Follow-Up Care Adherence After Hospital Discharge in Children With Traumatic Brain Injury

The Journal of Head Trauma Rehabilitation
Alexandra J SpawHenry Xiang

Abstract

To investigate factors associated with follow-up care adherence in children hospitalized because of traumatic brain injury (TBI). An urban level 1 children's hospital trauma registry was queried to identify patients (2-18 years) hospitalized with a TBI in 2013 to 2014. Chart reviewers assessed discharge summaries and follow-up instructions in 4 departments. Three levels of adherence-nonadherence, partial adherence, and full adherence-and their associations with care delivery, patient, and injury factors. In our population, 80% were instructed to follow up within the hospital network. These children were older and had more severe TBIs than those without follow-up instructions and those referred to outside providers. Of the 352 eligible patients, 19.9% were nonadherent, 27.3% were partially adherent, and 52.8% were fully adherent. Those recommended to follow up with more than 1 department had higher odds of partial adherence over nonadherence (adjusted odds ratio [AOR] = 5.8, 95% CI: 1.9-17.9); however, these patients were less likely to be fully adherent (AOR = 0.1; 95% CI: 0.1-0.3). Privately insured patients had a higher AOR of full adherence. Nearly 20% of children hospitalized for TBI never returned for outpatient follow-up ...Continue Reading

References

Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Jun 2, 2000·Brain Injury : [BI]·A I Greenspan, E J MacKenzie
Jun 4, 2002·Pediatrics·Mona L McPhersonLarry S Jefferson
Jul 18, 2002·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·V BarellR Heruti
Nov 3, 2005·Pediatrics·UNKNOWN American Academy of Pediatrics Council on Children with Disabilities
Dec 3, 2005·Pediatrics·Vicki AndersonJeffrey Rosenfeld
Mar 15, 2006·Pediatrics·Beth S SlomineUNKNOWN CHAT Study Group
Aug 2, 2007·The Journal of Head Trauma Rehabilitation·Linda LaatschKatherine Pike Hersey
Feb 7, 2009·Journal of Rehabilitation Medicine·Agnes H P Willemse-van SonGeertrudis A M van den Bos
Jun 16, 2009·Journal of Pediatric Surgery·Thane A BlinmanMichael L Nance
May 28, 2010·Journal of Neurotrauma·Brent E Masel, Douglas S DeWitt
Jul 2, 2010·Psychiatric Services : a Journal of the American Psychiatric Association·Michael GordonDanielle Seigers
Nov 9, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Aaron M Karlin
Jan 20, 2012·Journal of Neuropsychology·Nicolay Chertkoff WalzShari L Wade
Nov 14, 2012·The Journal of Trauma and Acute Care Surgery·Mary Oline AalandThein Hlaing Zhu
Feb 14, 2013·Archives of Physical Medicine and Rehabilitation·John D Corrigan, Flora M Hammond
Jan 21, 2015·Families, Systems & Health : the Journal of Collaborative Family Healthcare·Keeley J PrattAngela L Lamson
Jan 30, 2015·The Journal of Head Trauma Rehabilitation·H Gerry TaylorKeith Owen Yeates

❮ Previous
Next ❯

Citations

Apr 18, 2018·NeuroRehabilitation·Juliet Haarbauer-KrupaTricia Z King
Dec 7, 2018·Current Opinion in Psychiatry·Monica CationsBrian Draper
Sep 1, 2018·The Journal of Head Trauma Rehabilitation·Kimberly LeverHenry Xiang
Mar 19, 2019·Journal of Pediatric Rehabilitation Medicine·Jennifer P LundineAngela Hein Ciccia
Nov 12, 2019·Brain Injury : [BI]·Jennifer P LundineHenry Xiang
Mar 17, 2020·Journal of Pediatric Surgery·Naomi-Liza DenningBarrie S Rich

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.