Age- and Sex-specific Predictors of Inpatient Rehabilitation Facility Discharge Destination for Adult Patients with Traumatic Brain Injury

Overview

Journal Brain Inj

Publisher Informa Healthcare

Specialty Neurology

Date 2021 Sep 20

PMID 34543111

Citations 7

Authors

Tolu O Oyesanya

Gabrielle Harris

Michael P Cary Jr

Lindsey Byom

Qing Yang

Janet Prvu Bettger

Affiliations

Soon will be listed here.

Abstract

Objective: : To determine age- and sex-specific predictors of discharge destination among patients with traumatic brain injury (TBI) receiving inpatient rehabilitation facility (IRF) care.

Design: : Secondary analysis of Uniform Data System for Medical Rehabilitation data.

Methods: : Logistic regression of patients (N = 221,961) age ≥18, TBI diagnosis, admitted to IRF between 2002 and 2018.

Outcome: : Discharge destination (subacute vs. home/community settings).

Results: : Approximately 16% were discharged to subacute vs. 84% home. Younger versus older adults had lower odds of subacute discharge [OR = 0.72; 95% CI: 0.69, 0.76]. Younger females had lower odds of subacute discharge (vs. home) than older females [OR = 0.68; 95% CI: 0.63, 0.74]; younger males had lower odds of subacute discharge (vs. home) than older males [OR = 0.74; 95% CI: 0.70, 0.78]. Younger females versus younger males had lower odds of subacute discharge (vs. home) [OR = 0.83; 95% CI: 0.79, 0.87]. Older females versus older males had lower odds of subacute discharge (vs. home) [OR = 0.93; 95% CI: 0.90, 0.97]. Predictors of discharge destination for age- and sex-stratified groups varied.

Conclusions: : Younger (vs. older) and female (vs. male) patients had lower odds of subacute discharge vs. home.

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