OBJECTIVES: (1) to determine differences between minorities vs. non-minorities on demographic, injury and rehabilitation characteristics and functional outcomes at admission, discharge and 1-year post-injury and (2) to examine differences in functional outcome at 1-year post-injury among (African-Americans, Hispanics and Whites). DESIGN: Retrospective study. SETTING: Longitudinal data were extracted from the TBI Model Systems database. PARTICIPANTS: 4929 individuals with moderate-to-severe TBI (3354 Whites vs. 1575 Minorities: 1207 African-Americans and 368 Hispanics) hospitalized between 1989-2004. MAIN OUTCOME MEASURES: Functional outcomes at 1-year post-injury (Disability Rating Scale, Functional Independence Measure, Glasgow Outcome Scale-Extended and Community Integration Questionnaire). RESULTS: At discharge and 1-year post-injury, minorities had poorer functional outcomes compared with Caucasians on all measures. After controlling for sociodemographic, injury and functional characteristics at admission, Hispanics and African-Americans still showed worse functional outcomes at 1-year post-injury compared with Whites on the DRS, FIM and CIQ. There were no significant differences between African Americans and Hispanics. CONCLUSIONS: Minorities had significantly reduced long-term functional outcome after rehabilitation relative to Whites. It is imperative that rehabilitation professionals' consider factors related to poorer long-term functional outcome and work to improve the quality of life of minorities with TBI.
OBJECTIVES: (1) to determine differences between minorities vs. non-minorities on demographic, injury and rehabilitation characteristics and functional outcomes at admission, discharge and 1-year post-injury and (2) to examine differences in functional outcome at 1-year post-injury among (African-Americans, Hispanics and Whites). DESIGN: Retrospective study. SETTING: Longitudinal data were extracted from the TBI Model Systems database. PARTICIPANTS: 4929 individuals with moderate-to-severe TBI (3354 Whites vs. 1575 Minorities: 1207 African-Americans and 368 Hispanics) hospitalized between 1989-2004. MAIN OUTCOME MEASURES: Functional outcomes at 1-year post-injury (Disability Rating Scale, Functional Independence Measure, Glasgow Outcome Scale-Extended and Community Integration Questionnaire). RESULTS: At discharge and 1-year post-injury, minorities had poorer functional outcomes compared with Caucasians on all measures. After controlling for sociodemographic, injury and functional characteristics at admission, Hispanics and African-Americans still showed worse functional outcomes at 1-year post-injury compared with Whites on the DRS, FIM and CIQ. There were no significant differences between African Americans and Hispanics. CONCLUSIONS: Minorities had significantly reduced long-term functional outcome after rehabilitation relative to Whites. It is imperative that rehabilitation professionals' consider factors related to poorer long-term functional outcome and work to improve the quality of life of minorities with TBI.
Authors: Jose-Miguel Yamal; Claudia S Robertson; M Laura Rubin; Julia S Benoit; H Julia Hannay; Barbara C Tilley Journal: Clin Trials Date: 2014-04 Impact factor: 2.486
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Authors: Aparna Vadlamani; Justin A Perry; Maureen McCunn; Deborah M Stein; Jennifer S Albrecht Journal: Arch Phys Med Rehabil Date: 2019-04-04 Impact factor: 3.966
Authors: Adil H Haider; Paul Logan Weygandt; Jessica M Bentley; Maria Francesca Monn; Karim Abdur Rehman; Benjamin L Zarzaur; Marie L Crandall; Edward E Cornwell; Lisa A Cooper Journal: J Trauma Acute Care Surg Date: 2013-05 Impact factor: 3.313
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