A follow-up study of older adults with traumatic brain injury: Taking into account decreasing length of stay

Short Title:
A follow-up study of older adults with traumatic brain injury: Taking into account decreasing length of stay
Model System:
TBI
Reference Type:
Journal Article
Accession No.:
J50347.
Journal:
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
2006, vol. 87, issue 1, pp 57-62
Publication Website:
Abstract:
Study compared differences in rehabilitation outcomes between older and younger patients with traumatic brain injury (TBI). A sample of patients 55 years of age and older, taken from the TBI Model Systems national database, were individually matched with patients between 18 and 44 years of age based on severity of injury. Due to decreasing length of stay (LOS), only patients admitted from 1996 through 2002 were included. Outcomes for both groups were compared in terms of acute care LOS, inpatient rehabilitation LOS, admission and discharge Functional Independence Measure (FIM), Disability Rating Scale (DRS) scores, FIM and DRS efficiency, acute and rehabilitative charges, and discharge disposition. Analyses revealed a statistically significant difference between older and younger patients with respect to LOS in rehabilitation, but not for acute care. Older patients progressed with significantly less efficiency on both the DRS and FIM scales. Significantly more charges were generated per unit for older patients to improve on the DRS scale, but not the FIM scale. There was a significantly lower rate of discharge to the community for older patients with TBI (80.5 percent) compared to younger patients (94.4 percent).
Author(s):
Frankel, Jason E.; Marwitz, Jennifer H.; Cifu, David X.; Kreutzer, Jeffrey S.; Englander, Jeffrey; Rosenthal, Mitchell
Author Address(es):

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