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REFERRALS TO EARLY SPECIALIZED REHABILITATION AFTER TRAUMATIC BRAIN INJURY DURING THE COVID-19 PANDEMIC

OBJECTIVE: To quantify potential changes in direct referral to early specialized rehabilitation during the COVID-19 pandemic and the injury pattern of patients hospitalized with traumatic brain injury (TBI) at a level 1 trauma centre. METHODS: In this registry-based study, data were retrieved from t...

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Autores principales: TVERDAL, Cathrine, BRUNBORG, Cathrine, HELSETH, Eirik, ANDELIC, Nada, KOCH, Marte, RøE, Cecilie, AARHUS, Mads, HELLSTRøM, Torgeir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Journals Sweden AB 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9554794/
https://www.ncbi.nlm.nih.gov/pubmed/36083786
http://dx.doi.org/10.2340/jrm.v54.2203
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author TVERDAL, Cathrine
BRUNBORG, Cathrine
HELSETH, Eirik
ANDELIC, Nada
KOCH, Marte
RøE, Cecilie
AARHUS, Mads
HELLSTRøM, Torgeir
author_facet TVERDAL, Cathrine
BRUNBORG, Cathrine
HELSETH, Eirik
ANDELIC, Nada
KOCH, Marte
RøE, Cecilie
AARHUS, Mads
HELLSTRøM, Torgeir
author_sort TVERDAL, Cathrine
collection PubMed
description OBJECTIVE: To quantify potential changes in direct referral to early specialized rehabilitation during the COVID-19 pandemic and the injury pattern of patients hospitalized with traumatic brain injury (TBI) at a level 1 trauma centre. METHODS: In this registry-based study, data were retrieved from the Oslo TBI Registry-Neurosurgery and included adult patients with injury-related intracranial findings admitted to Oslo University Hospital (OUH). The study focused on a period of time when OUH was in any level of preparedness because of the COVID-19 pandemic; March 2020 to August 2021. For comparison, the study used patients hospitalized for TBI in 2018 and 2019. RESULTS: A total of 1,310 hospitalized patients with TBI were divided into 2 groups; pre-pandemic and pandemic. Direct referral to early rehabilitation was maintained. Patient volume remained stable, and there were no differences between the groups regarding patient characteristics and acute management, although there was a significantly higher proportion of TBIs secondary to electric scooter accidents in the pandemic group. Results from univariable and multivariable logistic regression showed a multifaceted reality, but younger age, none or mild pre-injury comorbidity and severe disability due to TBI at discharge from acute care remained stable strong predictors of direct referral to rehabilitation. CONCLUSION: For patients with moderate-severe TBI, the direct pathway to early specialized rehabilitation was maintained during 2020–21. However, the pandemic continued and the long-term impact for rehabilitation services is not yet known.
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spelling pubmed-95547942022-10-18 REFERRALS TO EARLY SPECIALIZED REHABILITATION AFTER TRAUMATIC BRAIN INJURY DURING THE COVID-19 PANDEMIC TVERDAL, Cathrine BRUNBORG, Cathrine HELSETH, Eirik ANDELIC, Nada KOCH, Marte RøE, Cecilie AARHUS, Mads HELLSTRøM, Torgeir J Rehabil Med Original Report OBJECTIVE: To quantify potential changes in direct referral to early specialized rehabilitation during the COVID-19 pandemic and the injury pattern of patients hospitalized with traumatic brain injury (TBI) at a level 1 trauma centre. METHODS: In this registry-based study, data were retrieved from the Oslo TBI Registry-Neurosurgery and included adult patients with injury-related intracranial findings admitted to Oslo University Hospital (OUH). The study focused on a period of time when OUH was in any level of preparedness because of the COVID-19 pandemic; March 2020 to August 2021. For comparison, the study used patients hospitalized for TBI in 2018 and 2019. RESULTS: A total of 1,310 hospitalized patients with TBI were divided into 2 groups; pre-pandemic and pandemic. Direct referral to early rehabilitation was maintained. Patient volume remained stable, and there were no differences between the groups regarding patient characteristics and acute management, although there was a significantly higher proportion of TBIs secondary to electric scooter accidents in the pandemic group. Results from univariable and multivariable logistic regression showed a multifaceted reality, but younger age, none or mild pre-injury comorbidity and severe disability due to TBI at discharge from acute care remained stable strong predictors of direct referral to rehabilitation. CONCLUSION: For patients with moderate-severe TBI, the direct pathway to early specialized rehabilitation was maintained during 2020–21. However, the pandemic continued and the long-term impact for rehabilitation services is not yet known. Medical Journals Sweden AB 2022-10-03 /pmc/articles/PMC9554794/ /pubmed/36083786 http://dx.doi.org/10.2340/jrm.v54.2203 Text en © Published by Medical Journals Sweden, on behalf of the Foundation for Rehabilitation Information https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Original Report
TVERDAL, Cathrine
BRUNBORG, Cathrine
HELSETH, Eirik
ANDELIC, Nada
KOCH, Marte
RøE, Cecilie
AARHUS, Mads
HELLSTRøM, Torgeir
REFERRALS TO EARLY SPECIALIZED REHABILITATION AFTER TRAUMATIC BRAIN INJURY DURING THE COVID-19 PANDEMIC
title REFERRALS TO EARLY SPECIALIZED REHABILITATION AFTER TRAUMATIC BRAIN INJURY DURING THE COVID-19 PANDEMIC
title_full REFERRALS TO EARLY SPECIALIZED REHABILITATION AFTER TRAUMATIC BRAIN INJURY DURING THE COVID-19 PANDEMIC
title_fullStr REFERRALS TO EARLY SPECIALIZED REHABILITATION AFTER TRAUMATIC BRAIN INJURY DURING THE COVID-19 PANDEMIC
title_full_unstemmed REFERRALS TO EARLY SPECIALIZED REHABILITATION AFTER TRAUMATIC BRAIN INJURY DURING THE COVID-19 PANDEMIC
title_short REFERRALS TO EARLY SPECIALIZED REHABILITATION AFTER TRAUMATIC BRAIN INJURY DURING THE COVID-19 PANDEMIC
title_sort referrals to early specialized rehabilitation after traumatic brain injury during the covid-19 pandemic
topic Original Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9554794/
https://www.ncbi.nlm.nih.gov/pubmed/36083786
http://dx.doi.org/10.2340/jrm.v54.2203
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