Challenges and approaches to the identification of traumatic brain injury among nursing home residents.
The Minimum Data Set (MDS) is a standardized, federally mandated assessment tool used to identify the needs of nursing home residents and rehabilitation and nursing services received on a routine basis. These data can be used to identify people with traumatic brain injury (TBI), where a diagnosis is recorded. However, both limitations of the MDS and the presence of other neurological issues that can be confused with TBI can reduce the likelihood that brain injury is identified where it exists. The article discusses innovative methodological approaches and challenges to using the MDS data to identify people with TBI in nursing homes.
Karon
Sarita L
SL
Center for Health Systems Research, University of Wisconsin, Madison, USA.
Lazarus
Jo-Anne C
JA
Holman
Laurie
L
D000203:Activities of Daily Living; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000175:diagnosis* / Q000453:epidemiology*; D003072:Cognition Disorders / Q000453:epidemiology; D003625:Data Collection / Q000379:methods; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D008569:Memory Disorders / Q000453:epidemiology; D008875:Middle Aged; D009735:Nursing Homes; D017678:Sex Distribution