Research Reports - A profile of patients with traumatic brain injury within home care, long-term care, complex continuing care, and institutional mental health settings in a publicly insured population

J Head Trauma Rehabil. 2015 Nov-Dec;30(6):E18-29. doi:
10.1097/HTR.0000000000000112.

Colantonio A(1), Hsueh J, Petgrave J, Hirdes JP, Berg K.

OBJECTIVE: To describe the sociodemographic and clinical profile of people with
traumatic brain injury (TBI) in home care, nursing homes, and complex continuing
care settings in a national sample.
METHODS: Cross-sectional study using available Resident Assessment Instrument
(RAI 2.0 and RAI Home Care [HC]) national databases in Canada from 1996 to 2011.
The profile of people with TBI was compared with patients with and without
prespecified neurological conditions within each setting.
PARTICIPANTS: Adults 18 years and older identified with TBI (n = 10 878) and
adult patients with other neurological (n = 422 300) and nonneurological (n = 571
567) conditions.
MAIN MEASURES: Demographic and clinical characteristics, functional
characteristics, mood and behavior, and treatment and medication variables. Data
from Canadian home care (RAI-HC), mental health (RAI-MH), nursing home, and
complex continuing care facilities (RAI Minimum Data Set 2.0).
RESULTS: Patients with TBI were significantly different on almost all items. They
were among the youngest in care settings, and psychotropic drug use by this
population was among the highest in at least 2 settings.
CONCLUSION: These data can inform the planning for appropriate care and resources
for patients with TBI in a range of settings. 

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