Prognostic and Socioeconomic Variables in Rehabilitation Admission Decisions for Patients with Traumatic Brain Injury: PDF OnlyPrognostic and Socioeconomic Variables in Rehabilitation Admission Decisions for Patients with Traumatic Brain InjuryIvy, Nancy MPT1; Nicholson, Diane E. PhD, PT, NCS2Author Information 1This paper was written in partial fulfillment for a Masters in Physical Therapy Degree, University of Utah, Salt Lake City, UT 84112-9362. 2Assistant Professor and Director of the Movement Dysfunction Laboratory, Division of Physical Therapy, 1901 E. South Campus Drive, Room 1130, University of Utah, Salt Lake City, UT 84112-9362, and Research Coordinator, Movement Analysis Laboratory, Intermountain Shriners Hospital, Salt Lake City, UT. Address all correspondence to Dr. Nicholson at the first address listed above. Neurology Report: Volume 23 - Issue 2 - p 68-73 Free Abstract Background and Purpose. Approximately 2,000,000 traumatic brain injuries (TBI) occur annually in the United States. A review of the literature suggests several predictors for determining outcomes in people after TBI. However, the literature does not address if these predictors are used in selecting patients for admission to inpatient rehabilitation centers. The purpose of this paper was to examine the frequency that prognostic (eg, age, coma duration) and socioeconomic (eg, funding, level of family support) variables are used in selecting adult patients for admission to in patient rehabilitation centers in the United States. Method. A survey consisting of 9 prognostic and 7 socioeconomic variables was sent to the Director of Admissions at 20 rehabilitation facilities in the United States. Respondents were to select the frequency that each variable was used at their facility to make rehabilitation admission decisions for people after TBI. Results. Prognostic variables contributed 43 to 53% towards rehabilitation admission decisions socioeconomic variables contributed 47 to 57%. Conclusion. Decisions in contemporary medical practice are not based primarily on prognostic or socioeconomic variables, but rather are a combination of these two variables. One explanation for these findings is that socioeconomic variables contribute towards disability as described by the Nagi model of disablement. These results suggest that physical therapists should incorporate disability variables into their evaluation and treatment plans. This paper presents several methods for this implementation. © 1999 Lippincott Williams & Wilkins, Inc.