Extension of the representativeness of the Traumatic Brain Injury Model Systems National Database: 2001 to 2010.
Extension of the representativeness of the Traumatic Brain Injury Model Systems National Database: 2001 to 2010.
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DOI：
10.1097/htr.0b013e31826da983
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发表时间：
2012-11
期刊：
影响因子：
--
通讯作者：
Coronado VG
中科院分区：
文献类型：
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作者：
Cuthbert JP;Corrigan JD;Whiteneck GG;Harrison-Felix C;Graham JE;Bell JM;Coronado VG
扩大创伤性脑损伤模型系统国家数据库的代表性（TBIMS-NDB）针对在美国接受急性住院康复治疗的16岁及以上的个体，初步诊断为创伤性脑损伤（TBI），分析由科里根及其同事完成，通过将该数据集与具有相同纳入标准的住院康复患者的国家数据进行比较，其中包括额外3年的数据和2个新的人口统计变量。现有数据集的二次分析;先前发表分析的扩展。急性住院康复设施。16岁及以上的TBI初步康复诊断患者;美国TBI康复人群n = 156，447; TBIMS-NDB人群n = 7373。没有。人口统计学、功能状态和住院时间。TBIMS-NDB在很大程度上代表了2001年10月1日或之后在美国入院接受康复治疗、初步诊断为TBI并于2010年12月31日出院的16岁及以上患者。扩展分析的结果与科里根及其同事报告的结果相似。年龄是样本之间最大的差异，TBIMS-NDB包括65岁及以上患者的比例较小，与美国所有主要诊断为TBI的康复患者相比。在65岁时对每个数据集进行分区后，样本之间的大多数分布差异显着减少;然而，受伤前职业状况的就业和康复住院时间在1至9天之间的差异仍然很大。64岁及以下患者的子样本在所有剩余变量上仅略有不同，而65岁及以上患者在保险类型和年龄分布上存在有意义的差异。这些结果再次证实，TBIMS-NDB在很大程度上代表了在美国接受住院康复治疗的TBI患者。发现两个数据集之间的差异在另外3年的数据中保持稳定，新的差异仅限于涉及新引入变量的差异。为了将这些数据用于基于人群的研究，强烈建议进行统计调整，以解释TBIMS NDB中65岁以上患者的较低比例，住院康复时间少于10天以及受伤前职业状态。
To extend the representativeness of the Traumatic Brain Injury Model Systems National Database (TBIMS-NDB) for individuals aged 16 years and older admitted for acute, inpatient rehabilitation in the United States with a primary diagnosis of traumatic brain injury (TBI) analyses completed by Corrigan and colleagues, by comparing this dataset to national data for patients admitted to inpatient rehabilitation with identical inclusion criteria that included 3 additional years of data and 2 new demographic variables. Secondary analysis of existing datasets; extension of previously published analyses. Acute inpatient rehabilitation facilities. Patients 16 years of age and older with a primary rehabilitation diagnosis of TBI; US TBI Rehabilitation population n = 156,447; TBIMS-NDB population n = 7373. None. demographics, functional status and hospital length of stay. The TBIMS-NDB was largely representative of patients 16 years and older admitted for rehabilitation in the U.S. with a primary diagnosis of TBI on or after October 1, 2001 and discharged as of December 31, 2010. The results of the extended analyses were similar to those reported by Corrigan and colleagues. Age accounted for the largest difference between the samples, with the TBIMS-NDB including a smaller proportion of patients aged 65 and older as compared to all those admitted for rehabilitation with a primary diagnosis of TBI in the United States. After partitioning each dataset at age 65, most distributional differences found between samples were markedly reduced; however, differences on the Pre-injury vocational status of employed and rehabilitation lengths of stay between 1 and 9 days remained robust. The subsamples of patients aged 64 and younger was found to differ only slightly on all remaining variables, while those aged 65 and older were found to have meaningful differences on insurance type and age distribution. These results reconfirm that the TBIMS-NDB is largely representative of patients with TBI receiving inpatient rehabilitation in the U.S. Differences between the two datasets were found to be stable across the 3 additional years of data, and new differences were limited to those involving newly introduced variables. In order to use these data for population-based research, it is strongly recommended that statistical adjustment be conducted to account for the lower percentage of patients over age 65, inpatient rehabilitation stays less than 10 days and Pre-injury vocational status in the TBIMS NDB.