Functional independence after inpatient rehabilitation for traumatic brain injury among minority children and adolescents.
Functional independence after inpatient rehabilitation for traumatic brain injury among minority children and adolescents.
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DOI：
10.1016/j.apmr.2015.02.019
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发表时间：
2015-07
影响因子：
4.3
通讯作者：
Rivara, Frederick P.
中科院分区：
文献类型：
--
作者：
Jimenez, Nathalia;Osorio, Marisa;Ramos, Jessica L.;Apkon, Susan;Ebel, Beth E.;Rivara, Frederick P.
比较西班牙裔、非西班牙裔黑人（NHB）和非西班牙裔白色（NHW）创伤性脑损伤（TBI）儿童出院后的运动和认知功能独立性评分。使用2002-2012年医疗康复统一数据系统国家数据集的回顾性队列研究。住院康复单位。10，141名6个月至18岁的儿童因TBI接受住院康复治疗。不适用因从住院康复出院后的运动和认知功能独立性;调整年龄、性别、入院功能、住院时间、保险和地区。住院康复治疗改善了所有儿童的功能独立性。年龄较小、入院时功能独立性评分较低和医疗补助保险与出院时功能独立性较低相关。与NHW儿童相比，西班牙裔和NHB儿童的出院认知评分较低;但是差异很小，部分原因是保险状况和地区。在儿科机构接受康复治疗的儿童有更大的认知改善。虽然种族/民族差异很小，但少数民族儿童更有可能更年轻，获得医疗补助，并在非儿科设施中得到照顾，这些因素增加了他们功能结果降低的风险。
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 years 2002–2012. Inpatient rehabilitation units. 10,141 children 6 months to 18 years of age who received inpatient rehabilitation for TBI. not applicable. Motor and cognitive functional independence after discharge from inpatient rehabilitation; adjusting for age, gender, 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 to 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 children are more likely to be younger, to have Medicaid and to be cared for at non-pediatric facilities, factors that increase their risk for lower functional outcomes.
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DOI：
10.1097/ta.0b013e31803c760e
发表时间：
2007-05-01
影响因子：
--
作者：
Haider, Adil H.;Efron, David T.;Cornwell, Edward E., III
通讯作者：
Cornwell, Edward E., III
影响因子：
8
作者：
Jimenez, Nathalia;Ebel, Beth E.;Rivara, Frederick P.
通讯作者：
Rivara, Frederick P.
影响因子：
1.9
作者：
Suskauer, Stacy J.;Slomine, Beth S.;Salorio, Cynthia F.
通讯作者：
Salorio, Cynthia F.
DOI：
10.1097/00002060-200009000-00002
发表时间：
2000-09-01
影响因子：
3
作者：
Swaine, BR;Pless, IB;Montes, JL
通讯作者：
Montes, JL
DOI：
10.1097/htr.0b013e31824da031
发表时间：
2013-09
期刊：
The Journal of head trauma rehabilitation
影响因子：
--
作者：
Kramer ME;Suskauer SJ;Christensen JR;DeMatt EJ;Trovato MK;Salorio CF;Slomine BS
通讯作者：
Slomine BS