{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T10:56:34Z","timestamp":1791284194628,"version":"4.1.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2012,3,28]],"date-time":"2012-03-28T00:00:00Z","timestamp":1332892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:p>Background. After a severe traumatic brain injury (TBI), some patients are discharged home without rehabilitation, although rehabilitation is assumed to improve outcome. Objective. To assess factors that predict referral to rehabilitation following acute care. This study is part of a larger inception cohort study assessing the care network in the Parisian area (France). Methods. Between July 2005 and April 2007, 504 adults with severe TBI (Glasgow Coma Scale score \u22648) were prospectively recruited by mobile emergency services. This study included 254 acute care survivors (80% male, median age 32 years). Data regarding demographics, injury severity, and acute care pathway were collected. The first analysis compared patients referred to a rehabilitation facility with patients discharged to a living place. The second analysis compared patients referred to a specialized neurorehabilitation (NR) facility with patients referred to nonspecialized rehabilitation. Univariate and multivariate statistics were computed. Results. In all, 162 patients (64%) were referred to rehabilitation, 115 (45%) of which were referred to NR and 47 (19%) to nonspecialized rehabilitation. The following factors were significantly predictive of nonreferral to rehabilitation: living alone, a lower income professional category, pretraumatic alcohol abuse, lower TBI severity, and transfer through a nonspecialized medical ward before discharge. Patients referred to specialized NR were significantly younger and from a higher income professional category. Conclusions. These results raise concern regarding care pathways because many patients were discharged to living places, probably without adequate assessment and management of rehabilitation needs. Injury severity and social characteristics influenced discharge destination.<\/jats:p>","DOI":"10.1177\/1545968312440744","type":"journal-article","created":{"date-parts":[[2012,3,29]],"date-time":"2012-03-29T01:27:10Z","timestamp":1332984430000},"page":"35-44","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":59,"title":["Referral to Rehabilitation After Severe Traumatic Brain Injury"],"prefix":"10.1177","volume":"27","author":[{"given":"Claire","family":"Jourdan","sequence":"first","affiliation":[{"name":"AP-HP, H\u00f4pital R. Poincar\u00e9, Service de M\u00e9decine Physique et R\u00e9adaptation, Garches, France"},{"name":"Universit\u00e9 de Versailles St-Quentin, UFR de M\u00e9decine, Guyancourt, France"},{"name":"Universit\u00e9 Pierre et Marie Curie, Unit\u00e9 ER 6, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonore","family":"Bayen","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Pierre et Marie Curie, Unit\u00e9 ER 6, Paris, France"},{"name":"AP-HP, Groupe Hospitalier Piti\u00e9-Salp\u00eatri\u00e8re, Service de M\u00e9decine Physique et R\u00e9adaptation, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Bosserelle","sequence":"additional","affiliation":[{"name":"Centre Ressources Francilien du Traumatisme Cr\u00e2nien, Paris, France"},{"name":"AP-HP, H\u00f4pital A. Par\u00e9, Unit\u00e9 de Recherche Clinique Paris-Ouest, Boulogne-Billancourt, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvie","family":"Azerad","sequence":"additional","affiliation":[{"name":"Centre Ressources Francilien du Traumatisme Cr\u00e2nien, Paris, France"},{"name":"AP-HP, H\u00f4pital A. Par\u00e9, Unit\u00e9 de Recherche Clinique Paris-Ouest, Boulogne-Billancourt, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Genet","sequence":"additional","affiliation":[{"name":"AP-HP, H\u00f4pital R. Poincar\u00e9, Service de M\u00e9decine Physique et R\u00e9adaptation, Garches, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Fermanian","sequence":"additional","affiliation":[{"name":"AP-HP, H\u00f4pital A. Par\u00e9, Unit\u00e9 de Recherche Clinique Paris-Ouest, Boulogne-Billancourt, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Aegerter","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Versailles St-Quentin, UFR de M\u00e9decine, Guyancourt, France"},{"name":"AP-HP, H\u00f4pital A. Par\u00e9, Unit\u00e9 de Recherche Clinique Paris-Ouest, Boulogne-Billancourt, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascale","family":"Pradat-Diehl","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Pierre et Marie Curie, Unit\u00e9 ER 6, Paris, France"},{"name":"AP-HP, Groupe Hospitalier Piti\u00e9-Salp\u00eatri\u00e8re, Service de M\u00e9decine Physique et R\u00e9adaptation, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Jacques","family":"Weiss","sequence":"additional","affiliation":[{"name":"Centre Ressources Francilien du Traumatisme Cr\u00e2nien, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Azouvi","sequence":"additional","affiliation":[{"name":"AP-HP, H\u00f4pital R. Poincar\u00e9, Service de M\u00e9decine Physique et R\u00e9adaptation, Garches, France"},{"name":"Universit\u00e9 de Versailles St-Quentin, UFR de M\u00e9decine, Guyancourt, France"},{"name":"Universit\u00e9 