Post-Acute Care for Traumatic Brain Injury Patients in Taiwan

Huang, Hsing-Ching; Bih, Liu-Ing; Tsai, Ming-Miau; Chang, Tzu-Ling; Liao, Wan-Chun; Lai, Chung-Liang

doi:10.2147/ijgm.s407532

Cited by 2 publications

(1 citation statement)

References 29 publications

(27 reference statements)

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“…The PAC program can be a transition period between admission and home care. Our hospital has different PAC programs such as stroke PAC [ 27 ], traumatic brain injury PAC [ 28 ], heart failure PAC [ 29 ], burn injury PAC [ 30 ], and/or fragility fracture PAC. A 5-year study has shown that patients who received the integrated Hip Fracture Care Pathway program can have better outcomes.…”

Section: Discussionmentioning

confidence: 99%

Does post acute care reduce the mortality of octogenarian and nonagenarian patients undergoing hip fracture surgery?

Chiang,

Chang,

Huang

et al. 2024

BMC Geriatr

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Background With the increasing number of elderly individuals worldwide, a greater number of people aged 80 years and older sustain fragility fracture due to osteopenia and osteoporosis. Methods This retrospective study included 158 older adults, with a median age of 85 (range: 80–99) years, who sustained hip fragility fracture and who underwent surgery. The patients were divided into two groups, one including patients who joined the post-acute care (PAC) program after surgery and another comprising patients who did not. The mortality, complication, comorbidity, re-fracture, secondary fracture, and readmission rates and functional status (based on the Barthel index score, numerical rating scale score, and Harris Hip Scale score) between the two groups were compared. Results The patients who presented with fragility hip fracture and who joined the PAC rehabilitation program after the surgery had a lower rate of mortality, readmission rate, fracture (re-fracture and secondary fracture), and complications associated with fragility fracture, such as urinary tract infection, cerebrovascular accident, and pneumonia (acute coronary syndrome, out-of-hospital cardiac arrest, or in-hospital cardiac arrest. Conclusions PAC is associated with a lower rate of mortality and complications such as urinary tract infection, bed sore, and pneumonia in octogenarian and nonagenarian patients with hip fragility fracture.

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Section: Discussionmentioning

confidence: 99%

Does post acute care reduce the mortality of octogenarian and nonagenarian patients undergoing hip fracture surgery?

Chiang,

Chang,

Huang

et al. 2024

BMC Geriatr

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Risk of Traumatic Intracranial Hemorrhage After Stroke: A Nationwide Population‐Based Cohort Study in Taiwan

Fang,

Liao,

Chen

et al. 2024

JAHA

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Background Stroke and traumatic intracranial hemorrhage (tICH) are major causes of disability worldwide, with stroke exerting significant negative effects on the brain, potentially elevating tICH risk. In this study, we investigated tICH risk in stroke survivors. Methods and Results Using relevant data (2017–2019) from Taiwan's National Health Insurance Research Database, we conducted a population‐based retrospective cohort study. Patients were categorized into stroke and nonstroke groups, and tICH risk was compared using a Cox proportional‐hazards model. Among 164 628 patients with stroke, 1004 experienced tICH. Patients with stroke had a higher tICH risk than nonstroke counterparts (adjusted hazard ratio [HR], 3.49 [95% CI, 3.17–3.84]). Subgroup analysis by stroke type revealed higher tICH risk in hemorrhagic stroke survivors compared with ischemic stroke survivors (HR, 5.64 [95% CI, 4.97–6.39] versus 2.87 [95% CI, 2.58–3.18], respectively). Older patients (≥45 years) with stroke had a higher tICH risk compared with their younger counterparts (<45 years), in contrast to younger patients without stroke (HR, 7.89 [95% CI, 6.41–9.70] versus 4.44 [95% CI, 2.99–6.59], respectively). Dementia and Parkinson disease emerged as significant tICH risk factors (HR, 1.69 [95% CI, 1.44–2.00] versus 2.17 [95% CI, 1.71–2.75], respectively). In the stroke group, the highest tICH incidence density occurred 3 months after stroke, particularly in patients aged >65 years. Conclusions Stroke survivors, particularly those with hemorrhagic stroke and those aged ≥45 years, face elevated tICH risk. Interventions targeting the high‐risk period are vital, with fall injuries potentially contributing to tICH incidence.

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Post-Acute Care for Traumatic Brain Injury Patients in Taiwan

Cited by 2 publications

References 29 publications

Does post acute care reduce the mortality of octogenarian and nonagenarian patients undergoing hip fracture surgery?

Does post acute care reduce the mortality of octogenarian and nonagenarian patients undergoing hip fracture surgery?

Risk of Traumatic Intracranial Hemorrhage After Stroke: A Nationwide Population‐Based Cohort Study in Taiwan

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