Correlates of Rehabilitation Length of Stay in Asian Traumatic Brain Injury Inpatients in a Superaged Country: A Retrospective Cohort Study
Background: While Asia contributes 44.3% of traumatic brain injuries (TBI) worldwide, data regarding Asian TBI inpatient rehabilitation length of stay (RLOS) is scarce. A retrospective cohort study was conducted to determine correlates of inpatient RLOS (days) and prolonged RLOS >30 days (PRLOS &...
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MDPI AG
2025-07-01
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| author | Karen Sui Geok Chua Zachary Jieyi Cheong Emily Yee Rathi Ratha Krishnan |
| author_facet | Karen Sui Geok Chua Zachary Jieyi Cheong Emily Yee Rathi Ratha Krishnan |
| author_sort | Karen Sui Geok Chua |
| collection | DOAJ |
| description | Background: While Asia contributes 44.3% of traumatic brain injuries (TBI) worldwide, data regarding Asian TBI inpatient rehabilitation length of stay (RLOS) is scarce. A retrospective cohort study was conducted to determine correlates of inpatient RLOS (days) and prolonged RLOS >30 days (PRLOS > 30). (2) Methods: Data extraction of discharged inpatient records was performed from 2018 to 2024. Dependent variables included RLOS (days) and PRLOS > 30. Independent variables included demographic characteristics, TBI severity (emergency-room Glasgow Coma Scale-GCS), admission/discharge Functional Independence Measure (FIM), intra-rehabilitation complications, post-traumatic amnesia (PTA) duration, and discharge placement. (3) Results: Altogether, 289 data sets were analysed, median (IQR) age, 64 (28) years, 78.9% (228/289) males, and 79.6% (230/289) Chinese. Median (IQR) RLOS was 28 (21) days, with PRLOS >30 at 39.8% (115/289); RLOS of 44 (19.5) days. PRLOS > 30 was significantly associated with PTA duration >28 days (OR 4.01, 95% CI 1.90–8.45, <i>p</i> < 0.001), admission FIM ≤ 40/126 (OR 4.71, 95% CI 2.32–9.59, <i>p</i> < 0.001), delayed neurosurgical complications (OR 4.74, 95% CI 1.28–17.6, <i>p</i> = 0.02) and discharge to non-home destination (OR 2.75. 95% CI 1.12–6.76, <i>p</i> = 0.03). (4) Conclusion: PRLOS >30 was significantly associated with longer PTA > 4 weeks, lower admission FIM score, delayed neurosurgical complications, and discharge to a nursing home. |
| format | Article |
| id | doaj-art-61d866dea01c4f1e989448bfac851391 |
| institution | DOAJ |
| issn | 2075-1729 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | MDPI AG |
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| series | Life |
| spelling | doaj-art-61d866dea01c4f1e989448bfac8513912025-08-20T02:45:39ZengMDPI AGLife2075-17292025-07-01157113610.3390/life15071136Correlates of Rehabilitation Length of Stay in Asian Traumatic Brain Injury Inpatients in a Superaged Country: A Retrospective Cohort StudyKaren Sui Geok Chua0Zachary Jieyi Cheong1Emily Yee2Rathi Ratha Krishnan3Institute of Rehabilitation Excellence (IREx), Tan Tock Seng Hospital, Singapore 308433, SingaporeLee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, SingaporeInstitute of Rehabilitation Excellence (IREx), Tan Tock Seng Hospital, Singapore 308433, SingaporeInstitute of Rehabilitation Excellence (IREx), Tan Tock Seng Hospital, Singapore 308433, SingaporeBackground: While Asia contributes 44.3% of traumatic brain injuries (TBI) worldwide, data regarding Asian TBI inpatient rehabilitation length of stay (RLOS) is scarce. A retrospective cohort study was conducted to determine correlates of inpatient RLOS (days) and prolonged RLOS >30 days (PRLOS > 30). (2) Methods: Data extraction of discharged inpatient records was performed from 2018 to 2024. Dependent variables included RLOS (days) and PRLOS > 30. Independent variables included demographic characteristics, TBI severity (emergency-room Glasgow Coma Scale-GCS), admission/discharge Functional Independence Measure (FIM), intra-rehabilitation complications, post-traumatic amnesia (PTA) duration, and discharge placement. (3) Results: Altogether, 289 data sets were analysed, median (IQR) age, 64 (28) years, 78.9% (228/289) males, and 79.6% (230/289) Chinese. Median (IQR) RLOS was 28 (21) days, with PRLOS >30 at 39.8% (115/289); RLOS of 44 (19.5) days. PRLOS > 30 was significantly associated with PTA duration >28 days (OR 4.01, 95% CI 1.90–8.45, <i>p</i> < 0.001), admission FIM ≤ 40/126 (OR 4.71, 95% CI 2.32–9.59, <i>p</i> < 0.001), delayed neurosurgical complications (OR 4.74, 95% CI 1.28–17.6, <i>p</i> = 0.02) and discharge to non-home destination (OR 2.75. 95% CI 1.12–6.76, <i>p</i> = 0.03). (4) Conclusion: PRLOS >30 was significantly associated with longer PTA > 4 weeks, lower admission FIM score, delayed neurosurgical complications, and discharge to a nursing home.https://www.mdpi.com/2075-1729/15/7/1136traumatic brain injuryhead injuryneurotraumarehabilitationlength of staypost-traumatic amnesia |
| spellingShingle | Karen Sui Geok Chua Zachary Jieyi Cheong Emily Yee Rathi Ratha Krishnan Correlates of Rehabilitation Length of Stay in Asian Traumatic Brain Injury Inpatients in a Superaged Country: A Retrospective Cohort Study Life traumatic brain injury head injury neurotrauma rehabilitation length of stay post-traumatic amnesia |
| title | Correlates of Rehabilitation Length of Stay in Asian Traumatic Brain Injury Inpatients in a Superaged Country: A Retrospective Cohort Study |
| title_full | Correlates of Rehabilitation Length of Stay in Asian Traumatic Brain Injury Inpatients in a Superaged Country: A Retrospective Cohort Study |
| title_fullStr | Correlates of Rehabilitation Length of Stay in Asian Traumatic Brain Injury Inpatients in a Superaged Country: A Retrospective Cohort Study |
| title_full_unstemmed | Correlates of Rehabilitation Length of Stay in Asian Traumatic Brain Injury Inpatients in a Superaged Country: A Retrospective Cohort Study |
| title_short | Correlates of Rehabilitation Length of Stay in Asian Traumatic Brain Injury Inpatients in a Superaged Country: A Retrospective Cohort Study |
| title_sort | correlates of rehabilitation length of stay in asian traumatic brain injury inpatients in a superaged country a retrospective cohort study |
| topic | traumatic brain injury head injury neurotrauma rehabilitation length of stay post-traumatic amnesia |
| url | https://www.mdpi.com/2075-1729/15/7/1136 |
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