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Functional Independence after Inpatient Rehabilitation for Traumatic Brain Injury among Minority Children and Adolescents
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7 2015
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Source: Arch Phys Med Rehabil. 2015; 96(7):1255-1261
Details:
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Alternative Title:Arch Phys Med Rehabil
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Personal Author:
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Description:Objective
To compare motor and cognitive functional independence scores between Hispanic, non-Hispanic Black (NHB) and non-Hispanic White (NHW) children with traumatic brain injury (TBI) after discharge from inpatient rehabilitation.
Design
Retrospective cohort study using the Uniform Data System for Medical Rehabilitation national dataset from years 2002–2012.
Setting
Inpatient rehabilitation units.
Participants
10,141 children 6 months to 18 years of age who received inpatient rehabilitation for TBI.
Interventions
not applicable.
Main outcome measures
Motor and cognitive functional independence after discharge from inpatient rehabilitation; adjusting for age, gender, admission function, length of stay, insurance and region.
Results
Inpatient rehabilitation therapy improved functional independence for all children. Younger age, lower admission functional independence scores and Medicaid insurance were associated with lower functional independence at discharge. Hispanic and NHB children had lower discharge cognitive scores compared to NHW children; however differences were small and were partially explained by insurance status and region. Children who received rehabilitation therapy at pediatric facilities had greater cognitive improvement.
Conclusion
While racial/ethnic disparities are small, minority children are more likely to be younger, to have Medicaid and to be cared for at non-pediatric facilities, factors that increase their risk for lower functional outcomes.
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Source:
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Pubmed ID:25747552
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Pubmed Central ID:PMC4484304
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