title: Factors associated with the occurrence of sentinel events during transition from hospital to home for individuals with traumatic brain injury.
abstract: OBJECTIVE
  To describe the timing and factors associated with the occurrence of sentinel events (financial strain, difficulty accessing therapy, return to work, accommodation change and independent transport use) during transition to the community for individuals with traumatic brain injury.
  
  
  METHODS
  Longitudinal cohort design with data collected pre discharge and at 1, 3 and 6-month follow-ups.
  
  
  METHODS
  Individuals with moderate to severe traumatic brain injury (n = 127), discharged home from acute care and inpatient rehabilitation.
  
  
  METHODS
  Data were collected using self-report questionnaires (sentinel events questionnaire, Mayo Portland Adaptability Inventory-4, Sydney Psychosocial Reintegration Scale, Depression Anxiety Stress Scale). Logistic regression was used to identify factors associated with sentinel events.
  
  
  RESULTS
  The most commonly reported events were independent transport use and return to work, reported on 104 and 90 occasions, respectively. A longer hospital stay and poorer community integration were related to negative events (e.g. reduced therapy). The inverse relationship was seen for positive events. Links existed between sentinel events (e.g. previous financial strain increased the likelihood of this event in transition).
  
  
  CONCLUSIONS
  This paper highlights the interplay between personal and environmental factors and life events in shaping transition experiences. Individualised service planning and monitoring of sentinel events is important to promote successful community transition.
authors.affiliation: The University of Queensland, School of Health and Rehabilitation Sciences, Centre for Functioning and Health Research, Buranda, Queensland, Australia. e.nalder@uq.edu.au
authors.forename: Emily
authors.initials: E
authors.lastname: Nalder
authors.forename: Jennifer
authors.initials: J
authors.lastname: Fleming
authors.forename: Petrea
authors.initials: P
authors.lastname: Cornwell
authors.forename: Michele
authors.initials: M
authors.lastname: Foster
authors.forename: Terry
authors.initials: T
authors.lastname: Haines
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D001007:Anxiety / Q000523:psychology; D001930:Brain Injuries / Q000523:psychology / Q000534:rehabilitation*; D062309:Community Integration; D003863:Depression / Q000523:psychology; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D010351:Patient Discharge; D011569:Psychiatric Status Rating Scales; D062707:Return to Work; D011795:Surveys and Questionnaires