Who Goes to Residential Care after Inpatient Rehabilitation with Acquired Brain Injury?

Abstract

used to define traumatic brain injury (TBI) among children and youth in healthcare administrative data. Data Sources: MEDLINE, MEDLINE In-Process, Embase, PsychINFO, CINAHL, SPORTDiscus, Cochrane Database of Systematic Reviews, and the grey literature were systematically searched. Reference lists of included articles were also searched for relevant studies. Study Selection: All titles and abstracts were screened using pre-defined inclusion and exclusion criteria. A full text screen was conducted on articles that passed the first screen. Two reviewers independently assessed all papers for inclusion in this review and extracted the data. Setting: N/A. Participants: N/A. Interventions: N/A. Main Outcome Measure(s): N/A. Results: A total of 1,256 articles were identified through the predetermined search strategy and 32 articles/reports met all eligibility criteria for inclusion in the review. Five articles specifically examined children and youth aged 19 years and under with TBI. The ICD-10 case definitions ranged from the broad injuries to the head codes (S00-S09) to concussion only (S06.0). There was overwhelming consensus on the inclusion of ICD10 codes S06 while codes S00, S03, and S05 were only used by articles that examined head injury, none of which specifically examined children and youth. Conclusions: The identification of the range of ICD-10 codes to define this population in administrative data is crucial. This is an important first step in reaching an appropriate definition using ICD-10 codes and can inform future work on reaching consensus on the codes to define TBI for this population.