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Home, but homebound after traumatic brain injury: Risk factors and associations with nursing home entry and death. Archives of Physical Medicine and Rehabilitation. Volume 106(4), Pgs. 517-526.
NARIC Accession Number: J94288.
What's this?ISSN:0003-9993.
Author(s): Kumar, Raj G.,
Pomeroy, Mary L.,
Ornstein, Katherine A.,
Juengst, Shannon B.,
Wagner, Amy K.,
Reckrey, Jennifer M.,
Lercher, Kirk,
Dreer, Laura E.,
Emily Evans,,
de Souza, Nicola L.,
Dams-O’Connor, Kristen.
Project Number: 90ARHF0008,
90DPTB0009,
90DPTB0025,
90DPTB0028.
Publication Year: 2024.
Number of Pages: 10.
Abstract: Study examined risk factors associated with homeboundness 1 year after traumatic brain injury (TBI) and explored associations between homebound status and risk of future mortality and nursing home entry. A secondary analysis was conducted using data from the TBI Model Systems National Database for 6,595 community-dwelling participants who sustained moderate-to-severe TBI between 2006 and 2016 and resided in a private residence 1-year postinjury. Homebound status (leaving home ≤1 to 2 days per week), 5-year mortality, and 2- or 5-year nursing home entry. Results showed that 14.2 percent of participants were homebound 1-year postinjury, including 2 percent who never left home. Older age, having less than a bachelor's degree, Medicaid insurance, living in the Northeast or Midwest, dependence on others or special services for transportation, unemployment or retirement, and needing assistance for locomotion, bladder management, and social interactions were associated with being homebound. After adjustment for potential confounders and an inverse probability weight for nonrandom attrition bias, being homebound was associated with a 1.69-times greater risk of 5-year mortality, and a nonsignificant but trending association with nursing home entry by 5 years. These findings have implications for discharge planning from inpatient rehabilitation and for long-term community integration after moderate-to-severe TBI. The identified risk factors for homebound status, and its associated negative long-term outcomes, should be considered when preparing patients and their families for discharge from acute and postacute rehabilitation care settings.
Descriptor Terms: BRAIN INJURIES, CLIENT CHARACTERISTICS, DEATH, DEMOGRAPHICS, HOME CARE, NURSING HOMES, OUTCOMES, POSTACUTE CARE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Kumar, Raj G., Pomeroy, Mary L., Ornstein, Katherine A., Juengst, Shannon B., Wagner, Amy K., Reckrey, Jennifer M., Lercher, Kirk, Dreer, Laura E., Emily Evans,, de Souza, Nicola L., Dams-O’Connor, Kristen. (2024.)
Home, but homebound after traumatic brain injury: Risk factors and associations with nursing home entry and death. Archives of Physical Medicine and Rehabilitation, 106(4), Pgs. 517-526. Retrieved 5/10/2026, from REHABDATA database.
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More information about this publication: Archives of Physical Medicine and Rehabilitation (APM&R).