Neuroanesthesia & neurocritical care
Selecting patients for early interdisciplinary rehabilitation during neurointensive care after moderate to severe traumatic brain injury
Authors' conclusion
Injury severity and need for neurosurgery remain important predictors for receiving EIR, but the importance of age, employment, and comorbidity have changed over time.
Study context
- Population
- Adults with moderate to severe traumatic brain injury (TBI) admitted >72 h to neurointensive care unit, 2005–2020
- Participants
- 1,003 adults
- Exposure
- Early interdisciplinary rehabilitation (EIR) vs standard care: predictors of receiving EIR
- EIRn = 578
- Standard caren = 425reference
- Outcome
- Predictors of receiving EIR (10 selection criteria of injury severity and patient benefit)
Methodological detailsfour time periods 2005–2020, multivariate regression analysis
- Four time periods 2005–2020
- Multivariate regression analysis
Main finding
As reported in the abstract
Predictors of receiving EIR (multivariate regression)
Adjusted odds ratio (95% CI)
Employed
1.99(1.41–2.80)
No/mild comorbidity
3.15(1.72–5.79)
Increasing age
0.97(0.96–0.98)
- Overall predictive ability of the model
- 71%
Observational data: associations, not effects.
Further findings
Change in patient characteristics over time · 2005 to 2020
- Median age and comorbidity increased, employment decreased; selection became less restrictive
Original publication
Selecting patients for early interdisciplinary rehabilitation during neurointensive care after moderate to severe traumatic brain injury. Acta Anaesthesiol Scand. Published 31 May 2023. doi:10.
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