Format

Send to

Choose Destination
Can J Neurol Sci. 2006 Feb;33(1):48-52.

Discharge destination from acute care after traumatic brain injury.

Author information

1
Graduate Department of Rehabilitation Science, University of Toronto, Toronto, ON, Canada.

Abstract

OBJECTIVE:

To identify the impact of private insurance coverage on discharge disposition after a traumatic brain injury (TBI) using injury in a motor vehicle accident (MVA) as a proxy for private insurance, controlling for age and severity of injury.

METHOD:

Cross-sectional study.

PATIENTS:

Patients with TBI discharged between 1993-1994 and 2000-2001 (n = 9,703).

MAIN OUTCOME MEASURE:

Discharge destination from acute care; controlled odds ratio (OR) and confidence interval (CI) for type of injury.

RESULTS:

Type of injury, age, and length of stay are significantly associated with discharge destination. However, the motor vehicle accident patients are 56% more likely to be discharged to home with support services than patients with similar injuries from falls.

CONCLUSION:

Even in a system with universal coverage, availability of private insurance type is a potential independent determinant of post-acute care services. More research is required to determine the effect this relationship has on the cost and outcomes of care for TBI patients.

PMID:
16583721
DOI:
10.1017/s0317167100004686
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center