{"title":"创伤性脑损伤患者康复治疗住院时间的相关因素:回顾性队列研究","authors":"Chin-Hen Chang, Thomas Wasser, Somkiat Hemtasilpa","doi":"10.12786/bn.2025.18.e3","DOIUrl":null,"url":null,"abstract":"<p><p>This retrospective cohort study aimed to identify predictive factors for patients with traumatic brain injury (TBI) requiring short (≤ 14 days) or long (≥ 15 days) rehabilitation length of stays (LOSs).The study was conducted in an acute rehabilitation hospital associated with a community-based tertiary medical center. Patients who were admitted to the acute inpatient rehabilitation unit with TBI between January 2020 and September 2022 were included (n = 197). The mean rehabilitation LOS of the 197 patients was 16.73 ± 9.4 days. A long rehabilitation LOS was associated with a higher rate of urinary tract infection in the rehabilitation facility (p = 0.002), a higher rate of lung infection in the inpatient rehabilitation facility (p = 0.003), unplanned readmission to acute care (p < 0.001), a longer LOS in acute care before admission to rehabilitation (p < 0.001), and a lower Section GG score on admission to rehabilitation (p < 0.001). The logistic regression model revealed having lower Section GG scores on admission to rehabilitation as the only factor predictive of a long rehabilitation LOS (odds ratio, 0.91; p < 0.001). Our study revealed that the Section GG score at admission to inpatient rehabilitation facilities is a predictor of rehabilitation LOS.</p>","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"18 1","pages":"e3"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966006/pdf/","citationCount":"0","resultStr":"{\"title\":\"Factors Associated With Rehabilitation Length of Stay in Patients With Traumatic Brain Injury: A Retrospective Cohort Study.\",\"authors\":\"Chin-Hen Chang, Thomas Wasser, Somkiat Hemtasilpa\",\"doi\":\"10.12786/bn.2025.18.e3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This retrospective cohort study aimed to identify predictive factors for patients with traumatic brain injury (TBI) requiring short (≤ 14 days) or long (≥ 15 days) rehabilitation length of stays (LOSs).The study was conducted in an acute rehabilitation hospital associated with a community-based tertiary medical center. Patients who were admitted to the acute inpatient rehabilitation unit with TBI between January 2020 and September 2022 were included (n = 197). The mean rehabilitation LOS of the 197 patients was 16.73 ± 9.4 days. A long rehabilitation LOS was associated with a higher rate of urinary tract infection in the rehabilitation facility (p = 0.002), a higher rate of lung infection in the inpatient rehabilitation facility (p = 0.003), unplanned readmission to acute care (p < 0.001), a longer LOS in acute care before admission to rehabilitation (p < 0.001), and a lower Section GG score on admission to rehabilitation (p < 0.001). The logistic regression model revealed having lower Section GG scores on admission to rehabilitation as the only factor predictive of a long rehabilitation LOS (odds ratio, 0.91; p < 0.001). Our study revealed that the Section GG score at admission to inpatient rehabilitation facilities is a predictor of rehabilitation LOS.</p>\",\"PeriodicalId\":72442,\"journal\":{\"name\":\"Brain & NeuroRehabilitation\",\"volume\":\"18 1\",\"pages\":\"e3\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966006/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brain & NeuroRehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.12786/bn.2025.18.e3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain & NeuroRehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12786/bn.2025.18.e3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Factors Associated With Rehabilitation Length of Stay in Patients With Traumatic Brain Injury: A Retrospective Cohort Study.
This retrospective cohort study aimed to identify predictive factors for patients with traumatic brain injury (TBI) requiring short (≤ 14 days) or long (≥ 15 days) rehabilitation length of stays (LOSs).The study was conducted in an acute rehabilitation hospital associated with a community-based tertiary medical center. Patients who were admitted to the acute inpatient rehabilitation unit with TBI between January 2020 and September 2022 were included (n = 197). The mean rehabilitation LOS of the 197 patients was 16.73 ± 9.4 days. A long rehabilitation LOS was associated with a higher rate of urinary tract infection in the rehabilitation facility (p = 0.002), a higher rate of lung infection in the inpatient rehabilitation facility (p = 0.003), unplanned readmission to acute care (p < 0.001), a longer LOS in acute care before admission to rehabilitation (p < 0.001), and a lower Section GG score on admission to rehabilitation (p < 0.001). The logistic regression model revealed having lower Section GG scores on admission to rehabilitation as the only factor predictive of a long rehabilitation LOS (odds ratio, 0.91; p < 0.001). Our study revealed that the Section GG score at admission to inpatient rehabilitation facilities is a predictor of rehabilitation LOS.