@article{ref1,
title="Traumatic brain injury and post-traumatic amnesia: a retrospective review of discharge outcomes",
journal="Brain injury",
year="2017",
author="Divita, Carlo and George, Stacey and Barr, Christopher J.",
volume="31",
number="13-14",
pages="1840-1845",
abstract="PRIMARY OBJECTIVE: To investigate if patients with traumatic brain injury, who are discharged to the community before emergence from post-traumatic amnesia (PTA), experience more adverse outcomes than those discharged after emergence from PTA. RESEARCH DESIGN: A retrospective review of previously collected data and medical records. <br><br>METHODS AND PROCEDURES: Occurrences of adverse events including hospital readmissions, disengagement from follow-up services, non-compliance with discharge precautions, support system breakdown or undue carer strain at the post-discharge clinic review were recorded. The Glasgow Outcome Scale - Extended (GOS-E) and Supervision Rating Scale (SRS) were completed, retrospectively. Twenty-seven patients discharged to the community, prior to emergence from PTA, were compared to 20 patients discharged within seven days of emergence from PTA. MAIN OUTCOMES AND RESULTS: Patients discharged prior to emergence from PTA did not experience an increase in adverse outcomes and showed a higher level of engagement in follow-up services (p = 0.015). There was no difference between groups in the improvements from discharge to clinic review on the GOS-E (p = 0.113) and SRS (p = 0.165). <br><br>CONCLUSIONS: Patients can be discharged prior to emergence from PTA, if all other discharge criteria have been met, without an increase in adverse outcomes.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2017.1346288",
url="http://dx.doi.org/10.1080/02699052.2017.1346288"
}