Predictors of Access to Rehabilitation in the Year Following Traumatic Brain Injury : A European Prospective and Multicenter Study

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http://hdl.handle.net/10138/325175

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CTR-TBI Participants Investigators , Jacob , L , Cogne , M , Tenovuo , O , Azouvi , P , Palotie , A , Piippo-Karjalainen , A , Pirinen , M , Raj , R & Ripatti , S 2020 , ' Predictors of Access to Rehabilitation in the Year Following Traumatic Brain Injury : A European Prospective and Multicenter Study ' , Neurorehabilitation and Neural Repair , vol. 34 , no. 9 , pp. 814-830 . https://doi.org/10.1177/1545968320946038

Title: Predictors of Access to Rehabilitation in the Year Following Traumatic Brain Injury : A European Prospective and Multicenter Study
Author: CTR-TBI Participants Investigators; Jacob, Louis; Cogne, Melanie; Tenovuo, Olli; Azouvi, Philippe; Palotie, Aarno; Piippo-Karjalainen, Anna; Pirinen, Matti; Raj, Rahul; Ripatti, Samuli
Contributor: University of Helsinki, Centre of Excellence in Complex Disease Genetics
University of Helsinki, HUS Neurocenter
University of Helsinki, Centre of Excellence in Complex Disease Genetics
University of Helsinki, Clinicum
University of Helsinki, Institute for Molecular Medicine Finland
Date: 2020-09
Language: eng
Number of pages: 17
Belongs to series: Neurorehabilitation and Neural Repair
ISSN: 1545-9683
URI: http://hdl.handle.net/10138/325175
Abstract: Background Although rehabilitation is beneficial for individuals with traumatic brain injury (TBI), a significant proportion of them do not receive adequate rehabilitation after acute care. Objective Therefore, the goal of this prospective and multicenter study was to investigate predictors of access to rehabilitation in the year following injury in patients with TBI. Methods Data from a large European study (CENTER-TBI), including TBIs of all severities between December 2014 and December 2017 were used (N = 4498 patients). Participants were dichotomized into those who had and those who did not have access to rehabilitation in the year following TBI. Potential predictors included sociodemographic factors, psychoactive substance use, preinjury medical history, injury-related factors, and factors related to medical care, complications, and discharge. Results In the year following traumatic injury, 31.4% of patients received rehabilitation services. Access to rehabilitation was positively and significantly predicted by female sex (odds ratio [OR] = 1.50), increased number of years of education completed (OR = 1.05), living in Northern (OR = 1.62; reference: Western Europe) or Southern Europe (OR = 1.74), lower prehospital Glasgow Coma Scale score (OR = 1.03), higher Injury Severity Score (OR = 1.01), intracranial (OR = 1.33) and extracranial (OR = 1.99) surgery, and extracranial complication (OR = 1.75). On contrast, significant negative predictors were lack of preinjury employment (OR = 0.80), living in Central and Eastern Europe (OR = 0.42), and admission to hospital ward (OR = 0.47; reference: admission to intensive care unit) or direct discharge from emergency room (OR = 0.24). Conclusions Based on these findings, there is an urgent need to implement national and international guidelines and strategies for access to rehabilitation after TBI.
Subject: traumatic brain injury
rehabilitation
predictive factors
international prospective study
Europe
CENTER-TBI
CARE
EPIDEMIOLOGY
MODERATE
HEALTH
MORTALITY
PATHWAYS
RECOVERY
OUTCOMES
IMPACT
3112 Neurosciences
3124 Neurology and psychiatry
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