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Access to Rehabilit...
Access to Rehabilitation After Hospitalization for Traumatic Brain Injury : A National Longitudinal Cohort Study in Sweden
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- Klang, Andrea (författare)
- Uppsala universitet,Rehabiliteringsmedicin
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- Molero, Yasmina (författare)
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden,Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
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- Lichtenstein, Paul (författare)
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden,Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
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- Larsson, Henrik, 1975- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Medical Sciences, Örebro University, Örebro, Sweden,Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Örebro Univ, Dept Med Sci, Örebro, Sweden.
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- D'Onofrio, Brian Matthew (författare)
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN, USA,Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Indiana Univ, Dept Psychol & Brain Sci, Bloomington, IN USA.
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- Marklund, Niklas (författare)
- Uppsala universitet,Institutionen för medicinska vetenskaper,Lund Univ, Skane Univ Hosp, Neurosurg, Dept Clin Sci Lund, Lund, Sweden.
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- Oldenburg, Christian (författare)
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden,Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.
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- Rostami, Elham, 1979- (författare)
- Uppsala universitet,Neurokirurgi,Karolinska Inst, Dept Neurosci, Stockholm, Sweden.;Lund Univ, Skane Univ Hosp, Neurosurg, Dept Clin Sci Lund, Lund, Sweden.
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(creator_code:org_t)
- Sage Publications, 2023
- 2023
- Engelska.
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Ingår i: Neurorehabilitation and Neural Repair. - : Sage Publications. - 1545-9683 .- 1552-6844. ; 37:11-12, s. 763-774
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Rehabilitation is suggested to improve outcomes following traumatic brain injury (TBI), however, the extent of access to rehabilitation among TBI patients remains unclear.OBJECTIVE: To examine the level of access to rehabilitation after TBI, and its association with health and sociodemographic factors.METHOD: We conducted a longitudinal cohort study using Swedish nationwide healthcare and sociodemographic registers. We identified 15 880 TBI patients ≥18 years hospitalized ≥3 days from 2008 to 2012 who were stratified into 3 severity groups; grade I (n = 1366; most severe), grade II (n = 5228), and grade III (n = 9268; least severe). We examined registered contacts with specialized rehabilitation or geriatric care (for patients ≥65 years) during the hospital stay, and/or within 1 year post-discharge. We performed a generalized linear model analysis to estimate the risk ratio (RR) for receiving specialized rehabilitation or geriatric care after a TBI based on sociodemographic and health factors.RESULTS: Among TBI patients, 46/35% (grade I), 14/40% (grade II), and 5/18% (grade III) received specialized rehabilitation or geriatric care, respectively. Being currently employed or studying was positively associated (RR 1.7, 2.3), while living outside of a city area was negatively associated (RR 0.36, 0.79) with receiving specialized rehabilitation or geriatric care. Older age and a prior substance use disorder were negatively associated with receiving specialized rehabilitation (RR 0.51 and 0.81).CONCLUSION: Our results suggest insufficient and unequal access to rehabilitation for TBI patients, highlighting the importance of organizing and standardizing post-TBI rehabilitation to meet the needs of patients, regardless of their age, socioeconomic status, or living area.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Brain injury
- brain trauma
- neurorehabilitation
- rehabilitation
- traumatic
- traumatic brain injury
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- art (ämneskategori)
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- Av författaren/redakt...
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Klang, Andrea
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Molero, Yasmina
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Lichtenstein, Pa ...
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Larsson, Henrik, ...
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D'Onofrio, Brian ...
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Marklund, Niklas
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Oldenburg, Chris ...
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Rostami, Elham, ...
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Örebro universitet
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Karolinska Institutet
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