Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?

Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay of selected TBI patients before and after laun...

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Autores principales:	Sharfuddin Chowdhury, Luke P H Leenen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e49c44db42d641298949e4c358104080
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spelling	oai:doaj.org-article:e49c44db42d641298949e4c3581040802021-12-02T20:18:04ZDoes access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?1932-620310.1371/journal.pone.0256314https://doaj.org/article/e49c44db42d641298949e4c3581040802021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256314https://doaj.org/toc/1932-6203Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay of selected TBI patients before and after launching an acute intensive trauma rehabilitation (AITR) program at King Saud Medical City. It was a retrospective observational before-and-after study of TBI patients who were selected and received AITR between December 2018 and December 2019. Participants' demographics, mechanisms of injury, baseline characteristics, and outcomes were compared with TBI patients who were selected for rehabilitation care in the pre-AITR period between August 2017 and November 2018. A total of 108 and 111 patients were managed before and after the introduction of the AITR program, respectively. In the pre-AITR period, 63 (58.3%) patients were discharged home, compared to 87 (78.4%) patients after AITR (p = 0.001, chi-squared 10.2). The pre-AITR group's time to discharge from hospital was 52.4 (SD 30.4) days, which improved to 38.7 (SD 23.2) days in the AITR (p < 0.001; 95% CI 6.6-20.9) group. The early integration of AITR significantly reduced the percentage of patients referred to another rehabilitation or long-term facility. We also emphasize the importance of physical medicine and rehabilitation (PM&R) specialists as the coordinators of structured, comprehensive, and holistic rehabilitation programs delivered by the multi-professional team working in an interdisciplinary way. The leadership and coordination of the PM&R physicians are likely to be effective, especially for those with severe disabilities after brain injury.Sharfuddin ChowdhuryLuke P H LeenenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0256314 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sharfuddin Chowdhury Luke P H Leenen Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?
description	Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay of selected TBI patients before and after launching an acute intensive trauma rehabilitation (AITR) program at King Saud Medical City. It was a retrospective observational before-and-after study of TBI patients who were selected and received AITR between December 2018 and December 2019. Participants' demographics, mechanisms of injury, baseline characteristics, and outcomes were compared with TBI patients who were selected for rehabilitation care in the pre-AITR period between August 2017 and November 2018. A total of 108 and 111 patients were managed before and after the introduction of the AITR program, respectively. In the pre-AITR period, 63 (58.3%) patients were discharged home, compared to 87 (78.4%) patients after AITR (p = 0.001, chi-squared 10.2). The pre-AITR group's time to discharge from hospital was 52.4 (SD 30.4) days, which improved to 38.7 (SD 23.2) days in the AITR (p < 0.001; 95% CI 6.6-20.9) group. The early integration of AITR significantly reduced the percentage of patients referred to another rehabilitation or long-term facility. We also emphasize the importance of physical medicine and rehabilitation (PM&R) specialists as the coordinators of structured, comprehensive, and holistic rehabilitation programs delivered by the multi-professional team working in an interdisciplinary way. The leadership and coordination of the PM&R physicians are likely to be effective, especially for those with severe disabilities after brain injury.
format	article
author	Sharfuddin Chowdhury Luke P H Leenen
author_facet	Sharfuddin Chowdhury Luke P H Leenen
author_sort	Sharfuddin Chowdhury
title	Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?
title_short	Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?
title_full	Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?
title_fullStr	Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?
title_full_unstemmed	Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?
title_sort	does access to acute intensive trauma rehabilitation (aitr) programs affect the disposition of brain injury patients?
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e49c44db42d641298949e4c358104080
work_keys_str_mv	AT sharfuddinchowdhury doesaccesstoacuteintensivetraumarehabilitationaitrprogramsaffectthedispositionofbraininjurypatients AT lukephleenen doesaccesstoacuteintensivetraumarehabilitationaitrprogramsaffectthedispositionofbraininjurypatients
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Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?

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