Aparna Vadlamani1, Justin A Perry2, Maureen McCunn3, Deborah M Stein4, Jennifer S Albrecht5. 1. Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD. Electronic address: avadlamani@som.umaryland.edu. 2. Department of Care Management, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD. 3. Department of Anesthesiology, Divisions of Trauma Anesthesiology and Surgical Critical Care, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD. 4. Department of Surgery, Division of Surgical Critical Care, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD. 5. Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
Abstract
OBJECTIVE: To determine if there were racial differences in discharge location among older adults treated for traumatic brain injury (TBI) at a level 1 trauma center. DESIGN: Retrospective cohort study. SETTING: R Adams Cowley Shock Trauma Center. PARTICIPANTS: Black and white adults aged ≥65 years treated for TBI between 1998 and 2012 and discharged to home without services or inpatient rehabilitation (N=2902). MAIN OUTCOME MEASURES: We assessed the association between race and discharge location via logistic regression. Covariates included age, sex, Abbreviated Injury Scale-Head score, insurance type, Glasgow Coma Scale score, and comorbidities. RESULTS: There were 2487 (86%) whites and 415 blacks (14%) in the sample. A total of 1513 (52%) were discharged to inpatient rehabilitation and 1389 (48%) were discharged home without services. In adjusted logistic regression, blacks were more likely to be discharged to inpatient rehabilitation than to home without services compared to whites (odds ratio 1.34, 95% confidence interval, 1.06-1.70). CONCLUSIONS: In this group of Medicare-eligible older adults, blacks were more likely to be discharged to inpatient rehabilitation compared to whites.
OBJECTIVE: To determine if there were racial differences in discharge location among older adults treated for traumatic brain injury (TBI) at a level 1 trauma center. DESIGN: Retrospective cohort study. SETTING: R Adams Cowley Shock Trauma Center. PARTICIPANTS: Black and white adults aged ≥65 years treated for TBI between 1998 and 2012 and discharged to home without services or inpatient rehabilitation (N=2902). MAIN OUTCOME MEASURES: We assessed the association between race and discharge location via logistic regression. Covariates included age, sex, Abbreviated Injury Scale-Head score, insurance type, Glasgow Coma Scale score, and comorbidities. RESULTS: There were 2487 (86%) whites and 415 blacks (14%) in the sample. A total of 1513 (52%) were discharged to inpatient rehabilitation and 1389 (48%) were discharged home without services. In adjusted logistic regression, blacks were more likely to be discharged to inpatient rehabilitation than to home without services compared to whites (odds ratio 1.34, 95% confidence interval, 1.06-1.70). CONCLUSIONS: In this group of Medicare-eligible older adults, blacks were more likely to be discharged to inpatient rehabilitation compared to whites.
Authors: Daithi S Heffernan; Roberto M Vera; Sean F Monaghan; Rajan K Thakkar; Matthew S Kozloff; Michael D Connolly; Shea C Gregg; Jason T Machan; David T Harrington; Charles A Adams; William G Cioffi Journal: J Trauma Date: 2011-03
Authors: Jeffrey P Cuthbert; John D Corrigan; Cynthia Harrison-Felix; Victor Coronado; Marcel P Dijkers; Allen W Heinemann; Gale G Whiteneck Journal: Arch Phys Med Rehabil Date: 2011-05 Impact factor: 3.966