Article

OBJECTIVE: 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.
DESIGN: Retrospective cohort study using the Uniform Data System for Medical
Rehabilitation national dataset from the years 2002 to 2012. SETTING: Inpatient
rehabilitation units. PARTICIPANTS: Children (N=10,141) aged 6 months to 18 years
who received inpatient rehabilitation for TBI. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Motor and cognitive functional independence after
discharge from inpatient rehabilitation, adjusting for age, sex, admission
function, length of stay, insurance, and region.
RESULTS: 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. CONCLUSIONS: While racial/ethnic disparities
are small, minority children are more likely to be younger, to have Medicaid, and
to be cared for at nonpediatric facilities, factors that increase their risk for
lower functional outcomes.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS