The Association of Rehospitalization With Participation 5 Years After Traumatic Brain Injury

Kimberly S. Erler, Shannon B Juengst, Gale G. Whiteneck, Joseph J. Locascio, Jennifer A. Bogner, Jamie Kaminski, Joseph T. Giacino

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

OBJECTIVE: To determine whether rehospitalization during the first 2 years after moderate to severe traumatic brain injury (TBI) is associated with poor participation at 5 years post-TBI, after controlling for demographic and severity factors. SETTING: TBI Model Systems Program. PARTICIPANTS: Community-dwelling individuals with TBI, 16 years or older (n = 1940). DESIGN: Retrospective data analysis of a multicenter prospective study. MAIN MEASURES: Participation Assessment with Recombined Tools-Objective (PART-O). RESULTS: After controlling for demographic and severity factors, a general linear model indicated that rehospitalization status (ie, never rehospitalized during years 1 and 2, rehospitalized either during year 1 or 2, or rehospitalized during both years 1 and 2) predicted less participation at 5 years post-TBI (P = .0353). The PART-O scores were in the hypothesized direction, with the lowest covariate-adjusted mean participation score found for the group with rehospitalizations during both years and the highest covariate-adjusted mean participation score found in the group with no rehospitalizations. Examining total number of rehospitalizations during years 1 and 2, rather than rehospitalization status, yielded analogous results (P = .0148). CONCLUSIONS: This study suggests that rehospitalization in the first 2 years after TBI is negatively associated with participation at 5 years after injury. Since participation is considered a key indicator of successful TBI rehabilitation, minimizing the need for rehospitalizations and promoting health in the community setting should be a priority of postacute care for individuals with TBI.

Original languageEnglish (US)
Pages (from-to)E77-E84
JournalThe Journal of head trauma rehabilitation
Volume33
Issue number6
DOIs
StatePublished - Nov 1 2018

Fingerprint

Subacute Care
Demography
Independent Living
Traumatic Brain Injury
Multicenter Studies
Linear Models
Rehabilitation
Prospective Studies
Health
Wounds and Injuries
Direction compound

ASJC Scopus subject areas

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

Cite this

The Association of Rehospitalization With Participation 5 Years After Traumatic Brain Injury. / Erler, Kimberly S.; Juengst, Shannon B; Whiteneck, Gale G.; Locascio, Joseph J.; Bogner, Jennifer A.; Kaminski, Jamie; Giacino, Joseph T.

In: The Journal of head trauma rehabilitation, Vol. 33, No. 6, 01.11.2018, p. E77-E84.

Research output: Contribution to journalArticle

Erler, Kimberly S. ; Juengst, Shannon B ; Whiteneck, Gale G. ; Locascio, Joseph J. ; Bogner, Jennifer A. ; Kaminski, Jamie ; Giacino, Joseph T. / The Association of Rehospitalization With Participation 5 Years After Traumatic Brain Injury. In: The Journal of head trauma rehabilitation. 2018 ; Vol. 33, No. 6. pp. E77-E84.
@article{f46555a2310f42e49627a1c2276ce51d,
title = "The Association of Rehospitalization With Participation 5 Years After Traumatic Brain Injury",
abstract = "OBJECTIVE: To determine whether rehospitalization during the first 2 years after moderate to severe traumatic brain injury (TBI) is associated with poor participation at 5 years post-TBI, after controlling for demographic and severity factors. SETTING: TBI Model Systems Program. PARTICIPANTS: Community-dwelling individuals with TBI, 16 years or older (n = 1940). DESIGN: Retrospective data analysis of a multicenter prospective study. MAIN MEASURES: Participation Assessment with Recombined Tools-Objective (PART-O). RESULTS: After controlling for demographic and severity factors, a general linear model indicated that rehospitalization status (ie, never rehospitalized during years 1 and 2, rehospitalized either during year 1 or 2, or rehospitalized during both years 1 and 2) predicted less participation at 5 years post-TBI (P = .0353). The PART-O scores were in the hypothesized direction, with the lowest covariate-adjusted mean participation score found for the group with rehospitalizations during both years and the highest covariate-adjusted mean participation score found in the group with no rehospitalizations. Examining total number of rehospitalizations during years 1 and 2, rather than rehospitalization status, yielded analogous results (P = .0148). CONCLUSIONS: This study suggests that rehospitalization in the first 2 years after TBI is negatively associated with participation at 5 years after injury. Since participation is considered a key indicator of successful TBI rehabilitation, minimizing the need for rehospitalizations and promoting health in the community setting should be a priority of postacute care for individuals with TBI.",
author = "Erler, {Kimberly S.} and Juengst, {Shannon B} and Whiteneck, {Gale G.} and Locascio, {Joseph J.} and Bogner, {Jennifer A.} and Jamie Kaminski and Giacino, {Joseph T.}",
year = "2018",
month = "11",
day = "1",
doi = "10.1097/HTR.0000000000000386",
language = "English (US)",
volume = "33",
pages = "E77--E84",
journal = "Journal of Head Trauma Rehabilitation",
issn = "0885-9701",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - The Association of Rehospitalization With Participation 5 Years After Traumatic Brain Injury

