Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Rehospitalization, Participation 5 Years Post-TBI

J Head Trauma Rehab; ePub 2018 Mar 29; Erler, et al

Rehospitalization in the first 2 years after traumatic brain injury (TBI) is negatively associated with participation at 5 years after injury, a recent study found. Since participation is considered a key indicator of successful TBI rehabilitation, minimizing the need for rehospitalizations and promoting health in the community setting should be a priority of post-acute care for individuals with TBI. Researchers conducted a retrospective data analysis of 1,940 community-dwelling individuals with TBI, aged ≥16 years, utilizing Participation Assessment with recombined Tools-Objective (PART-O). They found:

  • After controlling for demographic and severity factors, a general linear model indicated that rehospitalization status (ie, never rehospitalized during years 1 and 2, rehospitalized either during year 1 or 2, or rehospitalized during both years 1 and 2) predicted less participation at 5 years post-TBI.
  • The PART-O scores were in the hypothesized direction, with the lowest covariate-adjusted mean participation score found for the group with rehospitalizations during both years and the highest covariate-adjusted mean participation score found in the group with no rehospitalizations.

Erler KS, Juengst SB, Whiteneck GG, et al. The association of rehospitalization with participation 5 years after traumatic brain injury. [Published online ahead of print March 29, 2018]. J Head Trauma Rehab. doi:10.1097/HTR.0000000000000386.

This Week's Must Reads

Guidelines for Cognitive Screening, Management of MS, Mult Scler; ePub 2018 Oct 10; Kalb, Beier, et al

Age a Critical Determent in MS Relapse Recovery, Mult Scler; ePub 2018 Oct 10; Conway, et al

Is Contrast MR Imaging Necessary for All Patients?, Am J Neuroradiol; ePub 2018 Oct 4; Mattay, et al

Link Between Physiological and Perceived Fall Risk, Arch Phys Med Rehab; 2018 Oct; Gunn, et al

Muscle Strength Key in Determining Gait Speed in MS, Mult Scler Relat Disord; ePub 2018 Oct 9; Yang, et al

Must Reads in Traumatic Brain Injury

GFAP: Marker of Brain Injury in Acute Mild TBI , Neurology; ePub 2018 Sept 12; Gill, Latour, et al

Deployment-Related TBI and Back Pain in Veterans, J Pain; ePub 2018 Aug 30; Suri, Stolzmann, et al

Poor Sleep Linked to Slow Recovery from TBI, Sleep; ePub 2018 Jul 24; Kalmbach, Conroy, et al

Psychiatric Risk Factors for Recurrent Neurotrauma, Brain Inj; ePub 2018 Jun 18; Hayward, Fessler, et al

TBI Linked with 2-fold Increase Risk of Dementia, JAMA Neurology; ePub 2018 May 7; Barnes, et al