@article{ref1,
title="Characterizing health care utilization following hospitalization for a traumatic  brain injury: a retrospective cohort study",
journal="Brain injury",
year="2020",
author="Eliacin, Johanne and Yang, Ziyi and Kean, Jacob and Dixon, Brian E.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: The purpose of this study was to characterize health services utilization  among individuals hospitalized with a traumatic brain injury (TBI) 1-year  post-injury. <br><br>METHODS: Using a retrospective cohort design, adult patients (n = 32,  042) hospitalized with a traumatic brain injury between 2005 and 2014 were selected  from a statewide traumatic brain injury registry. Data on health services  utilization for 1-year post-injury were extracted from electronic medical and  administrative records. Descriptive statistics and logistic regression were used to  characterize the cohort and a subgroup of superutilizers of health services. <br><br>RESULTS: One year after traumatic brain injury, 56% of participants used emergency  department services, 80% received inpatient services, and 93% utilized outpatient  health services. Superutilizers had ≥3 emergency department visits, ≥3 inpatient  admissions, or ≥26 outpatient visits 1-year post-injury. Twenty-six percent of  participants were superutilizers of emergency department services, 30% of inpatient  services, and 26% of outpatient services. Superutilizers contributed to 81% of  emergency department visits, 70% of inpatient visits, and 60% of outpatient visits. Factors associated with being a superutilizer included sex, race, residence, and  insurance type. <br><br>CONCLUSIONS: Several patient characteristics and demographic factors  influenced patients' healthcare utilization post-TBI. <br><br>FINDINGS provide opportunities  for developing targeted interventions to improve patients' health and traumatic  brain injury-related healthcare delivery.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2020.1861650",
url="http://dx.doi.org/10.1080/02699052.2020.1861650"
}