The eRLOS model is a clinical prediction rule designed to be used by healthcare professionals for acutely identifying patients at risk for extended rehabilitation length of stay after traumatic brain injury.
What is the patient's highest level of education
Pre-injury Level of Education: The highest level of education successfully completed at the time just prior to injury
- Less than High School (11th grade or less)
- High School/GED (high school diploma, GED, or trade school)
- Greater than High School (some college, Associate’s , Bachelor’s, Master’s, or Doctoral degree)
at the time of injury?
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A response is required.
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What was the patient's cause of injury
Cause of Injury
- Fall
- Vehicular/Sports (motor vehicle, motorcycle, bicycle, all-terrain vehicle/cycle, other vehicular, water sports, field/track sports, gymnastic activities, winter sports, air sports, other sports)
- Violent (gunshot wound, assaults with blunt instrument, other violence)
- Other (hit by falling/flying object, pedestrian, other)
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A response is required.
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What is the patient's motor FIM
Motor Functional Independence Measure (FIM) Valid range 13 - 91
at rehabilitation admission? |
Valid range is 13 through 91.
A response is required.
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What is the patient's cognitive FIM
Cognitive Functional Independence Measure (FIM) Valid range 3-35
at rehabilitation admission? |
Valid range is 3 through 35.
A response is required.
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Was there evidence of punctate/petechial hemorrhage? |
A response is required.
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How many days did the patient spend in Acute Care
Number of days in acute care Valid range (0 or positive integers)
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Acute care days must be a positive integer.
A response is required.
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What is the patient's primary payor source
Primary Payor Source
- Commercial (workers’ compensation, Blue Cross/Shield, other private insurance, HMO, No Fault Insurance, PPO, CHAMPUS)
- Medicaid (traditionally or managed care administered Medicaid, State Crippled Childrens’, Department of Rehabilitation, Medicaid pending)
- Medicare (traditionally or managed care administered Medicare)
- Uninsured (private pay, Hospital (free bed), other)
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A response is required.
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