Patterns of post-acute health care utilization after a severe traumatic brain injury: Results from the PariS-TBI cohort

Brain Injury : [BI]
Claire JourdanPhilippe Azouvi

Abstract

To assess brain injury services utilization and their determinants using Andersen's model. Prospective follow-up of the PariS-TBI inception cohort. Out of 504 adults with severe traumatic brain injury (TBI), 245 survived and 147 received a 4-year outcome assessment (mean age 33 years, 80% men). Provision rates of medical, rehabilitation, social and re-entry services and their relations to patients' characteristics were assessed. Following acute care discharge, 78% of patients received physiotherapy, 61% speech/cognitive therapy, 50% occupational therapy, 41% psychological assistance, 63% specialized medical follow-up, 21% community re-entry assistance. Health-related need factors, in terms of TBI severity, were the main predictors of services. Provision of each therapy was significantly associated with corresponding speech, motor and psychological impairments. However, care provision did not depend on cognitive impairments and cognitive therapy was related to pre-disposing and geographical factors. Community re-entry assistance was provided to younger and more independent patients. These quantitative findings illustrate strengths and weaknesses of late brain injury care provision in urban France and highlight the need to improv...Continue Reading

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Mar 2, 1999·Journal of the International Neuropsychological Society : JINS·P W BurgessB A Wilson
Nov 1, 2000·The Journal of Head Trauma Rehabilitation·A HodgkinsonA McCluskey
Oct 19, 2001·Journal of Neurology, Neurosurgery, and Psychiatry·S R McCauleyG L Clifton
Aug 6, 2002·Archives of Physical Medicine and Rehabilitation·Allen W HeinemannRita K Bode
Apr 15, 2004·Archives of Physical Medicine and Rehabilitation·Gale WhiteneckKendy Noble
Jul 13, 2004·The Journal of Head Trauma Rehabilitation·John D CorriganDave Mellick
Jul 13, 2004·The Journal of Head Trauma Rehabilitation·V L PhillipsSanna Lehtonen
Sep 30, 2004·Health & Social Work·Goldie Kadushin
Feb 24, 2005·American Journal of Physical Medicine & Rehabilitation·Stephen J VangelKertia L Black
Mar 8, 2005·Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique·S SouryH S Levin
Aug 13, 2005·Disability and Rehabilitation·Grahame SimpsonJoe Hanna
Sep 2, 2006·Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique·C Le GallUNKNOWN et les membres du réseau Aquitaine
Feb 7, 2009·Journal of Rehabilitation Medicine·Agnes H P Willemse-van SonGeertrudis A M van den Bos
Jan 13, 2011·Statistics in Medicine·Ian R WhiteAngela M Wood
Mar 29, 2011·Archives of Physical Medicine and Rehabilitation·Keith D CiceroneTeresa Ashman
Dec 7, 2011·Journal of Neurotrauma·Carol Mary RockhillJesse R Fann
Mar 31, 2012·Neurorehabilitation and Neural Repair·Claire JourdanUNKNOWN Members of the Steering Committee of the PariS-TBI Study
Jun 14, 2012·The Journal of Head Trauma Rehabilitation·Eleonore BayenUNKNOWN Steering Committee of the PariS-TBI study
Oct 4, 2012·Annals of Physical and Rehabilitation Medicine·P Pradat-DiehlJ-M Mazaux
Jun 5, 2013·Brain Injury : [BI]·C JourdanUNKNOWN members of the steering committee of the PariS-TBI study

❮ Previous
Next ❯

Citations

Dec 26, 2015·Annals of Physical and Rehabilitation Medicine·C JourdanP Azouvi
Oct 25, 2016·Injury·Florian Debus The TraumaRegister Dgu
May 19, 2017·The Journal of Head Trauma Rehabilitation·Alexandra J SpawHenry Xiang
Jun 5, 2018·The Journal of Head Trauma Rehabilitation·Sareh ZarshenasNora Cullen
Oct 5, 2017·Journal of Neuroscience Research·Claire Vallat-AzouviPhilippe Azouvi
Aug 9, 2020·Neurorehabilitation and Neural Repair·Louis JacobUNKNOWN CENTER-TBI Participants and Investigators
Aug 9, 2020·Annals of Physical and Rehabilitation Medicine·Alexis RuetPhilippe Azouvi
Apr 4, 2021·Journal of Clinical Medicine·Nada AndelicMarina Zeldovich

❮ 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.