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Predictors of Acces...
Predictors of Access to Rehabilitation in the Year Following Traumatic Brain Injury : A European Prospective and Multicenter Study
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- Jacob, Louis (författare)
- University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France; Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, Barcelona, Spain
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- Cogné, Mélanie (författare)
- University Hospital of Rennes, Rennes, Bretagne, France
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- Tenovuo, Olli (författare)
- Turku University Hospital, Turku, Finland; University of Turku, Turku, Finland
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- Røe, Cecilie (författare)
- Oslo University Hospital, Oslo, Norway; University of Oslo, Oslo, Norway
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- Andelic, Nada (författare)
- Oslo University Hospital, Oslo, Norway; University of Oslo, Oslo, Norway
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- Majdan, Marek (författare)
- Institute for Global Health and Epidemiology, Department of Public Health, Trnava University, Trnava, Slovakia
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- Ranta, Jukka (författare)
- VTT Technical Research Centre of Finland Ltd, Espoo, Uusimaa, Finland
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- Ylen, Peter (författare)
- VTT Technical Research Centre of Finland Ltd, Espoo, Uusimaa, Finland
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- Dawes, Helen (författare)
- Oxford Brookes University, Oxford, UK
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- Azouvi, Philippe (författare)
- Raymond Poincaré Hospital, AP-HP, Garches, France. 12 Université Paris-Saclay, UVSQ, Versailles, France
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- Brorsson, Camilla (bidragsgivare)
- Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap
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- Koskinen, Lars-Owe D., Professor, 1955- (bidragsgivare)
- Umeå universitet,Neurovetenskaper
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- Sundström, Nina (bidragsgivare)
- Umeå universitet,Institutionen för strålningsvetenskaper
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- Oresic, Matej, 1967- (bidragsgivare)
- Örebro universitet,Institutionen för medicinska vetenskaper
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University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France; Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr Antoni Pujadas, Barcelona, Spain University Hospital of Rennes, Rennes, Bretagne, France (creator_code:org_t)
- 2020-08-07
- 2020
- Engelska.
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Ingår i: Neurorehabilitation and Neural Repair. - : Sage Publications. - 1545-9683 .- 1552-6844. ; 34:9, s. 814-830
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: Although rehabilitation is beneficial for individuals with traumatic brain injury (TBI), a significant proportion of them do not receive adequate rehabilitation after acute care.Objective: Therefore, the goal of this prospective and multicenter study was to investigate predictors of access to rehabilitation in the year following injury in patients with TBI.Methods: Data from a large European study (CENTER-TBI), including TBIs of all severities between December 2014 and December 2017 were used (N = 4498 patients). Participants were dichotomized into those who had and those who did not have access to rehabilitation in the year following TBI. Potential predictors included sociodemographic factors, psychoactive substance use, preinjury medical history, injury-related factors, and factors related to medical care, complications, and discharge.Results: In the year following traumatic injury, 31.4% of patients received rehabilitation services. Access to rehabilitation was positively and significantly predicted by female sex (odds ratio [OR] = 1.50), increased number of years of education completed (OR = 1.05), living in Northern (OR = 1.62; reference: Western Europe) or Southern Europe (OR = 1.74), lower prehospital Glasgow Coma Scale score (OR = 1.03), higher Injury Severity Score (OR = 1.01), intracranial (OR = 1.33) and extracranial (OR = 1.99) surgery, and extracranial complication (OR = 1.75). On contrast, significant negative predictors were lack of preinjury employment (OR = 0.80), living in Central and Eastern Europe (OR = 0.42), and admission to hospital ward (OR = 0.47; reference: admission to intensive care unit) or direct discharge from emergency room (OR = 0.24).Conclusions: Based on these findings, there is an urgent need to implement national and international guidelines and strategies for access to rehabilitation after TBI.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- traumatic brain injury
- rehabilitation
- predictive factors
- international prospective study
- Europe
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Jacob, Louis
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Cogné, Mélanie
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Tenovuo, Olli
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Røe, Cecilie
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Andelic, Nada
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Majdan, Marek
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Ranta, Jukka
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Ylen, Peter
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Dawes, Helen
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Azouvi, Philippe
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Brorsson, Camill ...
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Koskinen, Lars-O ...
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Sundström, Nina
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Oresic, Matej, 1 ...
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