About the National Data
Baseline: 31.0 percent of adults can resume more than half of their preinjury activities (with or without supports) 5 years after receiving acute inpatient rehabilitation for traumatic brain injury in 2017-19
Target: 35.7 percent
The number of adults with a GOS-E score of 7 (Lower Good Recovery) or 8 (Upper Good Recovery) at 5 years post-admission, among adults (≥18 years at injury) who received acute inpatient rehabilitation for a primary diagnosis of TBI and were discharged alive.
The number of adults with a GOS-E score of 1 (Deceased) — 8 (Upper Good Recovery) at 5 years post-injury, among adults (≥18 years at injury) who received acute inpatient rehabilitation for a primary diagnosis of TBI and were discharged alive.
Minimal statistical significance
Trend data were evaluated for this objective, but it was not possible to project a target because the trend was moving away from the desired direction. The standard error was used to calculate a target based on minimal statistical significance assuming the same standard error for the target as for the baseline. This method was used because the Healthy People 2030 Workgroup Subject Matter Experts (SMEs) expected incremental progress over the next decade.
The rate of Good Recovery will be computed using GOS-E as numerator / denominator (scores 7-8 / scores 1-8). A score of 7 is described as “minor problems that affect daily life; resumes >50% of the pre-injury level of social and leisure activities.”
Sampling weights will be incorporated in analyses to provide national estimates that are representative of the population of adults (≥18 years) who received acute inpatient rehabilitation for a primary diagnosis of TBI and were discharged alive. In order to account for loss to follow-up at 5 years post-injury (participant lost, refused, incarcerated, withdrew, or there was no funding for follow-up at center) weighting and raking methods will be used to adjust sampling weights for non-responder bias prior to analysis.
The measure uses a 3-year average to reliably report data for select population groups that have small sample sizes.
This objective was recategorized from developmental objective DH-D02 to a core objective in 2022. The title was also changed from "Increase the proportion of adults with traumatic brain injury who are able to resume 50 percent or more of preinjury activities 5 years after acute rehabilitation."