{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T09:08:50Z","timestamp":1779008930630,"version":"3.51.4"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T00:00:00Z","timestamp":1764460800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T00:00:00Z","timestamp":1764460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T00:00:00Z","timestamp":1764460800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","award":["HT9425\u201023\u20101\u20100981"],"award-info":[{"award-number":["HT9425\u201023\u20101\u20100981"]}],"id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","award":["W81XWH\u201021\u20101\u20100590"],"award-info":[{"award-number":["W81XWH\u201021\u20101\u20100590"]}],"id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["K23NS123340"],"award-info":[{"award-number":["K23NS123340"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["75N92022D00001"],"award-info":[{"award-number":["75N92022D00001"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["75N92022D00002"],"award-info":[{"award-number":["75N92022D00002"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["75N92022D00003"],"award-info":[{"award-number":["75N92022D00003"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["75N92022D00004"],"award-info":[{"award-number":["75N92022D00004"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["75N92022D00005"],"award-info":[{"award-number":["75N92022D00005"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ann Clin Transl Neurol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the risk of hospital readmission after an index hospitalization for TBI in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using data from the Atherosclerosis Risk in Communities (ARIC) study, we used propensity score matching of individuals with an index TBI\u2010related hospitalization to individuals with (1) non\u2010TBI hospitalizations (primary analysis) and (2) orthopedic injury hospitalizations (secondary analysis). The rate of all\u2010cause hospital readmission was estimated using adjusted Fine\u2010Gray proportional hazards regression models within strata defined by time since hospitalization. Follow\u2010up extended from the date of index hospitalization after study enrollment (1987\u20131989) through December 31, 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six hundred sixty\u2010seven participants with an index TBI\u2010related hospitalization were matched using propensity scores with replacement with a ratio of 1:4\u20132668 participants with non\u2010TBI\u2010related hospitalizations and 1:3 with 2001 participants with orthopedic injury\u2010related hospitalizations. Median age was 68\u2009years (IQR\u2009=\u200946\u201395) at index hospitalization. Compared to participants with an index non\u2010TBI\u2010related hospitalization, readmission rates were lower among participants with an index TBI\u2010related hospitalization (HR\u2009=\u20090.80, 95% CI\u2009=\u20090.74, 0.87) over a median follow\u2010up of 2.7\u2009years, although similar readmission rates were observed within the first year of follow\u2010up (HR\u2009=\u20091.03, 95% CI\u2009=\u20090.88, 1.21). Rates of hospital readmission among persons with an index TBI\u2010related hospitalization were similarly decreased compared with persons with an orthopedic injury\u2010related hospitalization (HR\u2009=\u20090.78, 95% CI\u2009=\u20090.72, 0.85) over a median follow\u2010up of 3.1\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Among community\u2010dwelling older adults with a TBI\u2010related hospitalization, rates of hospital readmission were similar to individuals hospitalized for a non\u2010TBI cause in the first year, but lower subsequently. Targeted interventions in the first year post\u2010hospitalization may be most beneficial for reducing readmissions among individuals with TBI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acn3.70269","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T08:06:14Z","timestamp":1764576374000},"page":"864-874","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hospital Readmission After Traumatic Brain Injury Hospitalization in Community\u2010Dwelling Older Adults"],"prefix":"10.1002","volume":"13","author":[{"given":"Rachel","family":"Thomas","sequence":"first","affiliation":[{"name":"Department of Neurology University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Connor A.","family":"Law","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan A.","family":"Casey","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health Sciences University of Washington School of Public Health  Seattle Washington USA"},{"name":"Department of Epidemiology University of Washington School of Public Health  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Mosley","sequence":"additional","affiliation":[{"name":"The MIND Center University of Mississippi Medical Center  Jackson Mississippi USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9504-1256","authenticated-orcid":false,"given":"Rebecca F.","family":"Gottesman","sequence":"additional","affiliation":[{"name":"National Institute of Neurological Disorders and Stroke Intramural Research Program National Institutes of Health  Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramon","family":"Diaz\u2010Arrastia","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1781-904X","authenticated-orcid":false,"given":"Holly","family":"Elser","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0026-5052","authenticated-orcid":false,"given":"Andrea L. C.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania USA"},{"name":"Department of Biostatistics, Epidemiology, and Informatics University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3171\/2017.10.JNS17352"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2013.22"},{"key":"e_1_2_11_4_1","volume-title":"Healthcare Cost and Utilization Project (HCUP) Statistical Briefs","author":"Reid L. D.","year":"2006"},{"key":"e_1_2_11_5_1","unstructured":"A. B.Peterson K. E.Thomas andH.Zhou \u201cTraumatic Brain Injury\u2010Related Hospitalizations and Deaths by Age Group Sex and Mechanism of Injury: United States 2018 and 2019 \u201d(2022) https:\/\/www.cdc.gov\/traumaticbraininjury\/pdf\/tbi\u2010surveillance\u2010report\u20102018\u20102019\u2010508.pdf."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6609a1"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102018\u2010022297"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0003\u20109993(99)90312\u2010x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000699"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.06.071"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2017.12.006"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1825808"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.04.035"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2022.5024"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e318297eecf"},{"key":"e_1_2_11_16_1","first-page":"1","article-title":"Proposed Framework for Presenting Injury Data Using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD\u201010\u2010CM) Diagnosis Codes","volume":"89","author":"Hedegaard H.","year":"2016","journal-title":"National Health Statistics Reports"},{"issue":"4","key":"e_1_2_11_17_1","first-page":"1","article-title":"Traumatic Brain Injury\u2010Related Hospital Discharges. Results From a 14\u2010State Surveillance System, 1997","volume":"52","author":"Langlois J. A.","year":"2003","journal-title":"MMWR Surveillance Summaries"},{"key":"e_1_2_11_18_1","first-page":"542","article-title":"The Evaluation of Clinical Classifications Software Using the National Inpatient Sample Database","volume":"2020","author":"Salsabili M.","year":"2020","journal-title":"AMIA Summits on Translational Science Proceedings"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001303"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474\u20104422(23)00241\u20107"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2022.2033842"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/36.5.936"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895\u20104356(95)00041\u20100"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.7692"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep23222"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/pan\/mpl013"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/70.1.41"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.6374"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.2202\/1544-6115.1309"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kws312"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.6322"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1214\/aoms\/1177705900"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.5815"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.50499"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.123.046443"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000207949"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978\u20100\u2010444\u201052892\u20106.00001\u20105"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2012.08.011"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1849801"}],"container-title":["Annals of Clinical and Translational Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acn3.70269","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acn3.70269","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acn3.70269","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acn3.70269","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T08:22:30Z","timestamp":1779006150000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/acn3.70269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,30]]},"references-count":38,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/acn3.70269"],"URL":"https:\/\/doi.org\/10.1002\/acn3.70269","archive":["Portico"],"relation":{},"ISSN":["2328-9503","2328-9503"],"issn-type":[{"value":"2328-9503","type":"print"},{"value":"2328-9503","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,30]]},"assertion":[{"value":"2025-07-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}