title: Acute care alternate-level-of-care days due to delayed discharge for traumatic and non-traumatic brain injuries.
abstract: Alternate-level-of-care (ALC) days represent hospital beds that are taken up by patients who would more appropriately be cared for in other settings. ALC days have been found to be costly and may result in worse functional outcomes, reduced motor skills and longer lengths of stay in rehabilitation. This study examines the factors that are associated with acute care ALC days among patients with acquired brain injury (ABI). We used the Discharge Abstract Database to identify patients with ABI using International Classification of Disease-10 codes. From fiscal years 2007/08 to 2009/10, 17.5% of patients with traumatic and 14% of patients with non-traumatic brain injury had at least one ALC day. Significant predictors include having a psychiatric co-morbidity, increasing age and length of stay in acute care. These findings can inform planning for care of people with ABI in a publicly funded healthcare system.
authors: Toronto Rehabilitation Institute, UHN, Toronto, ON.
authors: Chen
authors: C
authors: Amy
authors: Brandon
authors: B
authors: Zagorski
authors: Vincy
authors: V
authors: Chan
authors: Daria
authors: D
authors: Parsons
authors: Rika
authors: R
authors: Vander Laan
authors: Angela
authors: A
authors: Colantonio
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001927:Brain Diseases; D001930:Brain Injuries / Q000453:epidemiology / Q000628:therapy*; D015897:Comorbidity; D005260:Female; D006300:Health Services Misuse; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders; D009864:Ontario; D010351:Patient Discharge / Q000706:statistics & numerical data*; D055815:Young Adult
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