Moderate Brain Injured Patients and Predictors of Discharge to Acute Rehabilitation

2.50
Hdl Handle:
http://hdl.handle.net/10755/308262
Category:
Abstract
Type:
Presentation
Title:
Moderate Brain Injured Patients and Predictors of Discharge to Acute Rehabilitation
Author(s):
Rogers, Sandra G.
Lead Author STTI Affiliation:
Epsilon Zeta
Author Details:
Sandra G. Rogers, MBA, BSN, RN, srogersb@gmu.edu
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

BACKGROUND

Traumatic brain injury (TBI) is a leading cause of death and disability in the United States and the world.  The Centers for Disease Control and Prevention (CDC) reported in 2006 that each year at least 1.7 million Americans sustain a TBI with 275,000 of them severe enough to require hospitalization.

 Advancements in emergency medical care have created greater TBI survival rates and resulting in approximately 2% of the U.S. population to be living with a TBI-related disability. The total lifetime costs of TBI, including productivity losses, were estimated at $60.4 billion in the year 2000.

A gap in the literature has been research on the moderate TBI patient.  This group of TBI patients has no definitive treatment guidelines; is not well described or understood; and appropriate discharge disposition remains unclear.  Studies have shown that moderate TBI patients who do not receive rehabilitation are at risk for long-term cognitive, emotional, and functional limitations.

METHODS

The study setting will be a Level 1 trauma center serving the Washington DC area. 

The sample size will be based on a minimum of 10 subjects per predictor for a minimum of 130 subjects between ages of 18-64.

A retrospective, cross-sectional, descriptive design will be used.  Descriptive statistics will be used to describe the demographic, clinical, and financial characteristics of the moderate brain injured patient.  Logistic regression will be utilized to determine the predictors of discharge to acute rehabilitation.

A query using ICD-9 codes for TBI and Glasgow Coma Scale (GCS) of 9 to 12 for patients between ages 18-64 will be pulled from trauma registry.  Medical records of each subject in that group will be reviewed to verify moderate brain injury and to collect remaining variables.

RESULTS

Data will be analyzed using the SPSS™ for Windows statistical package with conclusions to follow.

Keywords:
Rehabilitation; Discharge Disposition; Traumatic brain injury (TBI)
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleModerate Brain Injured Patients and Predictors of Discharge to Acute Rehabilitationen_GB
dc.contributor.authorRogers, Sandra G.en_GB
dc.contributor.departmentEpsilon Zetaen_GB
dc.author.detailsSandra G. Rogers, MBA, BSN, RN, srogersb@gmu.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308262-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b>BACKGROUND</b><p>Traumatic brain injury (TBI) is a leading cause of death and disability in the United States and the world.  The Centers for Disease Control and Prevention (CDC) reported in 2006 that each year at least 1.7 million Americans sustain a TBI with 275,000 of them severe enough to require hospitalization. <p> Advancements in emergency medical care have created greater TBI survival rates and resulting in approximately 2% of the U.S. population to be living with a TBI-related disability. The total lifetime costs of TBI, including productivity losses, were estimated at $60.4 billion in the year 2000. <p>A gap in the literature has been research on the moderate TBI patient.  This group of TBI patients has no definitive treatment guidelines; is not well described or understood; and appropriate discharge disposition remains unclear.  Studies have shown that moderate TBI patients who do not receive rehabilitation are at risk for long-term cognitive, emotional, and functional limitations. <p align="center"><b>METHODS</b><p>The study setting will be a Level 1 trauma center serving the Washington DC area.  <p>The sample size will be based on a minimum of 10 subjects per predictor for a minimum of 130 subjects between ages of 18-64. <p>A retrospective, cross-sectional, descriptive design will be used.  Descriptive statistics will be used to describe the demographic, clinical, and financial characteristics of the moderate brain injured patient.  Logistic regression will be utilized to determine the predictors of discharge to acute rehabilitation. <p>A query using ICD-9 codes for TBI and Glasgow Coma Scale (GCS) of 9 to 12 for patients between ages 18-64 will be pulled from trauma registry.  Medical records of each subject in that group will be reviewed to verify moderate brain injury and to collect remaining variables. <p align="center"><b>RESULTS</b><p>Data will be analyzed using the SPSS™ for Windows statistical package with conclusions to follow.en_GB
dc.subjectRehabilitationen_GB
dc.subjectDischarge Dispositionen_GB
dc.subjectTraumatic brain injury (TBI)en_GB
dc.date.available2013-12-19T17:29:00Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:00Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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