Measuring medical complexity during inpatient rehabilitation after traumatic brain injury

Arch Phys Med Rehabil. 2005 Jun;86(6):1108-17. doi: 10.1016/j.apmr.2004.11.041.

Abstract

Objective: To compare the performance of 3 severity of illness (SOI) indices--the Comprehensive Severity Index (CSI), All Patient Refined Diagnosis Related Groups Severity of Illness, case-mix group (CMG)--and 5 well-known neurologic parameters, as measures of medical complexity.

Design: Retrospective chart review.

Setting: Inpatient rehabilitation center within a level I trauma center.

Participants: Consecutive traumatic brain injury (TBI) admissions (N=212).

Intervention: Acute inpatient TBI rehabilitation. CSI and neurologic parameters were scored by chart extraction. SOI was based on diagnosis codes by using 3M PC Grouper software, version 15.

Main outcome measures: Adjusted R 2 was used to predict rehabilitation charges as a proxy of medical complexity.

Results: The highest adjusted R 2 values for single variables predicting charges were: CMG .349, CSI .293, duration of posttraumatic amnesia .260. Adjusted R 2 values for the CMG combined with the CSI, 5 neurologic parameters, and SOI to predict charges were .446, .431, and .365, respectively.

Conclusions: The CMG was the best single predictor of rehabilitation charges for TBI. Predictive ability was better when the CMG was combined with the CSI or a combination of the 5 neurologic parameters. A severity index based on objective clinical findings rather than diagnostic codes may have distinct advantages for rehabilitation outcome studies and reimbursement methodology.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Brain Injuries / economics*
  • Brain Injuries / rehabilitation*
  • Diagnosis-Related Groups
  • Health Care Costs*
  • Hospitalization / economics*
  • Humans
  • Middle Aged
  • Retrospective Studies
  • Severity of Illness Index*
  • United States