@article{ref1,
title="Traumatic brain injury and risk of long-term nursing home entry among older adults: an analysis of Medicare administrative claims data",
journal="Journal of neurotrauma",
year="2022",
author="Bailey, M. Doyinsola and Gambert, Steven and Gruber-Baldini, Ann and Guralnik, Jack and Kozar, Rosemary A. and Qato, Danya and Shardell, Michelle and Albrecht, Jennifer S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Traumatic brain injury (TBI) is a leading cause of injury-related disability among older adults and there is increasing interest in post-discharge management as this population grows. We evaluated the association between TBI and long-term nursing home (NH) entry among a nationally representative sample of older adults. We identified 207,355 adults aged ≥ 65 years who were diagnosed with either a TBI, non-TBI trauma, or were uninjured between January 2008 and June 2015 from a 5% sample of Medicare beneficiaries. NH entry was operationalized as the first NH admission that resulted in a stay ≥100 days. Time to NH entry was calculated as the difference between the NH entry date and the index date (the date of TBI, non-TBI trauma, or inpatient/outpatient visit in the uninjured group). We used cause specific Cox proportional hazards models with stabilized inverse probability of exposure weights to model time to NH entry as a function of injury in the presence of death as a competing risk and generated hazard ratios (HR) and 95% confidence intervals (CI). After excluding beneficiaries living in a NH at index, there were 60,600 TBI, 63,762 non-TBI trauma, and 69,893 uninjured beneficiaries in the sample. In weighted models, beneficiaries with TBI entered NHs at higher rates relative to the non-TBI trauma (HR 1.15; 95% CI 1.10, 1.20) and uninjured (HR 1.67; 95% CI 1.60, 1.74) groups. Future research should focus on interventions to retain older adult TBI survivors within the community.<p /> <p>Language: en</p>",
language="en",
issn="0897-7151",
doi="10.1089/neu.2022.0003",
url="http://dx.doi.org/10.1089/neu.2022.0003"
}