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Regional Variations in Rehabilitation Outcomes of Adult Patients With Traumatic Brain Injury: A Uniform Data System for Medical Rehabilitation Investigation.

Publication ,  Journal Article
Oyesanya, TO; Moran, TP; Espinoza, TR; Wright, DW
Published in: Archives of physical medicine and rehabilitation
January 2021

To examine regional differences in rehabilitation outcomes among adult patients with moderate-to-severe traumatic brain injury (TBI) who received care at an inpatient rehabilitation facility (IRF).We conducted a secondary analysis of a large, multi-center dataset from the Uniform Data System for Medical Rehabilitation.More than 70% of all IRFs in the United States.Adult TBI patients (N=175,358) aged 18 years or older who were admitted and discharged from an IRF in the United States between 2004 and 2014. Qualifying etiology included traumatic brain dysfunction Impairment Group codes 02.21 (traumatic, open injury) and 02.22 (traumatic, closed injury).Not applicable.Discharge functional status (total, cognitive, motor), length of stay, and discharge to home.Patient and clinical characteristics varied significantly by geographic location, as did median functional status, length of stay, and percentage of patients discharged home. The region where IRF care was received, race and ethnicity, age, occurrence of 1 or more falls during the IRF stay, case mix group, and insurance status were associated with discharge functional status, length of stay, and discharge to home.Our findings provide evidence of geographic differences in outcomes and potential disparities in care of TBI patients who received IRF care. More research is needed to identify TBI patients at risk for poor discharge outcomes to inform development and testing of interventions to reduce disparities in outcomes for these patients.

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Published In

Archives of physical medicine and rehabilitation

DOI

EISSN

1532-821X

ISSN

0003-9993

Publication Date

January 2021

Volume

102

Issue

1

Start / End Page

68 / 75

Related Subject Headings

  • United States
  • Treatment Outcome
  • Trauma Severity Indices
  • Socioeconomic Factors
  • Sex Factors
  • Residence Characteristics
  • Rehabilitation Centers
  • Rehabilitation
  • Recovery of Function
  • Racial Groups
 

Citation

APA
Chicago
ICMJE
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Oyesanya, T. O., Moran, T. P., Espinoza, T. R., & Wright, D. W. (2021). Regional Variations in Rehabilitation Outcomes of Adult Patients With Traumatic Brain Injury: A Uniform Data System for Medical Rehabilitation Investigation. Archives of Physical Medicine and Rehabilitation, 102(1), 68–75. https://doi.org/10.1016/j.apmr.2020.07.011
Oyesanya, Tolu O., Tim P. Moran, Tamara R. Espinoza, and David W. Wright. “Regional Variations in Rehabilitation Outcomes of Adult Patients With Traumatic Brain Injury: A Uniform Data System for Medical Rehabilitation Investigation.Archives of Physical Medicine and Rehabilitation 102, no. 1 (January 2021): 68–75. https://doi.org/10.1016/j.apmr.2020.07.011.
Oyesanya TO, Moran TP, Espinoza TR, Wright DW. Regional Variations in Rehabilitation Outcomes of Adult Patients With Traumatic Brain Injury: A Uniform Data System for Medical Rehabilitation Investigation. Archives of physical medicine and rehabilitation. 2021 Jan;102(1):68–75.
Oyesanya, Tolu O., et al. “Regional Variations in Rehabilitation Outcomes of Adult Patients With Traumatic Brain Injury: A Uniform Data System for Medical Rehabilitation Investigation.Archives of Physical Medicine and Rehabilitation, vol. 102, no. 1, Jan. 2021, pp. 68–75. Epmc, doi:10.1016/j.apmr.2020.07.011.
Oyesanya TO, Moran TP, Espinoza TR, Wright DW. Regional Variations in Rehabilitation Outcomes of Adult Patients With Traumatic Brain Injury: A Uniform Data System for Medical Rehabilitation Investigation. Archives of physical medicine and rehabilitation. 2021 Jan;102(1):68–75.
Journal cover image

Published In

Archives of physical medicine and rehabilitation

DOI

EISSN

1532-821X

ISSN

0003-9993

Publication Date

January 2021

Volume

102

Issue

1

Start / End Page

68 / 75

Related Subject Headings

  • United States
  • Treatment Outcome
  • Trauma Severity Indices
  • Socioeconomic Factors
  • Sex Factors
  • Residence Characteristics
  • Rehabilitation Centers
  • Rehabilitation
  • Recovery of Function
  • Racial Groups