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Titre : | Effects of Age and Sex on Hospital Readmission in Traumatic Brain Injury (2018) |
Auteurs : | Chih-Ying Li ; Amol Karmarkar ; Deepak Adhikari |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 7, 2018) |
Article en page(s) : | p. 1279-1288 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Réadmission du patient ; Rééducation et réadaptation ; Soins de longue durée |
Mots-clés: | Age groups ; Tranches d'âge ; Brain injuries ; Lésions encéphaliques ; Long-term care ; Patient readmission |
Résumé : |
Objective To investigate the effects of age and sex on 30-, 60-, and 90-day hospital readmission after acute hospital discharge for individuals with traumatic brain injury (TBI). Design Retrospective cohort study. Setting Acute hospitals and postacute discharge settings. Participants Individuals (N=52,877) with Diagnosis Related Group codes of TBI, who were divided into 4 age groups: 18 to 40, 41 to 65, 66 to 75, and ≥76 years. Interventions Not applicable. Main Outcome Measures All-cause hospital readmission. Results Sex differences in 30-, 60-, and 90-day hospital readmission were found among all age groups (P<.05 for all the largest sex differences in hospital readmission were oldest groups and both sexes group had highest adjusted risk readmission: odds ratio confidence interval men women among those readmitted within days youngest cumulative percentage first week of discharge.> Conclusions Age and sex were significantly associated with hospital readmission during the first 90 days postdischarge in our TBI sample. Specifically, those aged 66 to 75 or ≥76 years had the highest readmission risk over 90 days for both sexes. The findings suggest that clinicians should consider age and sex in discharge planning and for the entire episode of care for the population with TBI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317314661 |