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Characteristics Associated with the Use of an Inpatient Rehabilitation or Skilled Nursing Facility after Acute Care in Children with Severe Traumatic Brain Injury
Developmental Neurorehabilitation ( IF 1.3 ) Pub Date : 2021-04-19 , DOI: 10.1080/17518423.2021.1908441
Shiyao Gao 1 , Anthony Fabio 1 , Bedda L Rosario 1 , M Kathleen Kelly 2 , Sue R Beers 3 , Michael J Bell 4 , Stephen R Wisniewski 1
Affiliation  

ABSTRACT

To characterize inpatient rehabilitation services for children with severe traumatic brain injury (TBI), we included 254 children, whose parents/guardians reported receipt of rehabilitation within a 12-month follow-up period, from a multinational observational study. Children discharged to an inpatient rehabilitation or skilled nursing facility after acute care were classified into the “inpatient rehabilitation” group, and children discharged home after acute care were classified into the “non-inpatient rehabilitation” group. Multivariable regression analyses determined the associations of sociodemographic and clinical characteristics with rehabilitation groups. Children receiving inpatient rehabilitation had a shorter length of acute hospitalization. Children from the UK were less likely to receive inpatient rehabilitation compared to children from the US. Future studies are warranted to extend current findings by identifying the reasons behind differential access to inpatient rehabilitation among children with severe TBI.



中文翻译:

严重创伤性脑损伤儿童急性护理后使用住院康复或专业护理设施的相关特征

摘要

为了描述严重创伤性脑损伤 (TBI) 儿童住院康复服务的特点,我们纳入了来自一项多国观察研究的 254 名儿童,他们的父母/监护人报告在 12 个月的随访期内接受了康复治疗。急性护理后出院到住院康复或专业护理机构的儿童被分类为“住院康复”组,急性护理后出院回家的儿童被分类为“非住院康复”组。多变量回归分析确定了社会人口学和临床特征与康复组的关联。接受住院康复治疗的儿童急性住院时间较短。与来自美国的儿童相比,来自英国的儿童接受住院康复治疗的可能性较小。未来的研究有必要通过确定严重 TBI 儿童住院康复治疗机会差异的原因来扩展当前的研究结果。

更新日期:2021-04-19
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