Risk factors for acute care transfer among traumatic brain injury patients
Objective: Acute inpatient traumatic brain injury (TBI) rehabilitation has seen a jump in complexity of medical patient care over the past several years, often necessitating transfer back to an acute care facility. The purpose of this study was to determine the association between selected clinical...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 1997-04, Vol.78 (4), p.350-352 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | Deshpande, Aashish A. Millis, Scott R. Zafonte, Ross D. Hammond, Flora M. Wood, Deborah L. |
| description | Objective: Acute inpatient traumatic brain injury (TBI) rehabilitation has seen a jump in complexity of medical patient care over the past several years, often necessitating transfer back to an acute care facility. The purpose of this study was to determine the association between selected clinical variables and transfer from inpatient rehabilitation to an acute care facility.
Design: A retrospective review of cases from 1992 to 1994.
Setting: A TBI unit in a freestanding rehabilitation hospital.
Patients: Twenty-two patients were identified as having received acute care transfer. This group was compared with 78 patients, admitted in the same interval, who did not require acute care transfer. The variables evaluated included recent surgery, pneumonia, fracture, intracranial blood, tracheostomy use, percutaneous feeding tube use, deep venous thrombosis, focal neurological examination, following simple commands, serum sodium level of < 135mmol/L, serum white blood cell count of > 11,000 cells/μL, and serum hemoglobin level of |
| doi_str_mv | 10.1016/S0003-9993(97)90224-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78963607</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999397902240</els_id><sourcerecordid>78963607</sourcerecordid><originalsourceid>FETCH-LOGICAL-c455t-75a4f3909d1f17535c0ee0f3f7f9480c6ee996d7ec0be416c6c41f924cc6e4713</originalsourceid><addsrcrecordid>eNqFkEtLLDEQRoMo3vHxE4ReiOiiNem8OisR8Ykg-AB3IVNdkXinu8ekW_Dfm3GG2boqqr5TlXAIOWD0lFGmzp4ppbw0xvBjo08MrSpR0g0yYZJXZV2xt00yWSP_yE5KH7lVkrNtsm0YY0JWE3L_FNL_wjsY-pgK38fCwThgAS5iMUTXJY951vbd-6IdWzcEKKbRha4I3ccYv4t5HmE3pD2y5d0s4f6q7pLX66uXy9vy4fHm7vLioQQh5VBq6YTnhpqGeaYll0ARqedeeyNqCgrRGNVoBDpFwRQoEMybSkCOhGZ8lxwt785j_zliGmwbEuBs5jrsx2R1bRRXVGdQLkGIfUoRvZ3H0Lr4bRm1C4f216FdCLJG21-Hlua9g9UD47TFZr21kpbzw1XuEriZz5YgpDVWKcFZXWfsfIlhlvEVMNoEWRRgEyLCYJs-_PGRH5RPjdw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78963607</pqid></control><display><type>article</type><title>Risk factors for acute care transfer among traumatic brain injury patients</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Deshpande, Aashish A. ; Millis, Scott R. ; Zafonte, Ross D. ; Hammond, Flora M. ; Wood, Deborah L.</creator><creatorcontrib>Deshpande, Aashish A. ; Millis, Scott R. ; Zafonte, Ross D. ; Hammond, Flora M. ; Wood, Deborah L.</creatorcontrib><description><![CDATA[Objective: Acute inpatient traumatic brain injury (TBI) rehabilitation has seen a jump in complexity of medical patient care over the past several years, often necessitating transfer back to an acute care facility. The purpose of this study was to determine the association between selected clinical variables and transfer from inpatient rehabilitation to an acute care facility.
Design: A retrospective review of cases from 1992 to 1994.
Setting: A TBI unit in a freestanding rehabilitation hospital.
