REHOSPITALIZATION

Definition

The reason for each rehospitalization since inpatient rehabilitation discharge or in the past year (whichever is shorter), using Level 2 HCUP coding.

Form

[ ] Form 1
[X] Form 2

Source

Form 2 - Interview, Mail-out (participant or proxy)

Details

This variable includes all types of hospitalizations (i.e., an inpatient stay in any hospital, whether part of a TBI Model System or not).

For each hospitalization a HCUP multi-level code Level 1 and Level 2 will be identified for the PRIMARY REASON for hospitalization.

If hospitalized for more than one reason, code the more severe/significant reason. (e.g. participant was hospitalized for a UTI, but had a seizure while in the hospital and was kept for an extra week because of the seizure, code the seizures as they are the more severe/significant reason for the rehospitalization.)

If more than five hospitalizations, have your Medical Director prioritize which five to code.

An admission of 24 hours or more for ‘observation’ should be considered a hospitalization, and a determination should be made regarding why the rehospitalization occurred. Any stays less than 24 hours will not be considered a hospitalization.

Level 2 HCUP codes are in the format X.X or X.XX (e.g. 2.6 or 2.16).

EXAMPLE: Code an accidental overdose of pain medications as “16.11 Poisoning” in the HCUP coding scheme

Links

Rehospitalization Codes - All Levels
Rehospitalization Codes - Procedures

Characteristics

On 10/1/ 2017 the coding scheme was switched to HCUP.
Data for follow-ups prior to 10/1/99 will be recoded from text field to the categories below.

0 - Rehabilitation
1 - Seizures
2 - Neurologic Disorder: Non-seizure
3 - Psychiatric
4 - Infectious
5 - Orthopedic
6 - General Health Maintenance or OB/Gyn
7 - Other: Not specified elsewhere
8 - Not Applicable: No rehospitalizations / no further rehospitalizations
9 - Unknown

Prior to 1/1/02 the code “9. Unknown” did not distinguish between “unknown if rehospitalized” and “unknown reason for rehospitalization”. On 1/1/02 “9. Unknown” was clarified to mean “unknown reason for rehospitalization”. On 1/1/04 the code “99. Unknown, if Rehospitalized” was added. Thus, between 1/1/02 and 1/1/04 there was no way to record rehospitalization for unknown reason.

9 - Rehospitalized: Reason unknown
99 - Unknown

On 10/1/ 2017 the coding scheme was switched to HCUP

Variables

Form Type	Variable	ID	Question	History
Form 2	Rehosp1lv2F	755	Rehospitalization 1:	2017-10-01 - Variable Added
Form 2	Rehosp2lv2F	755	Rehospitalization 2:	2017-10-01 - Variable Added
Form 2	Rehosp3lv2F	755	Rehospitalization 3:	2017-10-01 - Variable Added
Form 2	Rehosp4lv2F	755	Rehospitalization 4:	2017-10-01 - Variable Added
Form 2	Rehosp5lv2F	755	Rehospitalization 5:	2017-10-01 - Variable Added

Codes and Values

ID	Code	Description
755	666.00	Variable did not exist
755	888.00	N/A
755	991.00	Participant Hospitalized, Reason Unknown
755	992.00	Unknown whether participant was hospitalized

History

No history found for the Domain.