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001-es BibID:BIBFORM107449
035-os BibID:(scopus)85089102230 (wos)000557530500001
Első szerző:Jacob, Louis
Cím:Predictors of Access to Rehabilitation in the Year Following Traumatic Brain Injury : a European Prospective and Multicenter Study / Jacob Louis, Cogné Mélanie, Tenovuo Olli, Re Cecilie, Andelic Nada, Majdan Marek, Ranta Jukka, Ylen Peter, Dawes Helen, Azouvi Philippe, CENTER-TBI Participants and Investigators
Dátum:2020
ISSN:1545-9683
Megjegyzések:Background. Although rehabilitation is beneficial for individuals with traumatic brain injury (TBI), a significant proportion of them do not receive adequate rehabilitation after acute care. Objective. Therefore, the goal of this prospective and multicenter study was to investigate predictors of access to rehabilitation in the year following injury in patients with TBI. Methods. Data from a large European study (CENTER-TBI), including TBIs of all severities between December 2014 and December 2017 were used (N = 4498 patients). Participants were dichotomized into those who had and those who did not have access to rehabilitation in the year following TBI. Potential predictors included sociodemographic factors, psychoactive substance use, preinjury medical history, injury-related factors, and factors related to medical care, complications, and discharge. Results. In the year following traumatic injury, 31.4% of patients received rehabilitation services. Access to rehabilitation was positively and significantly predicted by female sex (odds ratio [OR] = 1.50), increased number of years of education completed (OR = 1.05), living in Northern (OR = 1.62; reference: Western Europe) or Southern Europe (OR = 1.74), lower prehospital Glasgow Coma Scale score (OR = 1.03), higher Injury Severity Score (OR = 1.01), intracranial (OR = 1.33) and extracranial (OR = 1.99) surgery, and extracranial complication (OR = 1.75). On contrast, significant negative predictors were lack of preinjury employment (OR = 0.80), living in Central and Eastern Europe (OR = 0.42), and admission to hospital ward (OR = 0.47; reference: admission to intensive care unit) or direct discharge from emergency room (OR = 0.24). Conclusions. Based on these findings, there is an urgent need to implement national and international guidelines and strategies for access to rehabilitation after TBI.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
traumatic brain injury
rehabilitation
predictive factors
international prospective study
Europe
Megjelenés:Neurorehabilitation And Neural Repair. - 34 : 9 (2020), p. 814-830. -
További szerzők:Cogné, Mélanie Tenovuo, Olli Re, Cecilie Andelic, Nada Majdan, Marek Ranta, Jukka Ylen, Peter Dawes, Helen Azouvi, Philippe Sándor János (1966-) (orvos-epidemiológus) CENTER-TBI Participants and Investigators
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