Neurologic continuum of care: Evidence-based model of a post-hospital system of care

Frank D. Lewis, Gordon J. Horn

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

BACKGROUND: There is increasing need for a well-organized continuum of post-hospital rehabilitative care to reduce long term disability resulting from acquired brain injury. OBJECTIVE: This study examined the effectiveness of four levels of post-hospital care (active neurorehabilitation, neurobehavioral intensive, day treatment, and supported living) and the functional variables most important to their success. METHODS: Participants were 1276 adults with acquired brain injury who were being treated in one of the four program levels. A Repeated Measures MANOVA was used to evaluate change from admission to discharge on the Mayo Portland Adaptability Inventory-4 T-scores. Regression analyses were used to identify predictors of outcome. RESULTS: Statistical improvement on theMPAI-4was observed at each program level. Self-care and Initiation were the strongest predictors of outcome. CONCLUSION: The results support the effectiveness of a continuum of care for acquired brain injury individuals beyond hospitalization and acute in-hospital rehabilitation. It is particularly noteworthy that reduction in disability was achieved for all levels of programming even with participants whose onset to admission exceeded 7 years post-injury.

Original languageEnglish (US)
Pages (from-to)243-251
Number of pages9
JournalNeuroRehabilitation
Volume36
Issue number3
DOIs
StatePublished - Jul 6 2015

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Continuity of Patient Care
Brain Injuries
Nervous System
Self Care
Hospitalization
Rehabilitation
Regression Analysis
Equipment and Supplies
Wounds and Injuries
Therapeutics

Keywords

  • Brain injury
  • continuum of care
  • neurologic outcomes
  • post-hospital rehabilitation
  • predictors

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Neurologic continuum of care : Evidence-based model of a post-hospital system of care. / Lewis, Frank D.; Horn, Gordon J.

In: NeuroRehabilitation, Vol. 36, No. 3, 06.07.2015, p. 243-251.

Research output: Contribution to journalArticle

Lewis, Frank D. ; Horn, Gordon J. / Neurologic continuum of care : Evidence-based model of a post-hospital system of care. In: NeuroRehabilitation. 2015 ; Vol. 36, No. 3. pp. 243-251.
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