Skip to main content

Sex and Racial/Ethnic Differences in Within-Stay Readmissions During Inpatient Rehabilitation Among Patients With Traumatic Brain Injury.

Publication ,  Journal Article
Oyesanya, TO; Cary, MP; Harris Walker, G; Yang, Q; Byom, L; Prvu Bettger, J
Published in: Am J Phys Med Rehabil
December 1, 2022

OBJECTIVE: The aim of the study was to determine the association of sex and race/ethnicity with acute hospital readmissions ("within-stay readmissions") during inpatient rehabilitation facility care versus patients discharged home without a within-stay readmission among traumatic brain injury patients. DESIGN: The study used a secondary analysis ( N = 210,440) of Uniform Data System for Medical Rehabilitation data using multiple logistic regression. RESULTS: Within-stay readmissions occurred for 11.79% of female and 11.77% of male traumatic brain injury patients. Sex-specific models identified insurance, comorbidities, and complications factored differently in likelihood of within-stay readmissions among female than male patients but association of all other factors were similar per group. Within-stay readmissions differences were more pronounced by race/ethnicity: White, 11.63%; Black, 11.32%; Hispanic/Latino, 9.78%; and other, 10.61%. Descriptive bivariate analysis identified racial/ethnic patients with within-stay readmissions had greater days from traumatic brain injury to inpatient rehabilitation facility admission (White, 17.66; Black, 21.70; Hispanic/Latino, 23.81; other, 20.66) and lower admission cognitive and motor function. Factors differed across models predicting within-stay readmissions for race/ethnic groups; age, admission motor and cognitive function, complications, and length of stay were consistent across groups. CONCLUSIONS: This study demonstrates disparities by race/ethnicity for inpatient rehabilitation facility within-stay readmissions among traumatic brain injury patients and factors predictive of this potentially preventable outcome by sex and race/ethnicity. Findings could inform care planning and quality improvement efforts for TBI patients.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Phys Med Rehabil

DOI

EISSN

1537-7385

Publication Date

December 1, 2022

Volume

101

Issue

12

Start / End Page

1129 / 1133

Location

United States

Related Subject Headings

  • Rehabilitation
  • Patient Readmission
  • Patient Discharge
  • Male
  • Inpatients
  • Humans
  • Female
  • Ethnicity
  • Brain Injuries, Traumatic
  • 4207 Sports science and exercise
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Oyesanya, T. O., Cary, M. P., Harris Walker, G., Yang, Q., Byom, L., & Prvu Bettger, J. (2022). Sex and Racial/Ethnic Differences in Within-Stay Readmissions During Inpatient Rehabilitation Among Patients With Traumatic Brain Injury. Am J Phys Med Rehabil, 101(12), 1129–1133. https://doi.org/10.1097/PHM.0000000000001997
Oyesanya, Tolu O., Michael P. Cary, Gabrielle Harris Walker, Qing Yang, Lindsey Byom, and Janet Prvu Bettger. “Sex and Racial/Ethnic Differences in Within-Stay Readmissions During Inpatient Rehabilitation Among Patients With Traumatic Brain Injury.Am J Phys Med Rehabil 101, no. 12 (December 1, 2022): 1129–33. https://doi.org/10.1097/PHM.0000000000001997.
Oyesanya TO, Cary MP, Harris Walker G, Yang Q, Byom L, Prvu Bettger J. Sex and Racial/Ethnic Differences in Within-Stay Readmissions During Inpatient Rehabilitation Among Patients With Traumatic Brain Injury. Am J Phys Med Rehabil. 2022 Dec 1;101(12):1129–33.
Oyesanya, Tolu O., et al. “Sex and Racial/Ethnic Differences in Within-Stay Readmissions During Inpatient Rehabilitation Among Patients With Traumatic Brain Injury.Am J Phys Med Rehabil, vol. 101, no. 12, Dec. 2022, pp. 1129–33. Pubmed, doi:10.1097/PHM.0000000000001997.
Oyesanya TO, Cary MP, Harris Walker G, Yang Q, Byom L, Prvu Bettger J. Sex and Racial/Ethnic Differences in Within-Stay Readmissions During Inpatient Rehabilitation Among Patients With Traumatic Brain Injury. Am J Phys Med Rehabil. 2022 Dec 1;101(12):1129–1133.

Published In

Am J Phys Med Rehabil

DOI

EISSN

1537-7385

Publication Date

December 1, 2022

Volume

101

Issue

12

Start / End Page

1129 / 1133

Location

United States

Related Subject Headings

  • Rehabilitation
  • Patient Readmission
  • Patient Discharge
  • Male
  • Inpatients
  • Humans
  • Female
  • Ethnicity
  • Brain Injuries, Traumatic
  • 4207 Sports science and exercise