TY - JOUR PY - 2020// TI - Characterizing health care utilization following hospitalization for a traumatic brain injury: a retrospective cohort study JO - Brain injury A1 - Eliacin, Johanne A1 - Yang, Ziyi A1 - Kean, Jacob A1 - Dixon, Brian E. SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.

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.

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.

CONCLUSIONS: Several patient characteristics and demographic factors influenced patients' healthcare utilization post-TBI.

FINDINGS provide opportunities for developing targeted interventions to improve patients' health and traumatic brain injury-related healthcare delivery.

Language: en

LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699052.2020.1861650 ID - ref1 ER -