Brain injury rehabilitation after road trauma in new South Wales, Australia – insights from a data linkage study

نویسندگان

  • Jane Wu
  • Steven G Faux
  • Christopher J Poulos
  • Ian Harris
چکیده

BACKGROUND Population-based patterns of care studies are important for trauma care but conducting them is expensive and resource-intensive. Linkage of routinely collected administrative health data may provide an efficient alternative. The aims of this study are to describe the rehabilitation pathway for trauma survivors and to analyse the brain injury rehabilitation outcomes in the two care settings (specialist brain injury and non-specialist general rehabilitation units). METHODS This is an observational study using routinely collected registry data (New South Wales Trauma Registry linked with the Australasian Rehabilitation Outcomes Centre Inpatient Dataset). The study cohort includes 268 road trauma patients who were admitted to trauma services between 2009 and 2012 and received inpatient rehabilitation because of a brain injury. RESULTS Of those who need inpatient rehabilitation, 62% (n = 166) were admitted to specialist units with the remainder (n = 102) admitted to non-specialist units. Those admitted to a specialist units were younger (p < 0.001), had a lower cognitive FIM score (p = 0.003) on admission than those admitted to non-specialist units. Specialist units achieved better overall FIM score improvements from admission to discharge (43 vs 30 points, p > 0.001) but at a cost of longer length of stay (median 47 vs 24 days, p < 0.001). There were very few discharges to residential aged care facilities from rehabilitation (2% in non-specialist units and none from specialist units). There was a long time lag between trauma and admission to inpatient rehabilitation with only a quarter of the patients admitted to a specialist unit by end of week four. Few older patients (19%) with brain injury were admitted to specialist units. CONCLUSIONS It is feasible to use routinely collected registry data to monitor inpatient rehabilitation outcomes of trauma care. There were differences in characteristics and outcomes of patients with traumatic brain injury admitted to specialist units compared with non-specialist units.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A discussion of the potential benefits to injury surveillance through inclusion of date of injury in hospitalisation data in New South Wales and Australia.

Most hospitalised injury cases have sudden onset at a specific time and date, due to a well-defined external cause (eg, a road crash). Date of injury is not presently recorded in routine hospital separations data in NSW or Australia, though it is in New Zealand. Benefits of adding date of injury to the Inpatient Statistics Collection would include: more accurate estimation of the population inc...

متن کامل

Acceptance and Commitment Therapy delivered in a dyad after a severe traumatic brain injury: A feasibility study: Feasibility of ACT after severe TBI

a severe traumatic brain injury: A feasibility study Diane L. WHITING, Frank P. DEANE, Grahame K. SIMPSON, Joseph CIARROCHI and Hamish J. MCLEOD Brain Injury Rehabilitation Research Group, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, School of Psychology, University of Wollongong, Wollongong, New South Wales, John Walsh Centre for Rehabilitation Research, University...

متن کامل

Off-road vehicle trauma in children: a New South Wales perspective.

OBJECTIVE There is paucity of data on off-road vehicle injuries in children in Australia. We performed a retrospective study from 1998 to 2003 to analyze the frequency and nature of injuries in children involved in off-road vehicle crashes in the state of New South Wales. METHODS Medical records were identified from search of the trauma database and hospital medical records database for off-r...

متن کامل

Can SNOMED CT as implemented in New South Wales, Australia be used for road trauma injury surveillance in emergency departments?

The introduction of Systematized Nomenclature of Medicine - Clinical Terms (SNOMED CT) for diagnosis coding in emergency departments (EDs) in New South Wales (NSW) has implications for injury surveillance abilities. This study aimed to assess the consequences of its introduction, as implemented as part of the ED information system in NSW, for identifying road trauma-related injuries in EDs. It ...

متن کامل

Examination of narratives from emergency department presentations to identify road trauma, crash and injury risk factors for different age groups.

BACKGROUND Road trauma represents a high proportion of injury-related emergency department presentations. Narrative text recorded in the emergency department could provide useful information to monitor road trauma and to identify crash and injury risk factors by age group. OBJECTIVE To examine the Public Health Real-time Emergency Department Surveillance System (PHREDSS) to identify road user...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 18  شماره 

صفحات  -

تاریخ انتشار 2018