AU - Erler, Kimberly S.

AU - Juengst, Shannon B

AU - Whiteneck, Gale G.

AU - Locascio, Joseph J.

AU - Bogner, Jennifer A.

AU - Kaminski, Jamie

AU - Giacino, Joseph T.

PY - 2018/11/1

Y1 - 2018/11/1

N2 - OBJECTIVE: To determine whether rehospitalization during the first 2 years after moderate to severe traumatic brain injury (TBI) is associated with poor participation at 5 years post-TBI, after controlling for demographic and severity factors. SETTING: TBI Model Systems Program. PARTICIPANTS: Community-dwelling individuals with TBI, 16 years or older (n = 1940). DESIGN: Retrospective data analysis of a multicenter prospective study. MAIN MEASURES: Participation Assessment with Recombined Tools-Objective (PART-O). RESULTS: After controlling for demographic and severity factors, a general linear model indicated that rehospitalization status (ie, never rehospitalized during years 1 and 2, rehospitalized either during year 1 or 2, or rehospitalized during both years 1 and 2) predicted less participation at 5 years post-TBI (P = .0353). The PART-O scores were in the hypothesized direction, with the lowest covariate-adjusted mean participation score found for the group with rehospitalizations during both years and the highest covariate-adjusted mean participation score found in the group with no rehospitalizations. Examining total number of rehospitalizations during years 1 and 2, rather than rehospitalization status, yielded analogous results (P = .0148). CONCLUSIONS: This study suggests that rehospitalization in the first 2 years after TBI is negatively associated with participation at 5 years after injury. Since participation is considered a key indicator of successful TBI rehabilitation, minimizing the need for rehospitalizations and promoting health in the community setting should be a priority of postacute care for individuals with TBI.

AB - OBJECTIVE: To determine whether rehospitalization during the first 2 years after moderate to severe traumatic brain injury (TBI) is associated with poor participation at 5 years post-TBI, after controlling for demographic and severity factors. SETTING: TBI Model Systems Program. PARTICIPANTS: Community-dwelling individuals with TBI, 16 years or older (n = 1940). DESIGN: Retrospective data analysis of a multicenter prospective study. MAIN MEASURES: Participation Assessment with Recombined Tools-Objective (PART-O). RESULTS: After controlling for demographic and severity factors, a general linear model indicated that rehospitalization status (ie, never rehospitalized during years 1 and 2, rehospitalized either during year 1 or 2, or rehospitalized during both years 1 and 2) predicted less participation at 5 years post-TBI (P = .0353). The PART-O scores were in the hypothesized direction, with the lowest covariate-adjusted mean participation score found for the group with rehospitalizations during both years and the highest covariate-adjusted mean participation score found in the group with no rehospitalizations. Examining total number of rehospitalizations during years 1 and 2, rather than rehospitalization status, yielded analogous results (P = .0148). CONCLUSIONS: This study suggests that rehospitalization in the first 2 years after TBI is negatively associated with participation at 5 years after injury. Since participation is considered a key indicator of successful TBI rehabilitation, minimizing the need for rehospitalizations and promoting health in the community setting should be a priority of postacute care for individuals with TBI.

UR - http://www.scopus.com/inward/record.url?scp=85056274817&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056274817&partnerID=8YFLogxK

U2 - 10.1097/HTR.0000000000000386

DO - 10.1097/HTR.0000000000000386

M3 - Article

C2 - 29601342

AN - SCOPUS:85056274817

VL - 33

SP - E77-E84

JO - Journal of Head Trauma Rehabilitation

JF - Journal of Head Trauma Rehabilitation

SN - 0885-9701

IS - 6

ER -