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Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?
Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay of selected TBI patients before and after laun...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8366995/ https://www.ncbi.nlm.nih.gov/pubmed/34398906 http://dx.doi.org/10.1371/journal.pone.0256314 |
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author | Chowdhury, Sharfuddin Leenen, Luke P. H. |
author_facet | Chowdhury, Sharfuddin Leenen, Luke P. H. |
author_sort | Chowdhury, Sharfuddin |
collection | PubMed |
description | Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay of selected TBI patients before and after launching an acute intensive trauma rehabilitation (AITR) program at King Saud Medical City. It was a retrospective observational before-and-after study of TBI patients who were selected and received AITR between December 2018 and December 2019. Participants’ demographics, mechanisms of injury, baseline characteristics, and outcomes were compared with TBI patients who were selected for rehabilitation care in the pre-AITR period between August 2017 and November 2018. A total of 108 and 111 patients were managed before and after the introduction of the AITR program, respectively. In the pre-AITR period, 63 (58.3%) patients were discharged home, compared to 87 (78.4%) patients after AITR (p = 0.001, chi-squared 10.2). The pre-AITR group’s time to discharge from hospital was 52.4 (SD 30.4) days, which improved to 38.7 (SD 23.2) days in the AITR (p < 0.001; 95% CI 6.6–20.9) group. The early integration of AITR significantly reduced the percentage of patients referred to another rehabilitation or long-term facility. We also emphasize the importance of physical medicine and rehabilitation (PM&R) specialists as the coordinators of structured, comprehensive, and holistic rehabilitation programs delivered by the multi-professional team working in an interdisciplinary way. The leadership and coordination of the PM&R physicians are likely to be effective, especially for those with severe disabilities after brain injury. |
format | Online Article Text |
id | pubmed-8366995 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-83669952021-08-17 Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients? Chowdhury, Sharfuddin Leenen, Luke P. H. PLoS One Research Article Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay of selected TBI patients before and after launching an acute intensive trauma rehabilitation (AITR) program at King Saud Medical City. It was a retrospective observational before-and-after study of TBI patients who were selected and received AITR between December 2018 and December 2019. Participants’ demographics, mechanisms of injury, baseline characteristics, and outcomes were compared with TBI patients who were selected for rehabilitation care in the pre-AITR period between August 2017 and November 2018. A total of 108 and 111 patients were managed before and after the introduction of the AITR program, respectively. In the pre-AITR period, 63 (58.3%) patients were discharged home, compared to 87 (78.4%) patients after AITR (p = 0.001, chi-squared 10.2). The pre-AITR group’s time to discharge from hospital was 52.4 (SD 30.4) days, which improved to 38.7 (SD 23.2) days in the AITR (p < 0.001; 95% CI 6.6–20.9) group. The early integration of AITR significantly reduced the percentage of patients referred to another rehabilitation or long-term facility. We also emphasize the importance of physical medicine and rehabilitation (PM&R) specialists as the coordinators of structured, comprehensive, and holistic rehabilitation programs delivered by the multi-professional team working in an interdisciplinary way. The leadership and coordination of the PM&R physicians are likely to be effective, especially for those with severe disabilities after brain injury. Public Library of Science 2021-08-16 /pmc/articles/PMC8366995/ /pubmed/34398906 http://dx.doi.org/10.1371/journal.pone.0256314 Text en © 2021 Chowdhury, Leenen https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Chowdhury, Sharfuddin Leenen, Luke P. H. Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients? |
title | Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients? |
title_full | Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients? |
title_fullStr | Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients? |
title_full_unstemmed | Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients? |
title_short | Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients? |
title_sort | does access to acute intensive trauma rehabilitation (aitr) programs affect the disposition of brain injury patients? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8366995/ https://www.ncbi.nlm.nih.gov/pubmed/34398906 http://dx.doi.org/10.1371/journal.pone.0256314 |
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