title: Surviving severe traumatic brain injury in Denmark: incidence and predictors of highly specialized rehabilitation.
abstract: OBJECTIVE
  To identify all hospitalized patients surviving severe traumatic brain injury (TBI) in Denmark and to compare these patients to TBI patients admitted to highly specialized rehabilitation (HS-rehabilitation).
  
  
  METHODS
  Patients surviving severe TBI were identified from The Danish National Patient Registry and The Danish Head Trauma Database. Overall incidence rates of surviving severe TBI and incidence rates of admission to HS-rehabilitation after severe TBI were estimated and compared. Patient-related predictors of no admission to HS-rehabilitation among patients surviving severe TBI were identified using multivariable logistic regression.
  
  
  RESULTS
  The average incidence rate of surviving severe TBI was 2.3 per 100,000 person years. Incidence rates of HS-rehabilitation were generally stable around 2.0 per 100,000 person years. Overall, 84% of all patients surviving severe TBI were admitted to HS-rehabilitation. Female sex, older age, and non-working status pre-injury were independent predictors of no HS-rehabilitation among patients surviving severe TBI.
  
  
  CONCLUSIONS
  The incidence rate of hospitalized patients surviving severe TBI was stable in Denmark and the majority of the patients were admitted to HS-rehabilitation. However, potential inequity in access to HS-rehabilitation may still be present despite a health care system based on equal access for all citizens.
authors.affiliation: Hammel Neurorehabilitation Center and University Research Clinic, Aarhus University, Aarhus, Denmark.
authors.forename: Lene
authors.initials: L
authors.lastname: Odgaard
authors.affiliation: Department of Neurorehabilitation, TBI and Research Unit on Brain injury rehabilitation (RUBRIC), Glostrup Hospital, Copenhagen University, Copenhagen, Denmark.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Poulsen
authors.affiliation: Department of Neurorehabilitation, TBI and Research Unit on Brain injury rehabilitation (RUBRIC), Glostrup Hospital, Copenhagen University, Copenhagen, Denmark.
authors.forename: Lars Peter
authors.initials: LP
authors.lastname: Kammersgaard
authors.affiliation: Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Søren Paaske
authors.initials: SP
authors.lastname: Johnsen
authors.affiliation: Hammel Neurorehabilitation Center and University Research Clinic, Aarhus University, Aarhus, Denmark.
authors.forename: Jørgen Feldbæk
authors.initials: JF
authors.lastname: Nielsen
keywords: database; health care disparities; registries; validity
references.citation: Disabil Rehabil. 1992 Jan-Mar;14(1):23-6
references.pmid: 1534029
references.citation: Arch Phys Med Rehabil. 2003 Feb;84(2):151-2
references.pmid: 12601643
references.citation: Brain Inj. 2013;27(7-8):843-9
references.pmid: 23758314
references.citation: Support Care Cancer. 2012 Nov;20(11):2913-24
references.pmid: 22415608
references.citation: Scand J Public Health. 2011 Jul;39(7 Suppl):22-5
references.pmid: 21775345
references.citation: J Chronic Dis. 1987;40(5):373-83
references.pmid: 3558716
references.citation: Am J Phys Med Rehabil. 2004 Oct;83(10):747-52
references.pmid: 15385782
references.citation: Brain Inj. 2003 Apr;17 (4):279-93
references.pmid: 12637181
references.citation: Med Care. 2005 Nov;43(11):1130-9
references.pmid: 16224307
references.citation: J Trauma. 2009 Nov;67(5):950-3
references.pmid: 19901653
references.citation: Cerebrum. 2012 Jul;2012:8
references.pmid: 23447794
references.citation: Neuroepidemiology. 2012;38(4):259-67
references.pmid: 22678449
references.citation: Arch Phys Med Rehabil. 2009 Jan;90(1):17-9
references.pmid: 19154824
references.citation: Accid Anal Prev. 2012 May;46:37-44
references.pmid: 22310041
references.citation: J Neurotrauma. 2011 Feb;28(2):177-87
references.pmid: 21162610
references.citation: Lancet Neurol. 2013 Dec;12(12):1200-10
references.pmid: 24139680
references.citation: J Trauma. 2001 Sep;51(3):481-9
references.pmid: 11535895
references.citation: Acta Oncol. 2013 Feb;52(2):410-22
references.pmid: 23320776
references.citation: Arch Phys Med Rehabil. 1995 Apr;76(4):302-9
references.pmid: 7717829
references.citation: J Epidemiol Community Health. 2004 Aug;58(8):655-8
references.pmid: 15252067
references.citation: J Head Trauma Rehabil. 2010 Mar-Apr;25(2):72-80
references.pmid: 20234226
references.citation: J Head Trauma Rehabil. 2007 Jul-Aug;22(4):221-8
references.pmid: 17667064
references.citation: Acta Neurol Scand Suppl. 1995;164:1-151
references.pmid: 8585391
references.citation: Int J Rehabil Res. 2004 Sep;27(3):171-80
references.pmid: 15319686
references.citation: Scand J Public Health. 2011 Jul;39(7 Suppl):30-3
references.pmid: 21775347
references.citation: J Neurotrauma. 2012 Jan 1;29(1):32-46
references.pmid: 21545277
references.citation: J Neurotrauma. 2011 Apr;28(4):527-34
references.pmid: 21265592