Article

OBJECTIVE: To examine racial and ethnic differences in self-care and mobility
outcomes for persons with a motor complete, traumatic spinal cord injury (SCI) at
discharge and 1-year follow-up. DESIGN: Retrospective cohort study. SETTING:
Sixteen rehabilitation centers contributing to the Spinal Cord Injury Model
Systems (SCIMS) database. PARTICIPANTS: Adults with traumatic, motor complete SCI
(N=1766; American Spinal Injury Association Impairment Scale grade A or B)
enrolled in the SCIMS between 2000 and 2011. Selected cases had complete
self-reported data on race and ethnicity (non-Hispanic white, non-Hispanic black,
or Hispanic) and motor FIM scores assessed at inpatient rehabilitation admission,
discharge, and 1-year follow-up. INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: Functional outcomes were measured by FIM self-care and mobility scores
on a 1 to 7 FIM scale, at discharge and 1-year follow-up. RESULTS: Multiple
regression models stratified by neurologic category and adjusted for
sociodemographic and injury characteristics assessed racial and ethnic group
differences in FIM self-care and mobility change scores at discharge and 1-year
follow-up. At discharge, non-Hispanic black participants with tetraplegia and
paraplegia had significantly poorer gains in FIM self-care and mobility scores
relative to non-Hispanic white and Hispanic participants. At 1-year follow-up,
similar FIM self-care and mobility change scores were found across racial and
ethnic groups within each neurologic category. CONCLUSIONS: Non-Hispanic white
and Hispanic participants had comparatively more improvement in self-care and
mobility during inpatient rehabilitation compared with non-Hispanic black
participants. At 1-year follow-up, no differences in self-care and mobility
outcomes were observed across racial and ethnic groups. Additional research is
needed to identify potential modifiable factors that may contribute to racially
and ethnically different patterns of functional outcomes observed during
inpatient rehabilitation.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS