Early discharge and rehabilitation in paediatric acquired brain and neurological injury: a transferable model
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Updated: Feb 3, 2026

Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
Rachel Keetley1, Laura Kelly1, William P Whitehouse1,2
1Department of Paediatric Neurosciences, Nottingham Children's Hospital, Queen's Medical Centre, Nottingham, UK.
Insights
A new rehabilitation team and pathway significantly reduced hospital length of stay (LOS) for children with acquired brain injuries. This improved patient care, satisfaction, and financial outcomes, demonstrating effective intervention strategies.
Area of Science:
- Pediatric Rehabilitation
- Neuroscience
- Healthcare Management
Background:
- Children with acquired brain injuries (ABI) often face prolonged hospital stays.
- Limited therapy access and inadequate discharge planning contribute to poor outcomes.
- Stakeholder feedback highlighted the need for improved rehabilitation pathways.
Purpose of the Study:
- To reduce length of stay (LOS) for pediatric patients with ABI.
- To pilot an outreach model for enhanced rehabilitation.
- To decrease costs and improve patient and family satisfaction.
Main Methods:
- Implementation of a specialized multidisciplinary team.
- Development and application of a new, proactive rehabilitation pathway.
- Integration of an outreach model and structured discharge planning.
Main Results:
- Significant reduction in length of stay (LOS) was achieved.
- Demonstrated financial gains and cost-effectiveness.
- Markedly increased patient and family satisfaction levels.
Conclusions:
- The new team and pathway effectively improved quality of care for pediatric ABI patients.
- Proactive rehabilitation and discharge planning are crucial for better outcomes.
- The intervention model offers a financially viable approach to enhance patient recovery.
Abstract:
Children and young people who require rehabilitation following sustaining an acquired brain injury often experience long lengths of stay (LOS) and potentially poorer recovery outcomes due to limited access to therapy and little proactive discharge planning. After stakeholder enquiry we launched a new team and pathway with a primary aim to reduce LOS. The secondary aims were to pilot an outreach model, reduce cost and improve patient and family satisfaction. We achieved a significantly improved change in quality care with a financial gain and increased patient and family satisfaction.
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