Patients: Twenty-two patients were identified as having received acute care transfer. This group was compared with 78 patients, admitted in the same interval, who did not require acute care transfer. The variables evaluated included recent surgery, pneumonia, fracture, intracranial blood, tracheostomy use, percutaneous feeding tube use, deep venous thrombosis, focal neurological examination, following simple commands, serum sodium level of < 135mmol/L, serum white blood cell count of > 11,000 cells/μL, and serum hemoglobin level of <10.Og/dL.
Analysis: Chi-square analysis was performed on the association between acute care transfer and the noted variables.
Results: History of pneumonia (
p < .03) and history of recent surgery (
p < .02) were both associated with acute care transfer, and serum hemoglobin of <10.Og/dL had a trend towards association (
p < .10).
Conclusion: Physiatrists caring for the TBI patient may warrant more acute observation of individuals with these parameters to prevent the problems necessitating acute care transfer.]]></description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/S0003-9993(97)90224-0</identifier><identifier>PMID: 9111452</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Brain Injuries - complications ; Brain Injuries - rehabilitation ; Female ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Patient Transfer ; Pneumonia - complications ; Prognosis ; Retrospective Studies ; Risk Factors ; Traumas. Diseases due to physical agents</subject><ispartof>Archives of physical medicine and rehabilitation, 1997-04, Vol.78 (4), p.350-352</ispartof><rights>1997</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-75a4f3909d1f17535c0ee0f3f7f9480c6ee996d7ec0be416c6c41f924cc6e4713</citedby><cites>FETCH-LOGICAL-c455t-75a4f3909d1f17535c0ee0f3f7f9480c6ee996d7ec0be416c6c41f924cc6e4713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999397902240$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2643188$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9111452$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Deshpande, Aashish A.</creatorcontrib><creatorcontrib>Millis, Scott R.</creatorcontrib><creatorcontrib>Zafonte, Ross D.</creatorcontrib><creatorcontrib>Hammond, Flora M.</creatorcontrib><creatorcontrib>Wood, Deborah L.</creatorcontrib><title>Risk factors for acute care transfer among traumatic brain injury patients</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description><![CDATA[Objective: Acute inpatient traumatic brain injury (TBI) rehabilitation has seen a jump in complexity of medical patient care over the past several years, often necessitating transfer back to an acute care facility. The purpose of this study was to determine the association between selected clinical variables and transfer from inpatient rehabilitation to an acute care facility.
Design: A retrospective review of cases from 1992 to 1994.
Setting: A TBI unit in a freestanding rehabilitation hospital.
Patients: Twenty-two patients were identified as having received acute care transfer. This group was compared with 78 patients, admitted in the same interval, who did not require acute care transfer. The variables evaluated included recent surgery, pneumonia, fracture, intracranial blood, tracheostomy use, percutaneous feeding tube use, deep venous thrombosis, focal neurological examination, following simple commands, serum sodium level of < 135mmol/L, serum white blood cell count of > 11,000 cells/μL, and serum hemoglobin level of <10.Og/dL.
Analysis: Chi-square analysis was performed on the association between acute care transfer and the noted variables.
Results: History of pneumonia (
p < .03) and history of recent surgery (
p < .02) were both associated with acute care transfer, and serum hemoglobin of <10.Og/dL had a trend towards association (
p < .10).
