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March 26, 2026Critical Care Medicine

1336: Tackling Post-Acute Tbi Care Barriers: A Multidisciplinary Initiative at a Single Institution

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Authors

WSWilliam StaffordKZKathleen ZaniASAlex Schaller

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Overview

Multidisciplinary initiative improves pediatric TBI management, indicating effectiveness in care transitions and recovery.

Key Points

  • To enhance post-acute care for pediatric patients with moderate to severe TBI through a multidisciplinary approach.
  • Implemented a care pathway focusing on early mobilization and therapy involvement.
  • Utilized standardized evaluation tools across five key domains: arousal, agitation, cognition, sleep, and pain/spasticity.
  • Conducted staff education and tracking of adherence to the care pathway.
  • Pharmacologic management aimed at reducing benzodiazepine use and optimizing medication based on cognitive status.
  • Monitored discharge dispositions and patient outcomes through nursing reports and cognitive assessments.
  • Out of 38 pediatric TBI patients identified, 23 survived to discharge, showing significant adherence to the care pathway.
  • Pathway compliance was 82.6%, with gradual improvement as education and EMR integration progressed.
  • Nineteen patients engaged with rehabilitation services, with 17 patients discharged home and 6 to inpatient rehabilitation.
  • Evaluated patients demonstrated trends of longer ICU stays and improved motor function, with 79% showing improvement by day 14.

Cite This Study

Stafford et al. (2026) studied this question.

synapsesocial.com/papers/69c4cd05fdc3bde448918dcahttps://doi.org/10.1097/01.ccm.0001187340.85992.26
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Multidisciplinary rehabilitation and follow-up for children hospitalized with traumatic brain injury.2025
  2. 2Interdisciplinary Process Improvement for Behavior Management of Acute Brain Injury.2025
  3. 3From emergency room to neurorehabilitation: a systematic review and meta-analysis of contemporary multidisciplinary strategies in traumatic brain injury management2026 · 1 citations
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  5. 5The Patient Experience of Acute and Post-Acute Care for Mild Traumatic Brain Injury: A Qualitative Phenomenological Study Using Focus Groups2026 · 1 citations