Adults with acquired brain injury at inpatient rehabilitation: discharge comparison of patientreported outcomes at follow-up with functional status.

Introduction: The aim of the article was to determine the correlation between self-care and mobility status at time of discharge from an inpatient rehabilitation hospital, and examine patient-reported physical and mental health outcomes among individuals with acquired brain injury (ABI). Material and methods: Electronic health data was collected retrospectively as part of routine care from an inpatient rehabilitation hospital. Clinician-rated functional data was collected at the time of discharge, and follow-up data assessing health-related quality of life was acquired by telephone. Data was obtained from patients discharged between the dates of January 1, 2020-December 31, 2021 with final data being collected via telephone at a point in time after discharge. Results: The study included 143 individuals with ABI, mean age 70 years; 55.42% were female and 68.53% were white. The model predicting patient perception of good physical health had 69.23% sensitivity and 62.5% specificity: C statistic 0.72. Sex and mobility scores at discharge were found to be significant predictors of good mental health, with a sensitivity of 63.55% and specificity of 63.89%: C statistic 0.68. Conclusions: Despite their importance, little data exists regarding the relationship between patient-reported outcomes (PROs) and clinician-rated measures. There is a need to better understand the relationship between clinician-rated functional status, demographic variables, comorbidities and patient-reported outcomes. Such data can assist in proactively addressing expectations related to physical and mental health, and can guide rehabilitation and behavioral health intervention during home and community reintegration. [ABSTRACT FROM AUTHOR]