Data Mining to Understand How Health Status Preceding Traumatic Brain Injury Affects Functional Outcome: A Population-Based Sex-Stratified Study.
Adult
Age Factors
Aged
Aged, 80 and over
Brain Injuries, Traumatic
/ rehabilitation
Cognition
Comorbidity
Data Mining
/ methods
Female
Health Status
Humans
Inpatients
Male
Middle Aged
Ontario
Patient Discharge
Recovery of Function
Rehabilitation Centers
/ statistics & numerical data
Retrospective Studies
Sex Factors
Trauma Severity Indices
Brain injuries
Comorbidity
Data mining
International Classification of Diseases
Rehabilitation
Journal
Archives of physical medicine and rehabilitation
ISSN: 1532-821X
Titre abrégé: Arch Phys Med Rehabil
Pays: United States
ID NLM: 2985158R
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
05
09
2019
revised:
09
05
2020
accepted:
12
05
2020
pubmed:
17
6
2020
medline:
10
10
2020
entrez:
17
6
2020
Statut:
ppublish
Résumé
To understand how health status preceding traumatic brain injury (TBI) affects relative functional gain after inpatient rehabilitation using a data mining approach. Population-based, sex-stratified, retrospective cohort study using health administrative data from Ontario, Canada (39% of the Canadian population). Inpatient rehabilitation. Patients 14 years or older (N=5802; 63.4% male) admitted to inpatient rehabilitation within 1 year of a TBI-related acute care discharge between April 1, 2008, and March 31, 2015. Not applicable. Relative functional gain (RFG) in percentage, calculated as ([discharge FIM-admission FIM]/[126-admission FIM]×100). Health status prior to TBI was identified and internally validated using a data mining approach that categorized all International Classification of Diseases, 10th revision, codes for each patient. The average RFG was 52.8%±27.6% among male patients and 51.6%±27.1% among female patients. Sex-specific Bonferroni adjusted multivariable linear regressions identified 10 factors of preinjury health status related to neurology, emergency medicine, cardiology, psychiatry, geriatrics, and gastroenterology that were significantly associated with reduced RFG in FIM for male patients. Only 1 preinjury health status category, geriatrics, was significantly associated with RFG in female patients. Comorbid health conditions present up to 5 years preceding the TBI event were significantly associated with RFG. These findings should be considered when planning and executing interventions to maximize functional gain and to support an interdisciplinary approach. Best practices guidelines and clinical interventions for older male and female patients with TBI should be developed given the increasingly aging population with TBI.
Identifiants
pubmed: 32544398
pii: S0003-9993(20)30369-5
doi: 10.1016/j.apmr.2020.05.017
pmc: PMC7483900
mid: NIHMS1603918
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1523-1531Subventions
Organisme : NICHD NIH HHS
ID : R21 HD089106
Pays : United States
Informations de copyright
Copyright © 2020 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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