TY  - JOUR
PY  - 2017//
TI  - Traumatic brain injury and post-traumatic amnesia: a retrospective review of discharge outcomes
JO  - Brain injury
A1  - Divita, Carlo
A1  - George, Stacey
A1  - Barr, Christopher J.
SP  - 1840
EP  - 1845
VL  - 31
IS  - 13-14
N2  - 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>
LA  - en
SN  - 0269-9052
UR  - http://dx.doi.org/10.1080/02699052.2017.1346288
ID  - ref1
ER  -