James J Garcia1, Karlita L Warren2. 1. Department of Psychology, University of La Verne, La Verne, CA and the Department of Neuropsychology and Psychology, Casa Colina Hospital and Centers for Healthcare, Pomona, CA. 2. Department of Kinesiology, Athletic Training Program, University of La Verne, La Verne, CA.
Abstract
Objective: To examine racial/ethnic differences in poststroke inpatient rehabilitation outcomes. Design: Cross-sectional and retrospective study of administrative data across 2002-2018. Setting: An inpatient rehabilitation facility in Southern California. Participants: 3,876 racial/ethnic people aged ≥ 18 years. Main Outcome Measures: Functional Independence Measure (FIM®) and discharge disposition. Results: Participants were non-Hispanic Whites (NHWs, 68.5%), Hispanics (17.1%), non-Hispanic Asians (NHAs, 7.4%), and non-Hispanic Blacks (NHBs, 6.4%) aged 18-102 years (Mage = 68.47±14.66 years; MLOS = 19.47±10.05 days). Above and beyond covariates, multivariate hierarchical regression analyses showed race/ethnicity significantly predicted admission, motor efficiency, and discharge FIM® scores. Compared with NHWs, the Hispanic and NHA groups were associated with lower cognitive, motor, and total FIM® scores at admission; the NHB group was associated with lower motor efficiency, lower discharge motor and total FIM® scores, whereas the Hispanic group was associated with higher discharge total FIM® scores. Lastly, Hispanics had higher odds of a discharge home compared with NHWs. Conclusions: Findings suggest racial/ethnic differences exist in poststroke rehabilitation outcomes.
Objective: To examine racial/ethnic differences in poststroke inpatient rehabilitation outcomes. Design: Cross-sectional and retrospective study of administrative data across 2002-2018. Setting: An inpatient rehabilitation facility in Southern California. Participants: 3,876 racial/ethnic people aged ≥ 18 years. Main Outcome Measures: Functional Independence Measure (FIM®) and discharge disposition. Results:Participants were non-Hispanic Whites (NHWs, 68.5%), Hispanics (17.1%), non-Hispanic Asians (NHAs, 7.4%), and non-Hispanic Blacks (NHBs, 6.4%) aged 18-102 years (Mage = 68.47±14.66 years; MLOS = 19.47±10.05 days). Above and beyond covariates, multivariate hierarchical regression analyses showed race/ethnicity significantly predicted admission, motor efficiency, and discharge FIM® scores. Compared with NHWs, the Hispanic and NHA groups were associated with lower cognitive, motor, and total FIM® scores at admission; the NHB group was associated with lower motor efficiency, lower discharge motor and total FIM® scores, whereas the Hispanic group was associated with higher discharge total FIM® scores. Lastly, Hispanics had higher odds of a discharge home compared with NHWs. Conclusions: Findings suggest racial/ethnic differences exist in poststroke rehabilitation outcomes.
Authors: Carolee J Winstein; Joel Stein; Ross Arena; Barbara Bates; Leora R Cherney; Steven C Cramer; Frank Deruyter; Janice J Eng; Beth Fisher; Richard L Harvey; Catherine E Lang; Marilyn MacKay-Lyons; Kenneth J Ottenbacher; Sue Pugh; Mathew J Reeves; Lorie G Richards; William Stiers; Richard D Zorowitz Journal: Stroke Date: 2016-05-04 Impact factor: 7.914
Authors: Bruce Ovbiagele; Larry B Goldstein; Randall T Higashida; Virginia J Howard; S Claiborne Johnston; Olga A Khavjou; Daniel T Lackland; Judith H Lichtman; Stephanie Mohl; Ralph L Sacco; Jeffrey L Saver; Justin G Trogdon Journal: Stroke Date: 2013-05-22 Impact factor: 7.914
Authors: Charles Ellis; Andrea D Boan; Tanya N Turan; Shelly Ozark; David Bachman; Daniel T Lackland Journal: Arch Phys Med Rehabil Date: 2014-09-16 Impact factor: 3.966