%0 Journal Article
%T Follow-up care adherence after hospital discharge in children with traumatic brain injury
%J Journal of head trauma rehabilitation
%D 2018
%A Spaw, Alexandra J.
%A Lundine, Jennifer P.
%A Johnson, Sarah A.
%A Peng, Jin
%A Wheeler, Krista K.
%A Shi, Junxin
%A Yang, Ginger
%A Haley, Kathy J.
%A Groner, Jonathan I.
%A Xiang, Henry
%V 33
%N 3
%P E1-E10
%X OBJECTIVE: To investigate factors associated with follow-up care adherence in children hospitalized because of traumatic brain injury (TBI). <br><br>DESIGN: An urban level 1 children's hospital trauma registry was queried to identify patients (2-18 years) hospitalized with a TBI in 2013 to 2014. Chart reviewers assessed discharge summaries and follow-up instructions in 4 departments. MAIN MEASURES: Three levels of adherence-nonadherence, partial adherence, and full adherence-and their associations with care delivery, patient, and injury factors. <br><br>RESULTS: In our population, 80% were instructed to follow up within the hospital network. These children were older and had more severe TBIs than those without follow-up instructions and those referred to outside providers. Of the 352 eligible patients, 19.9% were nonadherent, 27.3% were partially adherent, and 52.8% were fully adherent. Those recommended to follow up with more than 1 department had higher odds of partial adherence over nonadherence (adjusted odds ratio [AOR] = 5.8, 95% CI: 1.9-17.9); however, these patients were less likely to be fully adherent (AOR = 0.1; 95% CI: 0.1-0.3). Privately insured patients had a higher AOR of full adherence. <br><br>CONCLUSIONS: Nearly 20% of children hospitalized for TBI never returned for outpatient follow-up and 27% missed appointments. Care providers need to educate families, coordinate service provision, and promote long-term monitoring.<p /> <p>Language: en</p>
%G en
%I Lippincott Williams and Wilkins
%@ 0885-9701
%U http://dx.doi.org/10.1097/HTR.0000000000000314