Thirty-day re-admission after traumatic brain injury: Results from MarketScan®

Joseph K. Canner, Katherine Giuliano, Faiz Gani, Eric B. Schneider

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To estimate the national 30-day re-admission rate after traumatic brain injury (TBI) in insured patients under age 65 and to examine factors that predict re-admission. Methods: This study reviewed data on patients hospitalized with a primary diagnosis of TBI in the MarketScan® database from 2010–2012. Patients with substantial concurrent injury to non-head regions were excluded. This study identified all hospitalizations within 30 days after index discharge and compared characteristics of patients who were re-admitted vs those who were not. Results: This study identified 26 831 patients with a primary diagnosis of TBI who survived the index hospitalization. Overall, 6.6% of patients were re-admitted within 30 days. TBI was the most common primary diagnosis for re-admission (28.5%), followed by psychiatric disorders (12.5%). Patients who were older, had a head Abbreviated Injury Score of 3 or more, one or more comorbidities, longer length of stay or who were discharged to an inpatient rehabilitation facility demonstrated greater odds of being re-admitted within 30 days. Conclusions: Factors associated with re-admission after TBI should be considered in discharge planning. Further research is warranted to examine re-admission beyond 30 days and further elucidate causes of re-admission in order to develop strategies to reduce re-admission among patients with TBI.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalBrain Injury
DOIs
StateAccepted/In press - Aug 29 2016

Keywords

  • re-hospitalization
  • rehabilitation
  • Traumatic brain injury

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

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