Met and unmet rehabilitative needs among pediatric patients with moderate to severe TBI. (24th August 2021)

• Record Type: Journal Article
• Authors: Brenner, Lisa A.; Grassmeyer, Riley P.; Biffl, Susan; Kinney, Adam R.; Dise-Lewis, Jeanne E.; Betthauser, Lisa M.; Forster, Jeri E.
• Is Part Of: Brain injury. Volume 35:Number 10(2021)
• Page Start: 1162
• Page End: 1167
• Publication Date: 2021-08-24
• Subjects: Traumatic brain injury -- pediatric rehabilitation -- health services research -- rehabilitation; Brain damage -- Periodicals; Brain -- Wounds and injuries -- Periodicals; Brain Injuries -- Periodicals; 617.481
• DOI: 10.1080/02699052.2021.1953146
• Languages: English
• ISSNs: 0269-9052

Abstract

ABSTRACT: Objective: Estimate the probability of met and unmet post-acute rehabilitative needs among pediatric patients with moderate to severe traumatic brain injury (TBI). Participants: One hundred and thirty children who received acute and post-acute rehabilitative services at a hospital for children. Methods: Prospective, observational study. Recommended service needs (1. Medical, 2. Psychological, 3. Cognitive/Educational, 4. Medically Based Therapies, 5. Community/Caregiver/Family Support) were collected at discharge and 1, 6, 12, and 18 months post-injury. Probabilities were estimated using nonlinear logistic regression models. The impact of age at discharge was also assessed. Results: Over time, the estimated probability of need for Medical, Medically Based Therapies, and Cognitive/Educational services were consistently high. Whereas unmet need for Medical and Medically Based Therapies were low, unmet need for Cognitive/Educational services were relatively high. Need for Psychological and Community/Caregiver/Family Support services increased in the months post-discharge, as did the probability of unmet need. Older age at discharge was associated with need for Psychological and Community/Caregiver Family Support services. Conclusions: Findings support the long-term monitoring of need for Psychological and Community/Caregiver/Family Support services among children with moderate to severe TBI. Future research to explore the etiology of unmet needs is warranted.