Conclusion: Physiatrists caring for the TBI patient may warrant more acute observation of individuals with these parameters to prevent the problems necessitating acute care transfer.]]></description><subject>Biological and medical sciences</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - rehabilitation</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patient Transfer</subject><subject>Pneumonia - complications</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLLDEQRoMo3vHxE4ReiOiiNem8OisR8Ykg-AB3IVNdkXinu8ekW_Dfm3GG2boqqr5TlXAIOWD0lFGmzp4ppbw0xvBjo08MrSpR0g0yYZJXZV2xt00yWSP_yE5KH7lVkrNtsm0YY0JWE3L_FNL_wjsY-pgK38fCwThgAS5iMUTXJY951vbd-6IdWzcEKKbRha4I3ccYv4t5HmE3pD2y5d0s4f6q7pLX66uXy9vy4fHm7vLioQQh5VBq6YTnhpqGeaYll0ARqedeeyNqCgrRGNVoBDpFwRQoEMybSkCOhGZ8lxwt785j_zliGmwbEuBs5jrsx2R1bRRXVGdQLkGIfUoRvZ3H0Lr4bRm1C4f216FdCLJG21-Hlua9g9UD47TFZr21kpbzw1XuEriZz5YgpDVWKcFZXWfsfIlhlvEVMNoEWRRgEyLCYJs-_PGRH5RPjdw</recordid><startdate>19970401</startdate><enddate>19970401</enddate><creator>Deshpande, Aashish A.</creator><creator>Millis, Scott R.</creator><creator>Zafonte, Ross D.</creator><creator>Hammond, Flora M.</creator><creator>Wood, Deborah L.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970401</creationdate><title>Risk factors for acute care transfer among traumatic brain injury patients</title><author>Deshpande, Aashish A. ; Millis, Scott R. ; Zafonte, Ross D. ; Hammond, Flora M. ; Wood, Deborah L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-75a4f3909d1f17535c0ee0f3f7f9480c6ee996d7ec0be416c6c41f924cc6e4713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Biological and medical sciences</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - rehabilitation</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patient Transfer</topic><topic>Pneumonia - complications</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deshpande, Aashish A.</creatorcontrib><creatorcontrib>Millis, Scott R.</creatorcontrib><creatorcontrib>Zafonte, Ross D.</creatorcontrib><creatorcontrib>Hammond, Flora M.</creatorcontrib><creatorcontrib>Wood, Deborah L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deshpande, Aashish A.</au><au>Millis, Scott R.</au><au>Zafonte, Ross D.</au><au>Hammond, Flora M.</au><au>Wood, Deborah L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for acute care transfer among traumatic brain injury patients</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>1997-04-01</date><risdate>1997</risdate><volume>78</volume><issue>4</issue><spage>350</spage><epage>352</epage><pages>350-352</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract><![CDATA[Objective: Acute inpatient traumatic brain injury (TBI) rehabilitation has seen a jump in complexity of medical patient care over the past several years, often necessitating transfer back to an acute care facility. The purpose of this study was to determine the association between selected clinical variables and transfer from inpatient rehabilitation to an acute care facility.
Design: A retrospective review of cases from 1992 to 1994.
Setting: A TBI unit in a freestanding rehabilitation hospital.
Patients: Twenty-two patients were identified as having received acute care transfer. This group was compared with 78 patients, admitted in the same interval, who did not require acute care transfer. The variables evaluated included recent surgery, pneumonia, fracture, intracranial blood, tracheostomy use, percutaneous feeding tube use, deep venous thrombosis, focal neurological examination, following simple commands, serum sodium level of < 135mmol/L, serum white blood cell count of > 11,000 cells/μL, and serum hemoglobin level of <10.Og/dL.
Analysis: Chi-square analysis was performed on the association between acute care transfer and the noted variables.
Results: History of pneumonia (
p < .03) and history of recent surgery (
p < .02) were both associated with acute care transfer, and serum hemoglobin of <10.Og/dL had a trend towards association (
p < .10).
Conclusion: Physiatrists caring for the TBI patient may warrant more acute observation of individuals with these parameters to prevent the problems necessitating acute care transfer.]]></abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9111452</pmid><doi>10.1016/S0003-9993(97)90224-0</doi><tpages>3</tpages></addata></record> |
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| ispartof | Archives of physical medicine and rehabilitation, 1997-04, Vol.78 (4), p.350-352 |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Biological and medical sciences Brain Injuries - complications Brain Injuries - rehabilitation Female Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Patient Transfer Pneumonia - complications Prognosis Retrospective Studies Risk Factors Traumas. Diseases due to physical agents |
| title | Risk factors for acute care transfer among traumatic brain injury patients |
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