title: Monitoring and Prognosis System Based on the ICF for People with Traumatic Brain Injury.
abstract: The objective of this research is to provide a standardized platform to monitor and predict indicators of people with traumatic brain injury using the International Classification of Functioning, Disability and Health, and analyze its potential benefits for people with disabilities, health centers and administrations. We developed a platform that allows automatic standardization and automatic graphical representations of indicators of the status of individuals and populations. We used data from 730 people with acquired brain injury performing periodic comprehensive evaluations in the years 2006-2013. Health professionals noted that the use of color-coded graphical representation is useful for quickly diagnose failures, limitations or restrictions in rehabilitation. The prognosis system achieves 41% of accuracy and sensitivity in the prediction of emotional functions, and 48% of accuracy and sensitivity in the prediction of executive functions. This monitoring and prognosis system has the potential to: (1) save costs and time, (2) provide more information to make decisions, (3) promote interoperability, (4) facilitate joint decision-making, and (5) improve policies of socioeconomic evaluation of the burden of disease. Professionals found the monitoring system useful because it generates a more comprehensive understanding of health oriented to the profile of the patients, instead of their diseases and injuries.
authors: Health Department, Eurecat, Roc Boronat, 08018 Barcelona, Spain. laia.subirats@eurecat.org.|Universitat Autònoma de Barcelona, Campus UAB, 08193 Bellaterra, Spain. laia.subirats@eurecat.org.
authors: Laia
authors: L
authors: Subirats
authors: Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Camí de Can Ruti, SN 08916, Badalona, Spain. rlopez@guttmann.com.
authors: Raquel
authors: R
authors: Lopez-Blazquez
authors: Labs, Alzina 52, 08024 Barcelona, Spain. luigi@1000001labs.org.
authors: Luigi
authors: L
authors: Ceccaroni
authors: Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Camí de Can Ruti, SN 08916, Badalona, Spain. mgifre@guttmann.com.
authors: Mariona
authors: M
authors: Gifre
authors: Health Department, Eurecat, Roc Boronat, 08018 Barcelona, Spain. felip.miralles@eurecat.org.
authors: Felip
authors: F
authors: Miralles
authors: Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Camí de Can Ruti, SN 08916, Badalona, Spain. agarciar@guttmann.com.
authors: Alejandro
authors: A
authors: García-Rudolph
authors: Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Camí de Can Ruti, SN 08916, Badalona, Spain. jmtormos@guttmann.com.
authors: Jose María
authors: JM
authors: Tormos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000175:diagnosis* / Q000209:etiology; D004185:Disability Evaluation; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D055815:Young Adult
keywords: brain injuries; disability and health; information systems; international classification of functioning; medical records; prognosis; public health