title: Factors associated with living setting at discharge from inpatient rehabilitation after acquired brain injury in Ontario, Canada.
abstract: OBJECTIVE
  This study examined factors associated with living setting of patients with acquired brain injury at discharge from inpatient rehabilitation.
  
  
  METHODS
  Retrospective cohort design.
  
  
  METHODS
  Cohort of patients first identified in acute care with a diagnostic code of traumatic or non-traumatic brain injury who also subsequently received inpatient rehabilitation in Ontario, Canada for fiscal years 2003/2004 to 2005/2006.
  
  
  METHODS
  Using logistic regression, we examined predisposing, need and enabling factors associated with living settings at discharge from inpatient rehabilitation (home/other versus residential care). Acute care and inpatient rehabilitation data were used.
  
  
  RESULTS
  The majority of patients (83%) were discharged home after inpatient rehabilitation. Among ABI patients, those with longer lengths of stay and patients living alone and in non-home settings at admission were significantly more likely to be living in a residential care setting at discharge. Conversely, patients with higher total function scores from the FIMTM Instrument and those receiving informal support at discharge were significantly less likely to be living in a residential care setting at discharge.
  
  
  CONCLUSIONS
  Our findings suggest that informal support influences service utilization and provide evidence for its importance at discharge with respect to living in the community. Prior living arrangement and functional outcome at discharge significantly predicted discharge destination. Improving physical function and providing needed supports at discharge may be factors important to reduce the demand for residential care facilities.
authors.affiliation: Dept. of Occupational Science and Occupational Therapy, University of Toronto, Canada.
authors.forename: Amy
authors.initials: A
authors.lastname: Chen
authors.forename: Vincy
authors.initials: V
authors.lastname: Chan
authors.forename: Brandon
authors.initials: B
authors.lastname: Zagorski
authors.forename: Daria
authors.initials: D
authors.lastname: Parsons
authors.forename: Angela
authors.initials: A
authors.lastname: Colantonio
mesh_terms: D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000534:rehabilitation*; D015331:Cohort Studies; D005260:Female; D006760:Hospitalization; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D009864:Ontario; D010351:Patient Discharge; D012111:Residence Characteristics; D012189:Retrospective Studies