title: Comparing the Injury Profile, Service Use, Outcomes, and Comorbidities of People With Severe TBI Across Urban, Regional, and Remote Populations in New South Wales: A Multicentre Study.
abstract: OBJECTIVE
  To compare the demographic/injury profile, outcomes, service utilization, and unmet service needs of individuals with severe traumatic brain injury across urban, regional, and remote areas of New South Wales.
  
  
  METHODS
  The 11 community-based rehabilitation teams of the New South Wales Brain Injury Rehabilitation Program.
  
  
  METHODS
  Active clients (N = 503) with severe traumatic brain injury.
  
  
  METHODS
  A prospective cross-sectional multicenter study.
  
  
  METHODS
  Overt Behaviour Scale, Health of the Nation Outcome Scale-Acquired Brain Injury, Disability Rating Scale, Sydney Psychosocial Reintegration Scale-2, Care and Needs Scale, data protocol on service utilization, and unmet needs.
  
  
  RESULTS
  There were no differences in injury severity or functional outcomes across the 3 locations. However, clients in regional and remote areas had significantly higher levels of premorbid and postinjury comorbidities and lower levels of participation in comparison to urban clients. Although accessing the same number of services as their urban counterparts, clients in regional and remote areas had significantly higher levels of unmet needs suggesting problems with under-servicing.
  
  
  CONCLUSIONS
  Geographical location had a significant impact on service access and outcomes.
authors.affiliation: Liverpool Brain Injury Rehabilitation Unit, Liverpool Hospital, Sydney, Australia (Dr Simpson and Dr Hodgkinson); John Walsh Centre for Rehabilitation Research, Sydney School of Medicine, University of Sydney, Sydney, Australia (Dr Simpson); Brain Injury Rehabilitation Research Group, Ingham Institute for Applied Medical Research, Sydney, Australia (Dr Simpson and Ms Daher); and Agency for Clinical Innovation, Sydney Australia (Ms Strettles).
authors.forename: Grahame K
authors.initials: GK
authors.lastname: Simpson
authors.forename: Maysaa
authors.initials: M
authors.lastname: Daher
authors.forename: Adeline
authors.initials: A
authors.lastname: Hodgkinson
authors.forename: Barbara
authors.initials: B
authors.lastname: Strettles
mesh_terms: D000328:Adult; D000070642:Brain Injuries, Traumatic / Q000150:complications* / Q000523:psychology* / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D020127:Recovery of Function; D012424:Rural Population; D014505:Urban Population; D055815:Young Adult