Exploring the Effectiveness of PAC Rehabilitation for the Patients with Traumatic Brain Injury：A Retrospective Study

BackgroundAccording to a report from the World Health Organization, traumatic brain injury (TBI) will surpass many diseases by 2020 and become the main cause of death and disability. Therefore, post-acute care (PAC) is immediately given active integrated care during the golden period of post-acute care to restore its function, which will reduce the medical expenses of subsequent rehospitalization. ObjectiveThe purpose of this study was to explore the effectiveness of post-acute care for the patients with traumatic brain injury. MethodsThis is a retrospective cohort study that enrolled 168 patients over 18 years of age (inclusive) before and after PAC. The researcher collected the differences between the before and after receiving PAC collected about the Barthel Index (ADL), Lawton-Brody IADL Scale (IADL), and EuroQoL-5D(EQ-5D) by using purposive sampling. It was using machine learning and Power BI to analyze research results statistically. ResultsThe results show that traumatic brain injury patients who received PAC rehabilitation had significant functional recovery effects(p-value <0.001). Additionally, the relationship between Barthel index, IADL and EQ-5D, the results show that when the Barthel index score is higher (Pearson correlation coefficient =1), the IADL score will also be higher (Pearson correlation coefficient =0.481), showing a positive correlation. When the Barthel index score is higher (Pearson correlation coefficient =1), the EQ-5D score will be lower (Pearson correlation coefficient =-0.582), showing a negative correlation. When the IADL score is higher (Pearson correlation coefficient =1), the Barthel index score will be higher (Pearson correlation coefficient =0.481), showing a positive correlation, while the EQ-5D score will be lower (Pearson correlation coefficient =-0.496), showing there is a negative correlation. ConclusionThe results of this study confirm that PAC has essential effects. This result can be used as a reference for national planning health policies, cross-disciplinary professional design cases, and family PAC intervention plans to restore activity functions as soon as possible, improve the quality of life, and reduce the burden of family and social care.