Richards, Kathy C.
dc.contributor.author Rogers, Sandra
dc.creator Rogers, Sandra
dc.date 2014-05
dc.date.accessioned 2014-10-15T19:22:28Z
dc.date.available 2014-10-15T19:22:28Z
dc.date.issued 2014-10-15
dc.identifier.uri https://hdl.handle.net/1920/9065
dc.description.abstract This retrospective, descriptive study characterized moderate traumatic brain injured patients between the ages of 18 to 64 years that were treated at level I and level II trauma centers within the United States and the predictors of discharge to rehabilitation after acute care using data reported in the National Trauma Data Bank (NTDB®). A literature review described the issues related to traumatic brain injury, examined conflicting results related to post-acute care discharge, and supported the need for further study of the moderate traumatic brain injured patient. The 2010 National Sample Project (NSP), part of the NTDB®, provided access to cross-sectional data with which to describe the moderate TBI patient and to explore the demographic, clinical, and financial predictors of discharge to rehabilitation within a sample of TBI patients. Multivariate logistic regression models revealed that demographic (age and region), clinical (injury severity score, Glasgow Coma score, and Abbreviated Injury score of the head), and financial (primary payment source and length of stay) characteristics influenced the likelihood of being discharged to rehabilitation. Increased age, increased severity, Medicare, longer length of stay (LOS), and trauma center locations in the Midwest and Northeast all increased likelihood of discharge to rehabilitation. Being younger, receiving acute treatment in the South, and self-pay all showed decreased likelihood of discharge to rehabilitation. The decision to discharge a person with a moderate TBI from acute care to rehabilitation appears to be based on factors other than just clinical need. More equitable access to post-acute rehabilitation services for moderate TBI patients is needed because of the risk for long-term disabilities and the potential to return to productive lives with treatment.
dc.language.iso en_US en_US
dc.rights Copyright 2014 Sandra Rogers en_US
dc.subject brain injury en_US
dc.subject brain trauma en_US
dc.subject head injury en_US
dc.subject moderate brain injury en_US
dc.subject rehabilitation en_US
dc.subject traumatic brain injury en_US
dc.title Description of the Moderate Brain Injured Patient and Predictors of Discharge to Rehabilitation en_US
dc.type Dissertation en
thesis.degree.name PhD in Nursing en_US
thesis.degree.level Doctoral en
thesis.degree.discipline Nursing en
thesis.degree.grantor George Mason University en


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