Pierre et Marie Curie, Unit\u00e9 ER 6, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Members of the Steering Committee of the PariS-TBI Study","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,3,28]]},"reference":[{"key":"bibr1-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-199912000-00009"},{"key":"bibr2-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(74)91639-0"},{"key":"bibr3-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1080\/02699050410001720149"},{"key":"bibr4-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(97)90303-8"},{"key":"bibr5-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1080\/0269905031000088513"},{"key":"bibr6-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.23895"},{"key":"bibr7-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.06.018"},{"key":"bibr8-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004170.pub2"},{"key":"bibr9-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.06.017"},{"key":"bibr10-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(98)90044-2"},{"key":"bibr11-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.10.974"},{"key":"bibr12-1545968312440744","unstructured":"Sch\u00e9ma R\u00e9gional de l\u2019Organisation Sanitaire de Troisi\u00e8me G\u00e9n\u00e9ration. Arr\u00eat\u00e9 n\u00b0 06-21.http:\/\/www.ars.iledefrance.sante.fr\/Anciens-SROS.126449.0.html (accessed date march 2012)."},{"key":"bibr13-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1080\/0269905021000010159"},{"key":"bibr14-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1007\/BF02106224"},{"key":"bibr15-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1080\/026990597123467"},{"key":"bibr16-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2010.12.023"},{"key":"bibr17-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-199508000-00002"},{"key":"bibr18-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.02.017"},{"key":"bibr19-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(94)90387-5"},{"key":"bibr20-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00236-8"},{"key":"bibr21-1545968312440744","unstructured":"INSEE. French population in Ile-De-France. http:\/\/www.insee.fr\/fr\/themes\/theme.asp?theme=2&sous_theme=0&type=2&nivgeo=20&submit=ok (access date: march 2012)."},{"key":"bibr22-1545968312440744","unstructured":"INSEE. Nomenclature des professions et cat\u00e9gories socio-professionnelles. http:\/\/www.insee.fr\/fr\/methodes\/default.asp?page=nomenclatures\/pcs2003\/pcs2003.htm (access date: march 2012)."},{"key":"bibr23-1545968312440744","first-page":"658","volume":"50","author":"Little JP","year":"1995","journal-title":"Anaesthesia"},{"key":"bibr24-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1089\/089771502753460286"},{"key":"bibr25-1545968312440744","first-page":"S287","volume":"9","author":"Marshall LF","year":"1992","journal-title":"J Neurotrauma"},{"key":"bibr26-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(75)92830-5"},{"key":"bibr27-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200505000-00009"},{"key":"bibr28-1545968312440744","unstructured":"INSEE Premi\u00e8re N\u00b01142 - juin 2007. Enqu\u00eate Sant\u00e9. http:\/\/www.insee.fr\/fr\/themes\/document.asp?ref_id=ip1142&reg_id=0 (access date: march 2012)."},{"key":"bibr29-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.24892"},{"key":"bibr30-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2003.10.018"},{"key":"bibr31-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1097\/01.HTR.0000265099.29436.56"},{"key":"bibr32-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31803dcdf3"},{"key":"bibr33-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1191\/0269215506cr881oa"},{"key":"bibr34-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(91)90241-4"},{"key":"bibr35-1545968312440744","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-90-6-957"},{"key":"bibr36-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00207-9"},{"key":"bibr37-1545968312440744","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0006"},{"key":"bibr38-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/83.3.224"},{"key":"bibr39-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1310\/tsr1601-20"},{"key":"bibr40-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-7-137"},{"key":"bibr41-1545968312440744","doi-asserted-by":"publisher","DOI":"10.1177\/1545968311402696"}],"container-title":["Neurorehabilitation and Neural Repair"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1545968312440744","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1545968312440744","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1545968312440744","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:03:55Z","timestamp":1777705435000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1545968312440744"}},"subtitle":["Results From the PariS-TBI Study"],"short-title":[],"issued":{"date-parts":[[2012,3,28]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1177\/1545968312440744"],"URL":"https:\/\/doi.org\/10.1177\/1545968312440744","relation":{},"ISSN":["1545-9683","1552-6844"],"issn-type":[{"value":"1545-9683","type":"print"},{"value":"1552-6844","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,28]]}}}