Functional independence after inpatient rehabilitation for traumatic brain injury among minority children and adolescents

Archives of Physical Medicine and Rehabilitation
Nathalia JimenezFrederick P Rivara

Abstract

To compare motor and cognitive functional independence scores between Hispanic, non-Hispanic black (NHB), and non-Hispanic white (NHW) children with traumatic brain injury (TBI) after discharge from inpatient rehabilitation. Retrospective cohort study using the Uniform Data System for Medical Rehabilitation national dataset from the years 2002 to 2012. Inpatient rehabilitation units. Children (N=10,141) aged 6 months to 18 years who received inpatient rehabilitation for TBI. Not applicable. Motor and cognitive functional independence after discharge from inpatient rehabilitation, adjusting for age, sex, admission function, length of stay, insurance, and region. Inpatient rehabilitation therapy improved functional independence for all children. Younger age, lower admission functional independence scores, and Medicaid insurance were associated with lower functional independence at discharge. Hispanic and NHB children had lower discharge cognitive scores compared with NHW children; however, differences were small and were partially explained by insurance status and region. Children who received rehabilitation therapy at pediatric facilities had greater cognitive improvement. While racial/ethnic disparities are small, minority chil...Continue Reading

References

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Citations

Jun 25, 2016·The Journal of Surgical Research·David MetcalfeAli Salim
Mar 31, 2016·Archives of Physical Medicine and Rehabilitation·Molly M FuentesFrederick P Rivara
Jun 11, 2016·Journal of Pediatric Rehabilitation Medicine·Molly M FuentesFrederick P Rivara
Mar 10, 2017·Developmental Neurorehabilitation·Katie S WilliamsDaniel M Fountain
Feb 18, 2017·Current Opinion in Neurology·Fenella J Kirkham
Dec 2, 2017·The Journal of Head Trauma Rehabilitation·Megan MooreMonica S Vavilala
Aug 18, 2017·Developmental Neurorehabilitation·Elena BerettaSandra Strazzer
Dec 12, 2018·The Journal of Trauma and Acute Care Surgery·Melanie B LaPlant, Donavon J Hess
Feb 25, 2020·International Review of Psychiatry·Carisa ParrishRick Ostrander
Jan 4, 2020·Journal of Racial and Ethnic Health Disparities·M CopleyS P D Chrisman
May 28, 2021·Archives of Physical Medicine and Rehabilitation·Alyssa M DayCynthia F Salorio

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.