Adult Traumatic Brain Injury and Likelihood of Routine Discharge: Do Comorbidities Matter?

Division

South Atlantic

Hospital

Grand Strand Medical Center

Document Type

Manuscript

Publication Date

8-1-2023

Keywords

Humans, Adult, Patient Discharge, Brain Injuries, Traumatic, Morbidity, Comorbidity, Intracranial Hemorrhages, Retrospective Studies

Disciplines

Emergency Medicine | Nervous System Diseases | Surgery | Trauma

Abstract

The current literature demonstrates an association between both size and presence of traumatic brain injury (TBI) and its effects on mortality, however it does not readily address the morbidity and associated functional outcomes of those who survive. We hypothesize that the likelihood of discharge to home decreases with advancement of age in the presence of TBI. This is a single-center study of Trauma Registry data, inclusive years July 1, 2016 to October 31, 2021. The inclusion criteria was based upon age (≥40 years), and ICD10 diagnosis of a TBI. Disposition to home without services was the dependent variable. 2031 patients were included in the analysis. We hypothesized correctly that the likelihood of discharge to home decreases (by 6%) with advancement of age (per year) in the presence of intracranial hemorrhage.

Publisher or Conference

The American Surgeon

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