Rehospitalization over 10 Years among Survivors of TBI: A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study

Kristen Dams-O'connor, Dave Mellick, Laura E. Dreer, Flora Hammond, Jeanne Hoffman, Alexandra Landau, Ross Zafonte, Christopher Pretz

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To describe the rates and causes for rehospitalization over 10 years after moderate-severe traumatic brain injury (TBI), and to characterize longitudinal trajectories of the probability of rehospitalization using generalized linear mixed models and individual growth curve models conditioned on factors that help explain individual variability in rehospitalization risk over time. Design: Secondary analysis of data from a multicenter longitudinal cohort study. Setting: Acute inpatient rehabilitation facilities and community follow-up. Participants: Individuals 16 years and older with a primary diagnosis of TBI. Main Outcome Measures: Rehospitalization (and reason for rehospitalization) as reported by participants or proxy during follow-up telephone interviews at 1, 2, 5, and 10 years postinjury. Results: The greatest number of rehospitalizations occurred in the first year postinjury (27.8% of the sample), and the rates of rehospitalization remained largely stable (22.1%-23.4%) at 2, 5, and 10 years. Reasons for rehospitalization varied over time: Orthopedic and reconstructive surgery rehospitalizations were most common in year 1, whereas general health maintenance was most common by year 2 with rates increasing at each follow-up. Longitudinal models indicate that multiple demographic and injury-related factors are associated with the probability of rehospitalization over time. Conclusions: These findings can inform the content and timing of interventions to improve health and longevity after TBI.

Original languageEnglish (US)
Pages (from-to)147-157
Number of pages11
JournalJournal of Head Trauma Rehabilitation
Volume32
Issue number3
DOIs
StatePublished - 2017

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Independent Living
Survivors
Reconstructive Surgical Procedures
Multiple Trauma
Health
Proxy
Orthopedics
Longitudinal Studies
Inpatients
Linear Models
Cohort Studies
Rehabilitation
Demography
Outcome Assessment (Health Care)
Interviews
Growth
Rehabilitation Research
Traumatic Brain Injury

Keywords

  • chronic health
  • longitudinal outcomes
  • rehospitalization
  • traumatic brain injury

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Rehospitalization over 10 Years among Survivors of TBI : A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study. / Dams-O'connor, Kristen; Mellick, Dave; Dreer, Laura E.; Hammond, Flora; Hoffman, Jeanne; Landau, Alexandra; Zafonte, Ross; Pretz, Christopher.

In: Journal of Head Trauma Rehabilitation, Vol. 32, No. 3, 2017, p. 147-157.

Research output: Contribution to journalArticle

Dams-O'connor, Kristen ; Mellick, Dave ; Dreer, Laura E. ; Hammond, Flora ; Hoffman, Jeanne ; Landau, Alexandra ; Zafonte, Ross ; Pretz, Christopher. / Rehospitalization over 10 Years among Survivors of TBI : A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study. In: Journal of Head Trauma Rehabilitation. 2017 ; Vol. 32, No. 3. pp. 147-157.
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